Autologous Mesenchymal Stem Cell Therapy Delays the Progression of Neurological Deficits in Patients With Multiple System Atrophy

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Bibliographic Details
Title: Autologous Mesenchymal Stem Cell Therapy Delays the Progression of Neurological Deficits in Patients With Multiple System Atrophy
Authors: Jang-Sung Kim, Kyoon Huh, Young Hwan Ahn, Phil Hyu Lee, In-Soo Joo, Oh Young Bang
Contributors: PH Lee, JW Kim, OY Bang, YH Ahn, IS Joo, K Huh, Lee, Phil Hyu
Source: Clinical Pharmacology & Therapeutics. 83:723-730
Publisher Information: Wiley, 2007.
Publication Year: 2007
Subject Terms: Male, Brain, Middle Aged, Multiple System Atrophy, Brain/diagnostic imaging, Mesenchymal Stem Cell Transplantation, 3. Good health, Multiple System Atrophy/surgery, 03 medical and health sciences, 0302 clinical medicine, Multiple System Atrophy/diagnostic imaging, Fluorodeoxyglucose F18, Positron-Emission Tomography, Multiple System Atrophy/pathology, Disease Progression, Feasibility Studies, Humans, Brain/pathology, Female, Prospective Studies, Mesenchymal Stem Cell Transplantation*/adverse effects
Description: We evaluated the feasibility and safety of therapy with mesenchymal stem cells (MSCs) through consecutively intra-arterial and three repeated intravenous injections and compared the long-term prognosis between MSC-treated (n=11) and control multiple system atrophy (MSA) patients (n=18). The MSC-treated patients showed significantly greater improvement on the unified MSA rating scale (UMSARS) than the control patients at all visits throughout the 12-month study period. Orthostasis in UMSARS I items and cerebellar dysfunction-related items of UMSARS II items were significantly different in favor of MSC treatment compared to controls. Serial positron emission tomography scan in the MSC-treated group showed that increased fluorodeoxyglucose uptake from baseline was noted in cerebellum and frontal white matters. No serious adverse effects related to MSC therapy occurred. This study demonstrated that MSC therapy in patients with MSA was safe and delayed the progression of neurological deficits with achievement of functional improvement in the follow-up period.
Document Type: Article
File Description: 723~730
ISSN: 1532-6535
0009-9236
DOI: 10.1038/sj.clpt.6100386
Access URL: https://pubmed.ncbi.nlm.nih.gov/17898702
Rights: CC BY NC ND
Accession Number: edsair.doi.dedup.....c140b9ec5a744a5a5ad257039feb91e9
Database: OpenAIRE
Description
Abstract:We evaluated the feasibility and safety of therapy with mesenchymal stem cells (MSCs) through consecutively intra-arterial and three repeated intravenous injections and compared the long-term prognosis between MSC-treated (n=11) and control multiple system atrophy (MSA) patients (n=18). The MSC-treated patients showed significantly greater improvement on the unified MSA rating scale (UMSARS) than the control patients at all visits throughout the 12-month study period. Orthostasis in UMSARS I items and cerebellar dysfunction-related items of UMSARS II items were significantly different in favor of MSC treatment compared to controls. Serial positron emission tomography scan in the MSC-treated group showed that increased fluorodeoxyglucose uptake from baseline was noted in cerebellum and frontal white matters. No serious adverse effects related to MSC therapy occurred. This study demonstrated that MSC therapy in patients with MSA was safe and delayed the progression of neurological deficits with achievement of functional improvement in the follow-up period.
ISSN:15326535
00099236
DOI:10.1038/sj.clpt.6100386