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@ARTICLE{Yska:281533,
author = {Yska, Hemmo A F and Golse, Marianne and Beerepoot, Shanice
and Hayer, Stefanie and Bergner, Caroline and de Paiva,
Anderson Rodrigues Brandao and Marelli, Cecilia and
Palacios, Natalia Julia and Osorio, Yudy Llamas and Huiban,
Camille and Franke, Georg and Wortmann, Friederike and
Holtick, Udo and Ayrignac, Xavier and van der Knaap, Marjo S
and Schöls, Ludger and Perlbarg, Vincent and Galanaud,
Damien and de Witte, Moniek A and Wolf, Nicole I and Nguyen,
Stéphanie and Mochel, Fanny},
collaboration = {Group, and the International CSF1R-RD Working},
othercontributors = {Köhler, Wolfgang and Garcia-Cazorla, Angeles and Souchet,
Laetitia and Chaumette, Boris and Blanco, Bernardo and
Barbier, Magali and Stankoff, Bruno and Dubessy, Anne-Laure
and Robert-Varvat, Florence and Riou, Audrey and Weber,
Sacha and Bender, Benjamin and Fegueux, Nathalie and
Ceballos, Patrice and de Champfleur, Nicolas Menjot and
Lehmann, Sylvain and Cara-Dallière, Clarisse and Labauge,
Pierre and Lindemans, Caroline and Freua, Fernando and
Mariano, Livia and Lucato, Leandro Tavares and Fernandes,
Gustavo Bruniera Peres and de Gusmão, Claudio M and Filho,
José Ulysses Amigo and Kok, Fernando and Turon, Laia and
Badell, Isabel and Torija, Iván López and Gomez, Marta},
title = {{H}ematopoietic {S}tem {C}ell {T}ransplantation in an
{I}nternational {C}ohort of {C}olony {S}timulating
{F}actor-1 {R}eceptor ({CSF}1{R})-{R}elated {D}isorder.},
journal = {Movement disorders},
volume = {40},
number = {9},
issn = {0885-3185},
address = {New York, NY},
publisher = {Wiley},
reportid = {DZNE-2025-01151},
pages = {1826 - 1835},
year = {2025},
abstract = {Colony stimulating factor-1 receptor (CSF1R)-related
disorder (CSF1R-RD) is an autosomal dominant, rapidly
progressive, demyelinating disease leading to death usually
within a few years. Because of the central role of CSF1R in
microglia functions, allogeneic hematopoietic stem cell
transplantation (HSCT) has been suggested as a therapy for
CSF1R-RD.To report multicenter clinical (Expanded Disability
Scoring Scale [EDSS]), neurocognitive), neuroimaging (Sundal
score), and biological (neurofilament light chain [NfL])
outcomes after HSCT in CSF1R-RD.We report an international
cohort of 17 adult patients (8 females/9 males, 43.3 ± 9.4
years) who were treated in seven transplant centers.
Patients were evaluated for a median of 2.5 years post-HSCT,
including one patient with follow-up of 8 years. We also
report neurological outcomes of the first child transplanted
to date with biallelic CSF1R variants.In the first 6 months
post-HSCT, 2 patients died from early complications of
myeloablative transplantation, and clinical and radiological
severity scores worsened in most surviving adult patients.
At 12 months post-HSCT, most patients completely stabilized
or improved in certain clinical domains. Radiological scores
fully stabilized or slightly improved in all but one of the
patients. Plasma/serum NfL sharply decreased in most
patients after transplantation. Notably, 7/8 adult patients
who received a reduced-intensity conditioning regimen
displayed similar neurological outcomes as patients who
underwent myeloablative transplantation.After an initial
clinical and radiological deterioration in the first 6
months post-transplantation, HSCT can halt disease
progression in patients with CSF1R-RD, regardless of their
presenting clinical symptoms. The possibility of reduced
conditioning regimens in CSF1R-RD opens the way to treat
older patients. © 2025 The Author(s). Movement Disorders
published by Wiley Periodicals LLC on behalf of
International Parkinson and Movement Disorder Society.},
keywords = {Humans / Hematopoietic Stem Cell Transplantation: methods /
Male / Female / Adult / Middle Aged / Receptors,
Granulocyte-Macrophage Colony-Stimulating Factor: genetics /
Cohort Studies / Treatment Outcome / Receptor, Macrophage
Colony-Stimulating Factor / CSF1R‐RD (Other) /
adult‐onset leukoencephalopathy with axonal spheroids and
pigmented glia (Other) / demyelination (Other) /
hematopoietic stem cell transplantation (Other) /
neurofilament light chain (Other) / neuroinflammation
(Other) / Receptors, Granulocyte-Macrophage
Colony-Stimulating Factor (NLM Chemicals) / CSF1R protein,
human (NLM Chemicals) / Receptor, Macrophage
Colony-Stimulating Factor (NLM Chemicals)},
cin = {AG Jucker / AG Schöls},
ddc = {610},
cid = {I:(DE-2719)1210001 / I:(DE-2719)5000005},
pnm = {352 - Disease Mechanisms (POF4-352) / 353 - Clinical and
Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-352 / G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40646711},
pmc = {pmc:PMC12485588},
doi = {10.1002/mds.30282},
url = {https://pub.dzne.de/record/281533},
}