Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents

Autologous hematopoietic stem cell transplantation (AHSCT) is established as a standard of care for diseases ranging from hematological malignancies to other neoplastic pathologies and severe immunological deficiencies. In April 1995, our group performed the first AHSCT in progressive multiple scler...

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Main Authors: Maria Gavriilaki, Ioanna Sakellari, Eleni Gavriilaki, Vasilios K. Kimiskidis, Achilles Anagnostopoulos
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2019/5840286
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author Maria Gavriilaki
Ioanna Sakellari
Eleni Gavriilaki
Vasilios K. Kimiskidis
Achilles Anagnostopoulos
author_facet Maria Gavriilaki
Ioanna Sakellari
Eleni Gavriilaki
Vasilios K. Kimiskidis
Achilles Anagnostopoulos
author_sort Maria Gavriilaki
collection DOAJ
description Autologous hematopoietic stem cell transplantation (AHSCT) is established as a standard of care for diseases ranging from hematological malignancies to other neoplastic pathologies and severe immunological deficiencies. In April 1995, our group performed the first AHSCT in progressive multiple sclerosis (MS). Since then, a plethora of studies have been published with encouraging but controversial results. Major challenges in the field include appropriate patient selection, improvements in AHSCT procedure, and timing of this treatment modality. Beyond AHSCT, several new intravenous or oral agents have been developed and approved over the last 20 years in MS. The emergence of multiple effective therapies for MS has created a challenging scenario for both treating physicians and patients. Novel cell-based therapies other than AHSCT are also currently investigated in MS patients with promising results. Our review is aimed at summarizing state-of-the-art knowledge on basic principles and results of AHSCT in MS and its role compared to novel agents.
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series Stem Cells International
spelling doaj-art-d9292c4bdf0d44f88948fc7c03e1a7bb2025-08-20T03:24:16ZengWileyStem Cells International1687-966X1687-96782019-01-01201910.1155/2019/58402865840286Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel AgentsMaria Gavriilaki0Ioanna Sakellari1Eleni Gavriilaki2Vasilios K. Kimiskidis3Achilles Anagnostopoulos4Postgraduate Course, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceHematology Department-BMT Unit, G. Papanicolaou Hospital, Thessaloniki, GreeceHematology Department-BMT Unit, G. Papanicolaou Hospital, Thessaloniki, GreecePostgraduate Course, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceHematology Department-BMT Unit, G. Papanicolaou Hospital, Thessaloniki, GreeceAutologous hematopoietic stem cell transplantation (AHSCT) is established as a standard of care for diseases ranging from hematological malignancies to other neoplastic pathologies and severe immunological deficiencies. In April 1995, our group performed the first AHSCT in progressive multiple sclerosis (MS). Since then, a plethora of studies have been published with encouraging but controversial results. Major challenges in the field include appropriate patient selection, improvements in AHSCT procedure, and timing of this treatment modality. Beyond AHSCT, several new intravenous or oral agents have been developed and approved over the last 20 years in MS. The emergence of multiple effective therapies for MS has created a challenging scenario for both treating physicians and patients. Novel cell-based therapies other than AHSCT are also currently investigated in MS patients with promising results. Our review is aimed at summarizing state-of-the-art knowledge on basic principles and results of AHSCT in MS and its role compared to novel agents.http://dx.doi.org/10.1155/2019/5840286
spellingShingle Maria Gavriilaki
Ioanna Sakellari
Eleni Gavriilaki
Vasilios K. Kimiskidis
Achilles Anagnostopoulos
Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
Stem Cells International
title Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
title_full Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
title_fullStr Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
title_full_unstemmed Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
title_short Autologous Hematopoietic Cell Transplantation in Multiple Sclerosis: Changing Paradigms in the Era of Novel Agents
title_sort autologous hematopoietic cell transplantation in multiple sclerosis changing paradigms in the era of novel agents
url http://dx.doi.org/10.1155/2019/5840286
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