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Lymfocytární subpopulace, cytokinová produkce a transplantace kmenových buněk u pacientů s roztroušenou sklerózou / Lymphocyte subpopulations, cytokine production and stem cells transplantation in multiple sclerosis patients

Multiple sclerosis (MS) represents a demyelinating disease of the central nervous system with known autoimmune etiology. Currently new diagnostic criteria are used allowing us to diagnose MS early after first relapse of clinical symptoms. Several drugs are available to reduce disease activity and postpone later MS stages with irreversible disability. Prognosis of an individual patient and accurate treatment is however defined only imperfectly based on our clinical experience and brain magnetic resonance imaging. Specific prognostic markers are missing. Aims: 1. To identify suitable prognostic immunological marker from peripheral blood of MS patients in different disease stages and under different treatment regimens; 2. To describe group of MS patients treated with autologous stem cells transplantation (ASCT) or allogeneic stem cells transplantation (alloSCT) with respect to efficacy, adverse events and accurate patient selection. Patients and methods: In the first part of the study we involved 33 patients with clinically isolated syndrome, 17 MS patients treated with natalizumab and 14 patients with aggressive MS treated with ASCT. Disability measured by Expanded Disability Status Scale (EDSS) as well as relapse rate were evaluated before treatment (baseline) and after 3, 6, 12 and 24 months after...

Identiferoai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:322923
Date January 2013
CreatorsKrasulová, Eva
ContributorsKubala Havrdová, Eva, Ehler, Edvard, Syková, Eva
Source SetsCzech ETDs
LanguageCzech
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/doctoralThesis
Rightsinfo:eu-repo/semantics/restrictedAccess

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