Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis

Multiple sclerosis (MS) is a chronic inflammatory disease of central nervous system (CNS), which is disabling and majorly involves younger population. Various available treatments in forms of immunomodulation are not very effective; however, stem cell transplantation seems to be promising in recent...

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Main Authors: Awadh Kishor Pandit, Kameshwar Prasad, Tulika Seth
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=4;spage=459;epage=463;aulast=Pandit
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author Awadh Kishor Pandit
Kameshwar Prasad
Tulika Seth
author_facet Awadh Kishor Pandit
Kameshwar Prasad
Tulika Seth
author_sort Awadh Kishor Pandit
collection DOAJ
description Multiple sclerosis (MS) is a chronic inflammatory disease of central nervous system (CNS), which is disabling and majorly involves younger population. Various available treatments in forms of immunomodulation are not very effective; however, stem cell transplantation seems to be promising in recent literature. The current case report is a novel evidence for autologous hematopoietic stem cell transplantation (HSCT) in progressive MS. Case Summary: A 33 year old male with secondary progressive MS (SPMS), after being failed and/or intolerance to standard approved interferon (IFN) and mitoxantrone therapy, autologous HSCT was administered. At 2years of post-stem cell transplantation follow-up, he has remained stable with some improvement in functional status (Expanded Disability Status Scale (EDSS) reduced by 1.5), with no relapse, no treatment related complications, and no fresh magnetic resonance imaging (MRI) lesions. Conclusion: Autologous stem cell transplantation may be beneficial in progressive forms of MS, but needs to be tested in well-designed randomized trial.
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spelling doaj.art-6a1f4613d1f64aab8112244712d567392022-12-22T01:14:24ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492015-01-0118445946310.4103/0972-2327.165482Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosisAwadh Kishor PanditKameshwar PrasadTulika SethMultiple sclerosis (MS) is a chronic inflammatory disease of central nervous system (CNS), which is disabling and majorly involves younger population. Various available treatments in forms of immunomodulation are not very effective; however, stem cell transplantation seems to be promising in recent literature. The current case report is a novel evidence for autologous hematopoietic stem cell transplantation (HSCT) in progressive MS. Case Summary: A 33 year old male with secondary progressive MS (SPMS), after being failed and/or intolerance to standard approved interferon (IFN) and mitoxantrone therapy, autologous HSCT was administered. At 2years of post-stem cell transplantation follow-up, he has remained stable with some improvement in functional status (Expanded Disability Status Scale (EDSS) reduced by 1.5), with no relapse, no treatment related complications, and no fresh magnetic resonance imaging (MRI) lesions. Conclusion: Autologous stem cell transplantation may be beneficial in progressive forms of MS, but needs to be tested in well-designed randomized trial.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=4;spage=459;epage=463;aulast=PanditAutologous hematopoietic stem cell transplantationHSCT in MSmultiple sclerosisstem cell transplantation
spellingShingle Awadh Kishor Pandit
Kameshwar Prasad
Tulika Seth
Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
Annals of Indian Academy of Neurology
Autologous hematopoietic stem cell transplantation
HSCT in MS
multiple sclerosis
stem cell transplantation
title Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
title_full Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
title_fullStr Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
title_full_unstemmed Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
title_short Autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
title_sort autologous hematopoietic stem cell transplantation in progressive severe multiple sclerosis
topic Autologous hematopoietic stem cell transplantation
HSCT in MS
multiple sclerosis
stem cell transplantation
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=4;spage=459;epage=463;aulast=Pandit
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