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. Author manuscript; available in PMC: 2020 Jul 1.
Published in final edited form as: Biol Blood Marrow Transplant. 2019 Feb 14;25(7):e226–e246. doi: 10.1016/j.bbmt.2019.02.012

Table 4.

MPS II with HSCT

Author Details Results
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

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

Yasuda et al. 2015 [3, 137]
  • Patient received HSCT at the age of 2 years

  • 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]
  • 146 MPS II patients

  • Compared results to 51 ERT patients and 15 untreated

  • Mean age at transplantation −5.5 years of age

  • 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

Barth et al. 2017 [10]
  • Seven-year old patient

  • Received transplanation at 2 months

  • UCB from unrelated donor

  • Busulfan, cyclophosphamide, and ATG regimen

  • 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