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Long-term remission of neuromyelitis optica with allogeneic hematopoietic stem cell transplant - PubMed

5 hours ago
  • #Hematopoietic Stem Cell Transplant
  • #Immune Reconstitution
  • #Neuromyelitis Optica
  • Two patients with treatment-refractory AQP4-IgG-positive NMO achieved long-term remission after allogeneic hematopoietic stem cell transplant.
  • Sustained clinical and radiological remission occurred without immunosuppressive therapy, with undetectable AQP4-IgG antibodies post-transplant.
  • Immune profiling showed robust reconstitution of T and B cells, remodeling of regulatory T cells, and full donor chimerism without graft-versus-host disease.
  • AlloHCT may induce durable, treatment-free remission, suggesting potential curative disease modification in select NMO cases.