Tanaka et al. 2012 [49] |
26 MPS II patients
Treated between 1990 and 2003 in Japan
21 questionnaires collected
Mean age at transplantation - 64.2±30.2 months
Average follow-up period - 115.7±41.4
|
88.5% 5-year survival rate
Category I and III brain lesions positively altered
Attenuated phenotype improved ADL, IQ/DQ, FIM, and brain MRI questionnaires
32% less valve regurgitation
56% valves stabilized
Category IV lesions continued to progress in 6 patients
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Tanjuakio et al. 2015 [45] |
|
Average ADL - 27.9 ± 11.4.
Early ERT mean ADL - 21.6 ± 9.0
Late ERT reported a mean ADL score of 9.5 ± 10.5
HSCT before the age of 5 reported an average ADL of 33 ± 7.0
HSCT after the age of 5 reported a mean ADL score of 21.2 ± 13.0
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Yasuda et al. 2015 [3, 137] |
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Normal blood GAGs
ADL kept normal
Present height and weight: 162 cm and 55 kg at 15 years of age
Milder symptoms compared to untreated patients
Ten years after HSCT, several manifestations still present
At 13.5 years of age: no vacuolization in chondrocytes, the chondrocytes were of a normal size in spine
|
Kubaski et al.2017 [13, 27, 49] |
|
From the previously published cases:
8 (9%) of 85 cases had GVHD
9 (8%) died from transplantation-related complications
Of the 27 new patients:
76% under the age of 6 at the transplantation
3 developed GVHD
100% survival
All had ERT before HSCT
Improvements in somatic features, joint movements, and ADL, compared to those treated with ERT
Improvements or stabilization of lesions located in categories III and IV
Donor cells found in the brain of one patient, as well as positive hydrocephalic changes and perivascular enlargement improvements
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Barth et al. 2017 [10] |
Seven-year old patient
Received transplanation at 2 months
UCB from unrelated donor
Busulfan, cyclophosphamide, and ATG regimen
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Improved cognitive function and skeletal manifestations
Improved ADL
80% chimerism
Slowed speech development
Moderate hearing loss
No coarse facial features, corneal clouding, or hepatosplenomegaly
Normal cardiac function
Mild dysostosis multiplex
|