Brain Advance Access originally published online on September 30, 2007
Brain 2008 131(2):e89; doi:10.1093/brain/awm180
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© The Author (2007). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Autologous HSCT for advanced MS: Is the glass half-empty or really half-full?
1Fred Hutchinson Cancer Research Center, Seattle, WA, 2University of Texas Southwestern, Dallas, TX, 3MS Center at Evergreen, Evergreen Hospital Medical Center, Kirkland, WA, 4National Institute of Allergy and Infectious Diseases, National Institute of Health, Bethesda, MD, 5Baylor College of Medicine, Houston, TX, 6University of Washington, Seattle, WA, 7MD Anderson Cancer Center, Houston, TX, 8Ohio State University, Columbus OH, USA and 9Imperial College, London, UK
Correspondence to: Richard A. Nash E-mail: rnash@fhcrc.org
Received June 11, 2007. Accepted July 9, 2007.
| The first 10% of the full text of this article appears below. |
Sir, On the basis of persisting demyelination and axonal degeneration in brains of patients with progressive multiple sclerosis (MS), Metz et al. (2007
) concluded that autologous hematopoietic stem cell transplantation fails to stop demyelination and neurodegeneration. This was based on routine and immunohistochemical stains of brains from five patients who died at a median of 2 (range 0.5–18) months after high-dose immunosuppressive therapy (HDIT) and autologous hematopoietic stem cell transplantation (HSCT). Although this small series of autopsy cases contributed significant and interesting insights, the conclusion
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