Stem cell therapy     may have helped patients with a form of multiple sclerosis,    according to a    preliminary study.  
    Patients with relapsing-remitting    multiple sclerosis showed signs of improvement after being    treated with their own, or autologous "nonmyeloablative    hematopoietic stem cells," a class of blood-forming stem cells,    the study found. It was     published Tuesday in the Journal of the American Medical    Association.  
    Half, or 41 patients, tested two    years after treatment experienced significant improvement on    the Expanded Disability Status Scale, a measure of disability.    And of patients tested at 4 years, 23, or 64 percent, showed    significant improvement. Four-year relapse-free survival was 80    percent and progression-free survival was 87 percent.  
    "To our knowledge, this is the    first report of significant and sustained improvement in the    EDSS score following any treatment for MS," stated the study.    It was led by Dr. Richard K. Burt of Northwestern University in    Chicago.  
    However, only limited conclusions    can be drawn from the uncontrolled study, according to    scientists who examined the results. While the therapy was    associated with improvement, the stem cell transplant may not    have been key. A conditioning regimen that partially depleted    the stem cells before transplantation may have been    responsible, said Dr. Stephen L. Hauser in a    JAMA article accompanying the study.  
    "According to Carl Sagan,    'extraordinary claims require extraordinary evidence,' a    standard that is not always met in this report, and not claimed    by the authors. Even though the authors appropriately    acknowledge many of the limitations associated with their case    series, their statement that 'to our knowledge, this is the    first report of significant and sustained improvement in the    EDSS score following any treatment for MS' could be    challenged," Hauser wrote.  
    Jeanne Loring, a stem cell    researcher who studies multiple sclerosis and other    neurodegenerative diseases, agreed that the results are far    from conclusive.  
    "Multiple sclerosis is an    autoimmune disease, meaning that the patients' own immune cells    attack their own nervous systems," Loring said by email after    examining the study. "The authors of the JAMA article treated    MS patients with their own blood stem cells in the hope that    these cells would replace some of the self-destructive immune    cells."  
    However, the uneven course of MS    makes it hard to draw conclusions, wrote Loring, who heads the    Center for Regenerative Medicine at The Scripps Research    Institute in La Jolla.  
    "Most patients with MS have    attacks, followed by recovery, followed by another attack. In a    few of these patients, the blood stem cell treatment seemed to    extend their time between attacks. It's important to understand    that other treatments, including drugs, have shown similar    modest improvements, so it's too soon to celebrate a stem cell    therapy."  
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MS patients given stem cells improve