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Published in: Current Neurology and Neuroscience Reports 9/2014

01-09-2014 | Demyelinating Disorders (DN Bourdette and V Yadav, Section Editors)

Autologous Bone Marrow Transplantation for the Treatment of Multiple Sclerosis

Authors: Marta Radaelli, Arianna Merlini, Raffaella Greco, Francesca Sangalli, Giancarlo Comi, Fabio Ciceri, Gianvito Martino

Published in: Current Neurology and Neuroscience Reports | Issue 9/2014

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Abstract

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system and represents one of the leading causes of neurologic disability in young adults. Current treatments for MS have shown limited efficacy in patients with either a progressive or an aggressive disease course. Hematopoietic stem cell transplantation (HSCT) has been proposed to control or even cure refractory cases of MS. Indeed, HSCT is able to temporarily eradicate the autoreactive cells and to reset the aberrant immune response to self-antigens. In the last decade, owing to the growing experience in selecting the most appropriate patients to transplant and the recent advances in chemotherapeutic and support regimens, the transplant-related mortality of autologous HSCT in MS patients dropped down to 1,3 % and the progression-free survival ranges from 47 % to 100 %. Altogether, these data support autologous HSCT as a possible second-line therapy for refractory MS.
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Metadata
Title
Autologous Bone Marrow Transplantation for the Treatment of Multiple Sclerosis
Authors
Marta Radaelli
Arianna Merlini
Raffaella Greco
Francesca Sangalli
Giancarlo Comi
Fabio Ciceri
Gianvito Martino
Publication date
01-09-2014
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 9/2014
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-014-0478-0

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