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Related Concept Videos

Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Multipotency of Hematopoietic Stem Cells01:19

Multipotency of Hematopoietic Stem Cells

The hematopoietic stem cells or HSCs are multipotent, meaning they can differentiate and give rise to all blood and immune cells. HSCs are maintained in the quiescent stage until an external stimulus initiates their differentiation. The multipotent HSCs exist as two heterogeneous populations, long-term repopulating cells (LTRC) and short-term repopulating cells (STRC). The two HSC populations have different surface markers or receptors and are classified based on quiescence and long-term...
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Mesenchymal Stem Cells

Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their access...
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Stem Cell Therapy for Tissue Regeneration

Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
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Regulation of Hematopoietic Stem Cells01:01

Regulation of Hematopoietic Stem Cells

All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
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iPS Cell Differentiation

The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.

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In Vivo Osteo-organoid Approach for Harvesting Therapeutic Hematopoietic Stem/Progenitor Cells
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Hematopoietic stem cell transplantation in multiple sclerosis.

C Rogojan1, J L Frederiksen

  • 1Department of Neurology, Glostrup Hospital, University of Copenhagen, Copenhagen, Denmark.

Acta Neurologica Scandinavica
|September 30, 2009
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Hematopoietic stem cell transplantation (HSCT) offers hope for severe multiple sclerosis (MS) patients, with significant improvement seen in nearly 70% of cases. This treatment can reduce lesions and slow brain atrophy, potentially restoring self-tolerance.

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Published on: December 8, 2023

Area of Science:

  • Neuroimmunology
  • Hematology
  • Transplantation Medicine

Background:

  • Severe multiple sclerosis (MS) poses significant challenges for conventional therapies.
  • Hematopoietic stem cell transplantation (HSCT) has emerged as a potential treatment option for refractory MS.
  • Understanding the long-term efficacy and safety of HSCT in MS is crucial.

Purpose of the Study:

  • To comprehensively review the outcomes of hematopoietic stem cell transplantation (HSCT) in multiple sclerosis (MS) patients.
  • To evaluate the effectiveness of HSCT in stabilizing or improving MS progression.
  • To analyze factors influencing HSCT outcomes, including patient selection and conditioning regimens.

Main Methods:

  • Systematic review of single-center and multicenter studies on HSCT for MS.
  • Monitoring of patient characteristics, transplantation procedures, toxicity, and clinical outcomes.
  • Comparison of results across different studies and patient cohorts.

Main Results:

  • Stabilization or improvement observed in nearly 70% of approximately 400 HSCT-treated MS patients for at least 3 years.
  • Significant reduction in gadolinium-enhancing lesions and a decline in brain atrophy progression post-HSCT.
  • Transplant-related mortality has decreased over time, with no reported deaths since 2001.

Conclusions:

  • Autologous HSCT can induce profound immunological changes, potentially restoring self-tolerance in MS patients.
  • Optimal candidates for HSCT include young patients with active disease, rapid progression, and low disability scores unresponsive to standard treatments.
  • Patient selection, timing of transplantation, and conditioning regimens are critical determinants of HSCT efficacy and safety in MS.