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Front Neurol. 2021 Feb 22;12:647425. doi: 10.3389/fneur.2021.647425. eCollection 2021.

The 1,000th Transplant for Multiple Sclerosis and Other Autoimmune Disorders at the HSCT-México Program: A Myriad of Experiences and Knowledge.

Frontiers in neurology

Iván Murrieta-Álvarez, Yahveth Cantero-Fortiz, Andrés A León-Peña, Juan C Olivares-Gazca, José Manuel Priesca-Marín, Guillermo J Ruiz-Delgado, Andrés Gómez-De-León, Elías Eugenio Gonzalez-Lopez, José Carlos Jaime-Pérez, David Gómez-Almaguer, Guillermo J Ruiz-Argüelles

Affiliations

  1. Centro de Hematología y Medicina Interna de Puebla, Puebla, Mexico.
  2. Facultad de Medicina, Universidad Popular Autónoma del Estado de Puebla, Puebla, Mexico.
  3. Escuela de Medicina, Universidad de las Américas Puebla, Puebla, Mexico.
  4. Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.
  5. Laboratorios Clínicos de Puebla, Puebla, Mexico.
  6. Clínica Gómez Almaguer, Monterrey, Mexico.
  7. Hospital Universitario "Dr. José Eleuterio González", Monterrey, Mexico.

PMID: 33692748 PMCID: PMC7937693 DOI: 10.3389/fneur.2021.647425

Abstract

After gaining experience conducting both auto and allografts in persons with hematological diseases in the HSCT programs in Puebla and Monterrey, México, this study outlines subsequent program autografting patients with autoimmune conditions. The first transplant in multiple sclerosis was conducted in Puebla on July 5, 2006. From 2015 we increased activity autografting persons with autoimmune conditions in the two campuses of the HSCT-México program: Puebla and Monterrey. By December 6, 2020, patient number 1,000 in the program was autografted. In our experience, a significant reduction in the expanded disability status scale score was achieved in all of the three phenotypes of the disease (from a median of 5.1 to 4.5 points), whereas the response rate (defined as a decrease of at least 0.5 of EDSS score regardless of baseline EDSS, or unchanged EDSS) was 83, 78, and 73% after 12 months in the relapsing-remitting, primary-progressive and secondary-progressive forms of multiple sclerosis, respectively. In addition to analyzing the viability, safety, and efficacy of our method, this study contributes new knowledge to the field of both stem cell transplantation and multiple sclerosis.

Copyright © 2021 Murrieta-Álvarez, Cantero-Fortiz, León-Peña, Olivares-Gazca, Priesca-Marín, Ruiz-Delgado, Gómez-De-León, Gonzalez-Lopez, Jaime-Pérez, Gómez-Almaguer and Ruiz-Argüelles.

Keywords: HSCT; PBSCs; autoimmune diseases; cyclophosphamide; multiple sclerosis; non-myeloablative; outpatient care

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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