Home Newsletters Umbilical & Placental Cell News Brain-Sparing Cord Blood Transplantation for the Borderline Stage of Adrenoleukodystrophy

Brain-Sparing Cord Blood Transplantation for the Borderline Stage of Adrenoleukodystrophy

0
Researchers performed a cord blood hematopoietic cell transplantation with a reduced intensity conditioning on a nine-year-boy with adrenoleukodystrophy.
[Molecular Genetics and Metabolism Reports]
6445218 {6445218:DYZ94QTH} apa 50 1 164272 https://www.stemcellsciencenews.com/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3A%22zotpress-5b1e6227cd471747dd97a1dccc35397b%22%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22DYZ94QTH%22%2C%22library%22%3A%7B%22id%22%3A6445218%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Yada%20et%20al.%22%2C%22parsedDate%22%3A%222021-09-01%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%202%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EYada%2C%20Y.%2C%20Torio%2C%20M.%2C%20Koga%2C%20Y.%2C%20Yamashita%2C%20F.%2C%20Ichimura%2C%20T.%2C%20Eguchi%2C%20K.%2C%20Ishimura%2C%20M.%2C%20Mushimoto%2C%20Y.%2C%20Hiwatashi%2C%20A.%2C%20Sasazuki%2C%20M.%2C%20Kira%2C%20R.%2C%20Sakai%2C%20Y.%2C%20%26amp%3B%20Ohga%2C%20S.%20%282021%29.%20Brain-sparing%20cord%20blood%20transplantation%20for%20the%20borderline%20stage%20of%20adrenoleukodystrophy.%20%3Ci%3EMolecular%20Genetics%20and%20Metabolism%20Reports%3C%5C%2Fi%3E%2C%20%3Ci%3E28%3C%5C%2Fi%3E%2C%20100778.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ymgmr.2021.100778%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ymgmr.2021.100778%3C%5C%2Fa%3E%20%3Ca%20title%3D%27Cite%20in%20RIS%20Format%27%20class%3D%27zp-CiteRIS%27%20href%3D%27https%3A%5C%2F%5C%2Fwww.stemcellsciencenews.com%5C%2Fwp-content%5C%2Fplugins%5C%2Fzotpress%5C%2Flib%5C%2Frequest%5C%2Frequest.cite.php%3Fapi_user_id%3D6445218%26amp%3Bitem_key%3DDYZ94QTH%27%3ECite%3C%5C%2Fa%3E%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Brain-sparing%20cord%20blood%20transplantation%20for%20the%20borderline%20stage%20of%20adrenoleukodystrophy%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yutaro%22%2C%22lastName%22%3A%22Yada%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Michiko%22%2C%22lastName%22%3A%22Torio%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yuhki%22%2C%22lastName%22%3A%22Koga%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fumiya%22%2C%22lastName%22%3A%22Yamashita%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Takuya%22%2C%22lastName%22%3A%22Ichimura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katsuhide%22%2C%22lastName%22%3A%22Eguchi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Masataka%22%2C%22lastName%22%3A%22Ishimura%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yuichi%22%2C%22lastName%22%3A%22Mushimoto%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Akio%22%2C%22lastName%22%3A%22Hiwatashi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Momoko%22%2C%22lastName%22%3A%22Sasazuki%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ryutaro%22%2C%22lastName%22%3A%22Kira%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yasunari%22%2C%22lastName%22%3A%22Sakai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shouichi%22%2C%22lastName%22%3A%22Ohga%22%7D%5D%2C%22abstractNote%22%3A%22Background%5CnAdrenoleukodystrophy%20%28ALD%29%20is%20an%20X-linked%20disorder%20characterized%20by%20rapidly%20progressive%20deterioration%20of%20neurocognitive%20functions%20and%20premature%20death.%20In%20addition%20to%20the%20difficulty%20in%20identifying%20the%20earliest%20signs%20of%20ALD%2C%20treatment-associated%20exacerbation%20of%20neurological%20symptoms%20has%20been%20an%20obstacle%20to%20achieve%20successful%20hematopoietic%20cell%20transplantation%20%28HCT%29%20for%20affected%20children.%5CnCase%20report%5CnWe%20report%20a%209-year-boy%20with%20ALD.%20He%20presented%20with%20impairment%20in%20social%20skills%20compatible%20to%20the%20diagnosis%20of%20autism%20spectrum%20disorder%20from%203%5Cu00a0years%20of%20age.%20He%20showed%20progressive%20strabismus%2C%20slurred%20speech%20and%20dysmetria%20at%206%5Cu00a0years%20of%20age.%20The%20head%20MRI%20showed%20symmetrical%20T2-hyperintense%20lesions%20in%20the%20occipital%20white%20matters%20with%20a%20gadolinium%20enhancement%2C%20which%20extended%20to%20the%20internal%20capsules.%20The%20Loes%20score%20was%20thus%20calculated%20as%2013.%20Very-long-chain-fatty-acids%20were%20increased%20to%201.800%20%28C24%3A0%5C%2FC22%3A0%29%20and%200.077%20%28C26%3A0%5C%2FC22%3A0%29%20in%20leukocytes.%20Sanger%20sequencing%20confirmed%20the%20pathogenic%20variant%20in%20ABCD1%20%28NM_000033.4%3Ap.Gly512Ser%29.%20After%20multidisciplinary%20discussions%20over%20the%20treatment%20options%2C%20we%20performed%20a%20cord%20blood%20HCT%20with%20a%20reduced%20intensity%20conditioning%20%28fludarabine%2C%20melphalan%20and%20brain-sparing%20total%20body%20irradiation%29.%20He%20was%20fully%20recovered%20with%20%3E90%25%20chimerism%20of%20donor%20leukocytes%20at%2055%5Cu00a0days%20after%20HCT.%20He%20experienced%20three%20times%20of%20generalized%20seizures%20after%20discharge%2C%20that%20has%20been%20well%20controlled%20for%202%5Cu00a0years%20without%20other%20complications%20or%20neurocognitive%20deteriorations.%5CnConclusion%5CnFor%20patients%20with%20ALD%20on%20a%20borderline%20indication%20for%20HCT%2C%20brain-sparing%20irradiation%20might%20be%20an%20alternative%20option%20in%20reduced%20intensity%20conditioning.%20Careful%20decision-making%20process%20and%20tailored%20conditioning%20are%20critical%20for%20the%20successful%20outcome%20of%20HCT%20for%20children%20with%20ALD.%22%2C%22date%22%3A%22September%201%2C%202021%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ymgmr.2021.100778%22%2C%22ISSN%22%3A%222214-4269%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS2214426921000720%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222021-07-05T22%3A38%3A29Z%22%7D%7D%5D%7D
Yada, Y., Torio, M., Koga, Y., Yamashita, F., Ichimura, T., Eguchi, K., Ishimura, M., Mushimoto, Y., Hiwatashi, A., Sasazuki, M., Kira, R., Sakai, Y., & Ohga, S. (2021). Brain-sparing cord blood transplantation for the borderline stage of adrenoleukodystrophy. Molecular Genetics and Metabolism Reports, 28, 100778. https://doi.org/10.1016/j.ymgmr.2021.100778 Cite
Full Article
Exit mobile version