骨髓移植对儿童发病的脑X链 adrenoleukodystrophy 的长期影响
E Shapiro1, W Krivit, L Lockman
1Division of Paediatric Neurology, University of Minnesota, Minneapolis 55455, USA.
Lancet (London, England)
|November 21, 2000
概括
骨髓移植可以阻止儿童大脑X链 adrenoleukodystrophy 的渐进性脱髓化. 这种治疗提供长期益处,稳定神经功能,并在早期进行时改善结果.
科学领域:
- 神经学 神经学
- 遗传学 是一个遗传学.
- 免疫学 免疫学 免疫学
背景情况:
- 儿童发病的脑X链 adrenoleukodystrophy是一种致命的脱髓化疾病.
- 这种疾病进展迅速,导致严重的神经缺陷和几年内死亡.
研究的目的:
- 评估骨髓移植 (BMT) 在阻止疾病进展方面的长期疗效.
- 评估 BMT 对脑X链 adrenoleukodystrophy 神经系统恶化的影响.
主要方法:
- 一项为期5至10年的12名患有儿童大脑X链 adrenoleukodystrophy 的患者的随访研究.
- 使用了MRI,神经学,神经心理学,电生理学评估,以及血非常长链脂肪酸 (VLCFA) 水平.
主要成果:
- 在3/12例患者中,MRI显示逆转或改善;在初始脱髓化后,在8/12例患者中稳定.
- 大多数患者的运动功能和口语智力保持稳定或改善.
- 血VLCFA水平在移植后显著下降.
结论:
- 骨髓移植在儿童大脑X链 adrenoleukodystrophy 中表现出长期有益的影响.
- 早期干预BMT对于阻止疾病进展和改善患者的结果至关重要.
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