Abstract
Clinical trials with fetal mesencephalic grafts into the caudate nucleus or putamen have been reported in parkinsonian patients in medical centers of several countries, including Sweden,1–16 United Kingdom,17–28 Mexico,29,30 United States,31–47 Cuba,48 Russia,49 Czech Republic, 50 Slovakia,51 Canada,52 Spain,53,54 China,55 Poland56 and France.57 Such trials have been prompted by encouraging results from extensive experimental studies in rodent and primate models. Evidence for graft survival4,12,13,16,26,28,35,42,44,57 and functional improvement of clinical signs1–29,31–57 has been presented in many of those studies. Reported variations in the outcome of the procedure might relate inter alia to technique and site of grafting, age and method of preparation of donor tissue, stage of advancement of the disease in the host and pharmacological scheme of the patients prior to the operation.
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References
Lindvall O, Rehncrona S, Gustavii B et al. Fetal dopamine-rich mesencephalic grafts in Parkinson’s disease. Lancet 1988; 11: 1483–1484.
Lindvall O, Rehncrona S, Brundin P et al. Human fetal dopamine neurons grafted into the striatum in two patients with severe Parkinson’s disease: A detailed account of methodology and a 6-month follow-up. Arch Neurol 1989; 46: 615–631.
Lindvall O. Transplantation into the human brain: Present status and future possibilities. J Neurol Neurosurg Psychiat 1989; Suppl:39–54.
Lindvall O, Brundin P, Widner H et al. Grafts of fetal dopamine neurons survive and improve motor function in Parkinson’s disease. Science 1990; 247: 574–577.
Brundin P, Odin P, Widner H. Promising new results with transplantation of nerve cells to the brain in Parkinson disease. Lakartidningen 1990; 87: 3761–3763.
Brundin P, Björklund A, Lindvall O. Practical aspects of the use of human fetal brain tissue for intracerebral grafting. Prog Brain Res 1990; 82: 707–714.
Lindvall O, Rehncrona S, Brundin P et al. Neural transplantation in Parkinson’s disease: The Swedish experience. Prog Brain Res 1990; 82: 729–734.
Lindvall O. Prospects of transplantation in human neurodegenerative diseases. Trends Neurosci 1991; 14: 376–384.
Lindvall O, Björklund A, Widner H, eds. Intracerebral Transplantation in Movement Disorders: Experimental Basis and Clinical Experiences. Amsterdam: Elsevier, 1991.
Widner H, Brundin P, Rehncrona S et al. Transplanted allogeneic fetal dopamine neurons survive and improve motor function in idiopathic Parkinson’s disease. Transpl Proc 1991; 23: 793–795.
Lindvall O. Transplants in Parkinson’s disease. Eur Neurol 1991; 31[Suppl 11: 17–27.
Lindvall O, Widner H, Rehncrona S et al. Transplantation of fetal dopamine neurons in Parkinson’s disease: One-year clinical and neurophysiological observations in two patients with putaminal implants. Ann Neurol 1992; 31: 155–165.
Widner H, Tetrud J, Rehncrona S et al. Bilateral fetal mesencephalic grafting in two patients with parkinsonism induced by 1-methyl-4phenyl-1,2,3,6-tetrahydropyridine (MPTP). N Engl J Med 1992; 327: 1556–1563.
Widner H, Tetrud J, Rehncrona S et al. Fifteen months’ follow-up on bilateral embryonic mesencephalic grafts in two cases of severe MPTP-induced parkinsonism. Adv Neurol 1993; 60: 729–733.
Widner H, Rehncrona S. Transplantation and surgical treatment of parkinsonian syndromes. Curr Opin Neurol Neurosurg 1993; 6: 344–349.
Lindvall O, Sawle G, Widner H et al. Evidence for long-term survival and function of dopaminergic grafts in progressive Parkinson’s disease. Ann Neurol 1994; 35: 172–180.
Hitchcock ER, Clough C, Hughes R et al. Embryos and Parkinson’s disease. Lancet 1988; i:1274.
Hitchcock ER, Kenny BG, Clough CG et al. Stereotactic implantation of fetal mesencephalon. Stereotact Funct Neurosurg 1990; 54 /55: 282–289.
Quinn NP. The clinical application of cell grafting techniques in patients with Parkinson’s disease. Prog Brain Res 1990; 82: 619–625.
Hitchcock ER, Kenny BG, Clough CG et al. Stereotactic implantation of foetal mesencephalon (STIM): The UK experience. Prog Brain Res 1990; 82: 723–728.
Henderson BTH, Kenny BG, Hitchcock ER et al. A comparative evaluation of clinical rating scales and quantitative measurements in assessment pre and post striatal implantation of human foetal mesencephalon in Parkinson’s disease. Acta Neurochir 1991; Suppl 52: 48–50.
Henderson BT, Clough CG, Hughes RC et al. Implantation of human fetal ventral mesencephalon to the right caudate nucleus in advanced Parkinson’s disease. Arch Neurol 1991; 48: 822–827.
Hitchcock ER, Kenny BG, Henderson BTH et al. A series of experimental surgery for advanced Parkinson’s disease by foetal mes-encephalic transplantation. Acta Neurochir 1991; Suppl 52: 54–57.
Hitchcock ER. Neural implants and recovery of function: Human work. Adv Exp Med Biol 1992; 325: 67–78.
Sinden JD, Patel SN, Hodges H. Neural transplantation: Problems and prospects for therapeutic application. Curr Opin Neurol Neurosurg 1992; 5: 902–908.
Sawle GV, Bloomfield PM, Björklund A et al. Transplantation of fetal dopamine neurons in Parkinson’s disease: PET [18F}6-Lfluorodopa studies in two patients with putaminal implants. Ann Neurol 1992; 31: 166–173.
Henderson B, Good PA, Hitchcock ER et al. Visual evoked cortical responses and electroretinograms following implantation of human fetal mesencephalon to the right caudate nucleus in Parkinson’s disease. J Neurol Sci 1992; 107: 183–190.
Sawle GV, Myers R. The role of positron emission tomography in the assessment of human neurotransplantation. Trends Neurosci 1993; 16: 172–176.
Madrazo I, León V, Torres C et al. Transplantation of fetal sub-stantia nigra and adrenal medulla to the caudate nucleus in two patients with Parkinson’s disease. N Engl J Med 1988; 318: 51.
Madrazo I, Franco-Bourland R, Ostrosky-Solis F et al. Neural transplantation (auto-adrenal, fetal nigral and fetal adrenal) in Parkinson’s disease: The Mexican experience. Prog Brain Res 1990; 82: 593–602.
Freed CR, Breeze RE, Rosenberg NL et al. Transplantation of human fetal dopamine cells for Parkinson’s disease: Results at 1 year. Arch Neurol 1990; 47: 505–512.
Freed CR, Breeze RE, Rosenberg NL et al. Therapeutic effects of human fetal dopamine cells transplanted in a patient with Parkinson’s disease. Prog Brain Res 1990; 82: 715–721.
Fiandaca MS. Brain grafting for Parkinson’s disease. Transplantation 1991; 51: 549–556.
Spencer DD, Robbins RJ, Naftolin F et al. Unilateral transplantation of human fetal mesencephalic tissue into the caudate nucleus of patients with Parkinson’s disease. N Engl J Med 1992; 327: 1541–1548.
Freed CR, Breeze RE, Rosenberg NL et al. Survival of implanted fetal dopamine cells and neurologic improvement 12 to 46 months after transplantation for Parkinson’s disease. N Engl J Med 1992; 327: 1549–1555.
Bakay RAE. Central nervous system grafting: Animal and clinical results. Stereotact Funct Neurosurg 1992; 58: 67–78.
Thompson L. Fetal transplants show promise. Science 1992; 257: 868–870.
Langston JW, Widner H, Goetz CG et al. Core assessment program for intracerebral transplantation (CAPIT). Movt Dis 1992; 7: 2–13.
Goetz CG, De Long MR, Penn RD et al. Neurosurgical horizons in Parkinson’s disease. Neurology 1993; 43: 1–7.
Freed CR, Breeze RE, Rosenberg NL et al. Embryonic dopamine cell implants as a treatment for the second phase of Parkinson’s disease: Replacing failed nerve terminals. Adv Neurol 1993; 60: 721–728.
Redmond DE Jr, Robbins RJ, Naftolin F et al. Cellular replacement of dopamine deficit in Parkinson’s disease using human fetal mesencephalic tissue: Preliminary results in four patients. Res Publ Assoc Res Nery Ment Dis 1993; 71: 325–359.
Rauch RA, Markham CH, Rand RW et al. MR imaging findings after transplant surgery for Parkinson disease. J Magn Reson Imag 1994; 4: 19–24.
Freeman TB, Olanow CW, Hauser RA et al. Bilateral fetal nigral transplantation into the postcommissural putamen in Parkinson’s disease. Ann Neurol 1995; 38: 379–388.
Kordower JH, Freeman TB, Snow BJ et al. Neuropathological evidence of graft survival and striatal reinnervation after the transplantation of fetal mesencephalic tissue in a patient with Parkinson’s disease. N Engl J Med 1995; 332: 1118–1124.
Price LH, Spencer DD, Marek KL et al. Psychiatric status after human fetal mesencephalic tissue transplantation in Parkinson’s disease. Biol Psychiat 1995; 38: 498–505.
Olanow CW, Kordower JH, Freeman TB. Fetal nigral transplantation as a therapy for Parkinson’s disease. Trends Neurosci 1996; 19: 102–109.
Kopyov OV, Jacques DS, Lieberman A et al. Clinical study of fetal mesencephalic intracerebral transplants for the treatment of Parkinson’s disease. Cell Transpl 1996; 5: 327–337.
Molina H, Quinones R, Alvarez L et al. Transplantation of human fetal mesencephalic tissue in caudate nucleus as treatment for Parkinson’s disease: The Cuban experience. Restor Neurol 1991; 4: 99–110.
Bekhtereva NP, Gilerovich EG, Gurchin FA et al. Transplantation of embryonal nerve tissues in the treatment of Parkinson disease. Z Nevropatol Psikhiat SS Korsakova 1990; 90: 10–13.
Subrt O, Tichy M, Vladyka V et al. Grafting of fetal dopamine neurons in Parkinson’s disease: The Czech experience with severe akinetic patients. Acta Neurochir 1991; Suppl 52: 51–53.
Marsala J, Zigova T, Badonic T et al. Neurotransplantation, critical analysis and perspectives. Bratislav Lekar List 1992; 93: 111–122.
Jones D. Halifax hospital first in Canada to proceed with controversial fetal-tissue transplant. Can Med Assoc J 1992; 146: 389–391.
Lopez-Lozano JJ, Brera B, Bravo G et al. Neural transplants in Parkinson’s disease. Transpl Proc 1993; 25: 1005–1011.
Lopez-Lozano JJ, Bravo G, Brera B et al. Long-term follow-up in 10 Parkinson’s disease patients subjected to fetal brain grafting into a cavity in the caudate nucleus: The Clinica Puerta de Hierro experience. Transpl Proc 1995; 27: 1395–1400.
Iacono RP, Tang ZS, Mazziotta JC et al. Bilateral fetal grafts for Parkinson’s disease: 22 months’ results. Stereotact Funct Neurosurg 1992; 58: 84–87.
Zabek M, Mazurowski W, Dymecki J et al. Transplantation of fetal dopaminergic cells in Parkinson disease. Neurol Neurochir Polsk 1992; Suppl 1: 13–19.
Remy P, Samson Y, Hantraye P et al. Clinical correlates of [18F]fluorodopa uptake in five grafted parkinsonian patients. Ann Neurol 1995; 38: 580–588.
Sanberg PR, Wictorin K, Isacson O. Cell Transplantation for Huntington’s Disease. Austin, TX: RG Landes Co., 1994.
Hantraye P, Riche D, Maziere M et al. Intrastriatal transplantation of cross-species fetal striatal cells reduces abnormal movements in a primate model of Huntington disease. Proc Natl Acad Sci USA 1992; 89: 4187–4191.
Peschanski M, Cesaro P, Hantraye P. Rationale for intrastriatal grafting of striatal neuroblasts in patients with Huntington’s disease. Neuroscience 1995; 68: 273–285.
Shannon KM, Kordower JH. Neural transplantation for Hunting-ton’s disease: Experimental rationale and recommendations for clinical trials. Cell Transpl 1996; 5: 339–352.
Sramka M, Rattaj M, Molina H et al. Stereotactic technique and pathophysiological mechanisms of neurotransplantation in Hunting-ton’s chorea. Stereotact Funct Neurosurg 1992; 58: 79–83.
Kurth MC, Kopyov O, Jacques DB. Improvement in motor function after fetal transplantation in a patient with Huntington’s disease. Neurology 1996; 46: A274.
Goetz CG, Bakay RAE, Fine A et al. American Society for Neural Transplantation Registry for fetal mesencephalic implants: Demographic and baseline data. Abstr Am Soc Neural Transpl 1996; 3: 25.
Boer GJ. Ethical guidelines for the use of human embryonic or fetal tissue for experimental and clinical neurotransplantation and research. Network of European CNS Transplantation and Restoration (NECTAR). J Neurol 1994; 242: 1–13.
Wolfslast G. Legal aspects of neurotransplantation. Zbl Neurochir 1995; 56: 210–214.
Brundin P, Nilsson OG, Strecker RE et al. Behavioural effects of human fetal dopamine neurons grafted in a rat model of Parkinson’s disease. Exp Brain Res 1986; 65: 235–240.
Clarke DJ, Brundin P, Strecker RE et al. Human fetal dopamine neurons grafted in a rat model of Parkinson’s disease: UItrastructural evidence for synapse formation using tyrosine hydroxylase immunocytochemistry. Exp Brain Res 1988; 73: 115–126.
Pundt LL, Jörn EA, Conrad JA et al. Phenotypic expression of human fetal cerebellar cells following transplantation into nude mouse cerebellum. Soc Neurosci Abstr 1996; Vol 22.
Jones WHS, ed. Hippocrates (460–375 BC), Vol 1: Epidemics A:XI. London: William Heinemann Ltd., 1972: 164.
Björklund A. Intracerebral transplantation: Prospects for neuronal replacement in neurodegenerative diseases. Res Publ Assoc Res Nerv Ment Dis 1993; 71: 361–374.
Dunnett SB, Björklund A, eds. Functional Neural Transplantation. New York: Raven Press, 1994.
Sotelo C, Alvarado-Mallart RM. Cerebellar transplants: Immunocytochemical study of the specificity of Purkinje cell inputs and outputs. In: Björklund A, Stenevi U, eds. Neural Grafting in the Mammalian CNS. Amsterdam: Elsevier, 1985: 205–215.
Sotelo C, Alvarado-Mallart RM. Growth and differentiation of cerebellar suspensions transplanted into the adult cerebellum of mice with heredodegenerative ataxia. Proc Natl Acad Sci USA 1986; 83: 1135–1139.
Björklund A, Lindvall O, Isacson O et al. Mechanisms of action of intracerebral neural implants: Studies on nigral and striatal grafts to the lesioned striatum. Trends Neurosci 1987; 10: 509–516.
Dunnett SB. Specificity of cerebellar grafts. Nature (Lond) 1987; 327: 366–367.
Wu C-Y, Bao X-F, Zhang C et al. Fetal tissue grafts for cerebellar atrophy. Chin Med J (Beijing) 1991; 104: 198–203.
Rosenfeld JV. Current issues in neural transplantation. Ann Acad Med (Singapore) 1993; 22 [Suppl 31: 464–469.
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Triarhou, L.C. (1997). Clinical Potential. In: Neural Transplantation in Cerebellar Ataxia. Neuroscience Intelligence Unit. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-22213-3_9
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DOI: https://doi.org/10.1007/978-3-662-22213-3_9
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