Title Selective cognitive dysfunction and physical disability improvement after autologous hematopoietic stem cell transplantation in highly active multiple sclerosis /
Authors Giedraitienė, Nataša ; Kizlaitienė, Rasa ; Pečeliūnas, Valdas ; Griškevičius, Laimonas ; Kaubrys, Gintaras Ferdinandas
DOI 10.1038/s41598-020-78160-1
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Is Part of Scientific reports.. London : Nature Publishing Group. 2020, vol. 10, art. no. 21286, p. 1-9.. ISSN 2045-2322. eISSN 2045-2322
Keywords [eng] multiple sclerosis ; highly active ; hematopoietic stem cell transplantation ; immunosuppressive therapy ; relapse rate ; disability
Abstract [eng] The aim was to assess the cognitive dysfunction and physical disability after autologous hematopoietic stem cell transplantation (AHSCT), to explore the potential factors influencing disability regression after AHSCT and to estimate the safety of low-dose immunosuppressive therapy in highly active Multiple Sclerosis (MS) patients. In single-center prospective study patients who failed to conventional therapies for highly active relapsing MS underwent the AHSCT. The disability was followed up with Expanded Disability Status Scale and cognition with Brief International Cognitive Assessment for Multiple Sclerosis. Twenty four patients [18 (72.0%) female] underwent AHSCT. Two patients of 13 had one relapse during the first year and three patients—during the second year after AHSCT. Disability regression was found in 84.6% of patients. The scores of information processing speed and verbal learning were significantly higher at month 12 after AHSCT. The clinical variable that explained the disability regression at months 6 and 12 after AHSCT was the disability progression over 6 months before AHSCT. No transplant related-deaths were observed. Selective cognitive improvement was found after AHSCT in MS patients. The disability may be temporarily reversible after AHSCT in a significant proportion of highly active RMS patients if AHSCT is well-timed performed.
Published London : Nature Publishing Group
Type Journal article
Language English
Publication date 2020
CC license CC license description