TABLE 1.
Study | n | Donor Tissue/Side
|
Implant Tracks | Immune Treatment | Safety | Efficacy | Imaging | Anatomy | ||
---|---|---|---|---|---|---|---|---|---|---|
n | Weeks | Dissect | ||||||||
Cuba and Czech | 4 | 2–3 | ? | VM or WGE | 2–3 ? [B] | CyA | No pathological or immunological response137 | Not yet possible to determine | MRI-guided stereotaxy; no reported follow-up | |
Mexico City | 2 | 1 | E12–13 | WGE | CN cavity | CyA + Pred | No surgical incidents or subsequent SEs138 | Slow progression of disease | Not reported | |
Los Angeles | 14 | 5–8 | E8–10 | LGE | 1 CN + 4 Pu [B] | Not reported | Safe; no serious SEs74 | Benefit motor,75 limited neuropsych tests76 | MRI MRS78 and FDG PET75 | |
Boston | 12 | 35–38 | Porcine | LGE | 2 CN + 4 Pu [U] | CyA or anti-MHC | Safe; no serious SEs86 | No change over 12 months86 | Not reported | |
Tampa | 7 | 2–8 | E8–9 | LLGE | pcPu [B] | CyA 6 months | 1 death, 3 subdural hematomas83 | Modest (NS) changes in motor tests at 12 months83 | MRI and PET | 2 postmortem cases with good survival84 |
Créteil | 5 | 2–4 | E7.5-9 | WGE | 2 CN + 3 Pu [B] | CyA 1 year | Procedure safe80 | Motor and electrophysiol improvements81 continue over 4 years | MRI and FDG PET; graft survival in 3 functional cases82 | |
Mild psychiatric SEs | ||||||||||
London | 2 | Possible psychiatric SE in one patient | Improvement in chorea in 1 of 2 patients | MRI and D2R PET; survival in PET | ||||||
NEST-UK | 4 | 2–3 | E8–12 | WGE | 2 CN + 4 Pu [U] | Triple | Only SEs related to immunosuppression85 | Safety only, efficacy not reported | MRI; graft survival |
[B] = bilateral implants; CN = caudate nucleus; CyA = cyclosporin A; E = weeks of embryonic age; LLGE = lateral aspect of the lateral ganglionic eminence; Pred = prednisolone; pcPU = postcommissural putamen; Pu = putamen; SEs = side effects; Triple = combined cyclosporin A, prednisolone, and azothiaprine; WGE = whole ganglionic eminence; [U] = unilateral implants; VM = ventral mesencephalon.