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Cell-based therapeutic strategies for multiple sclerosis. Brain 2017 Nov 01;140(11):2776-2796

Date

10/21/2017

Pubmed ID

29053779

Pubmed Central ID

PMC5841198

DOI

10.1093/brain/awx154

Scopus ID

2-s2.0-85032909723 (requires institutional sign-in at Scopus site)   142 Citations

Abstract

The availability of multiple disease-modifying medications with regulatory approval to treat multiple sclerosis illustrates the substantial progress made in therapy of the disease. However, all are only partially effective in preventing inflammatory tissue damage in the central nervous system and none directly promotes repair. Cell-based therapies, including immunoablation followed by autologous haematopoietic stem cell transplantation, mesenchymal and related stem cell transplantation, pharmacologic manipulation of endogenous stem cells to enhance their reparative capabilities, and transplantation of oligodendrocyte progenitor cells, have generated substantial interest as novel therapeutic strategies for immune modulation, neuroprotection, or repair of the damaged central nervous system in multiple sclerosis. Each approach has potential advantages but also safety concerns and unresolved questions. Moreover, clinical trials of cell-based therapies present several unique methodological and ethical issues. We summarize here the status of cell-based therapies to treat multiple sclerosis and make consensus recommendations for future research and clinical trials.

Author List

Scolding NJ, Pasquini M, Reingold SC, Cohen JA, International Conference on Cell-Based Therapies for Multiple Sclerosis, International Conference on Cell-Based Therapies for Multiple Sclerosis, International Conference on Cell-Based Therapies for Multiple Sclerosis

Author

Marcelo C. Pasquini MD, MS Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Hematopoietic Stem Cell Transplantation
Humans
Induced Pluripotent Stem Cells
Mesenchymal Stem Cell Transplantation
Multiple Sclerosis
Myelin Sheath
Oligodendroglia
Regeneration
Stem Cell Transplantation
Stem Cells
Transplantation, Autologous