Review Article

Multiple Sclerosis and Obesity: Possible Roles of Adipokines

Table 3

Studies in human therapy for MS by transplants of adipose tissue-mesenchymal stem cells.

MS formSample sizeDosage and administrationChanges in EDSSAdverse eventsResultsRef

SPMS101.6 × 106 cells/Kg
Intravenously
Initial 6.1
decrease after treatment
Macular rash, scalp pruritus, upper-respiratory tract infection, and urinary-tract infectionNo changes in the posttreatment period for T cell subset counts (CD3, CD4, CD8, CD19, and CD56)
Decrease of T1 hypointense lesion volume after treatment
Increase in optic nerve area and reduction in visual evoked response latency
[97]

SPMS and PRMS25 (23/2)2.95 × 107 cells
Intrathecally
Initial 5.5 to 7
decrease or stability after treatment in 68% of patients
N/AMRI score decrease in 68% of patients
Increase of IL-6 gene expression
No changes in IL-4, IL-6, IL-10, IFN-γ, and TGF-β gene expression
[98]

SPMS and RRMS10 (9/1)(a) High 1 × 108 cells
(b) Medium 3.2–5.2 × 107 cells
(c) Low 1.1–1.5 × 106 cells
Intrathecally and intracisternally
Initial 4.0 to 7.5
decrease after treatment
Transient encephalopathy with seizures in one patientClinical but not radiological efficacy
Improvement in 5/6 and worsening in 1/6 patients
New or enlarging lesions in 5/7 and Gadolinium (Gd+) enhancing lesions in 3/7 patients
[99]

MS156.32 × 107 cells
Intrathecally
Initial 6.7
decrease after treatment
Transient fever and headacheIncrease of CD4+CD25+ Treg
Decrease of CD40+, CD83+, CD86+, and HLA-DR on myeloid dendritic cells
[100]

MS1N/AN/AThe patient development headache, nausea, vomiting, and difficulty of ambulationAccumulation of CD-68 positive
myelin-laden macrophages and T cells
Extensive demyelination in a pattern typical of multiple sclerosis in brain biopsy
[101]

PRMS = progressive relapsing multiple sclerosis.