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- Greco, Raffaella, et al.
(författare)
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Autologous hematopoietic stem cell transplantation in neuromyelitis optica : A registry study of the EBMT Autoimmune Diseases Working Party
- 2015
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Ingår i: Multiple Sclerosis Journal. - : SAGE Publications. - 1352-4585 .- 1477-0970. ; 21:2, s. 189-197
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND:Neuromyelitis optica (NMO) is an inflammatory autoimmune disorder of the central nervous system, hallmarked by pathogenic anti-aquaporin 4 antibodies. NMO prognosis is worse compared with multiple sclerosis.OBJECTIVE:The European Group for Blood and Marrow Transplantation (EBMT) Autoimmune Diseases Working Party (ADWP) conducted a retrospective survey to analyze disease outcome following autologous stem cell transplantation (ASCT).METHODS:This retrospective multicenter study assessed the efficacy and safety of ASCT in 16 patients suffering from refractory NMO reported to the EBMT registry between 2001 and 2011.RESULTS:Fifteen patients were successfully mobilized with cyclophosphamide (Cy) and G-CSF, one with G-CSF alone. All patients received an unmanipulated autologous peripheral blood stem cell graft, after conditioning with BEAM plus anti-thymocyte globulin (ATG, n = 9 patients), thiotepa-Cy (n = 3) or Cy (200 mg/kg) plus ATG (n = 4). After a median follow-up of 47 months, three of 16 cases were progression and treatment free, while in the remaining 13 patients further treatments were administered for disability progression or relapse after ASCT. Altogether, relapse-free survival at three and five years was 31% and 10%, respectively, while progression-free survival remained 48% at three and five years.CONCLUSIONS:In these NMO patients, highly resistant to conventional treatment, ASCT allows for temporary control of the disease, despite a tendency to progress or relapse in the long term.
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| 2. |
- Zhang, Yichen, et al.
(författare)
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Massive Protostars in a Protocluster—A Multi-scale ALMA View of G35.20-0.74N
- 2022
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Ingår i: Astrophysical Journal. - : American Astronomical Society. - 1538-4357 .- 0004-637X. ; 936:1
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Tidskriftsartikel (refereegranskat)abstract
- We present a detailed study of the massive star-forming region G35.2-0.74N with Atacama Large Millimeter/submillimeter Array (ALMA) 1.3 mm multi-configuration observations. At 0.″2 (440 au) resolution, the continuum emission reveals several dense cores along a filamentary structure, consistent with previous ALMA 0.85 mm observations. At 0.″03 (66 au) resolution, we detect 22 compact sources, most of which are associated with the filament. Four of the sources are associated with compact centimeter continuum emission, and two of these are associated with H30α recombination line emission. The H30α line kinematics shows the ordered motion of the ionized gas, consistent with disk rotation and/or outflow expansion. We construct models of photoionized regions to simultaneously fit the multiwavelength free-free fluxes and the H30α total fluxes. The derived properties suggest the presence of at least three massive young stars with nascent hypercompact H ii regions. Two of these ionized regions are surrounded by a large rotating structure that feeds two individual disks, revealed by dense gas tracers, such as SO2, H2CO, and CH3OH. In particular, the SO2 emission highlights two spiral structures in one of the disks and probes the faster-rotating inner disks. The 12CO emission from the general region reveals a complex outflow structure, with at least four outflows identified. The remaining 18 compact sources are expected to be associated with lower-mass protostars forming in the vicinity of the massive stars. We find potential evidence for disk disruption due to dynamic interactions in the inner region of this protocluster. The spatial distribution of the sources suggests a smooth overall radial density gradient without subclustering, but with tentative evidence of primordial mass segregation.
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