[Autologous hematopoietic stem cell transplantation for chronic inflammatory demyelinating polyneuropathy]

Rev Med Interne. 2021 Sep;42(9):639-649. doi: 10.1016/j.revmed.2021.03.008. Epub 2021 Mar 25.
[Article in French]

Abstract

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is a dysimmune neuropathy with sensory and/or motor symptoms due to destruction of the myelin sheat secondary to an auto-immune attack. A quarter to a third of patients do not respond to immunomodulatory first line recommended therapies. No second line treatment has shown its effectiveness with a sufficient level of evidence. Autologous hematopoietic stem cell transplantation (AHSCT) is a promising therapy for autoimmune disease, especially for CIDP in recent works. We present in this article an update on the diagnosis of CIDP, its conventional treatments as well as the results of AHSCT in this indication, which was the subject of French recommendations under the aegis of the SFGMTC and neuromuscular disease french faculty (FILNEMUS) as a third line therapy after failure of two first-line and one second-line treatments.

Keywords: Chronic inflammatory demyelinating polyneuropathy; Greffe de cellules souches hématopoïétiques; Hematopoietic stem cell transplantation; Neuropathie périphérique; Peripheral neuropathy; Polyradiculonévrite inflammatoire démyélinisante chronique.

MeSH terms

  • Autoimmune Diseases*
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunomodulation
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating* / diagnosis
  • Polyradiculoneuropathy, Chronic Inflammatory Demyelinating* / therapy
  • Transplantation, Autologous