Correspondence: When an article is eligible for submission of
Correspondence, a link to the response form is available within the full-text
article. You must be a
current subscriber who has activated the online portion of your subscription
in order to send a Correspondence. Any reader can read published
Correspondence.
Correspondence to:
ARTICLES:
R. A. Hauser, S. Furtado, C. R. Cimino, H. Delgado, S. Eichler, S. Schwartz, D. Scott, G. M. Nauert, E. Soety, V. Sossi, D. A. Holt, P. R. Sanberg, A. J. Stoessl, and T. B. Freeman
Bilateral human fetal striatal transplantation in Huntingtons disease
Neurology 2002; 58: 687-695
[Abstract][Full text][PDF]
neuro_journal{at}urmc.rochester.edu Robert C. Griggs
Inadvertently, the Neurology office did not send the final accepted
version of the Hauser et al. paper to Drs. Greenamyre and Shoulson. Thus
their editorial criticized statements that were no longer part of the
published paper.
We apologize to Dr. Hauser et al. and Drs. Greenamyre and Shoulson
for the error.
Reply to Letter to the Editor
4 April 2002
J. Timothy Greenamyre Emory University Atlanta GA, Ira Shoulson University of Rochester Rochester NY
jgreena{at}emory.edu J. Timothy Greenamyre, et al.
It is unfortunate that we did not have the opportunity to see the
final accepted version of the report by Hauser et al. who apparently took
the reviewers' comments to heart and toned down their original conclusion,
which we called "a stretch". We agree with Hauser et al. that the final
published version presents a more balanced description of their results.
Bilateral human fetal striatal transplantation in Huntington’s disease
4 April 2002
Robert A Hauser Tampa General Healthcare Tampa FL, Paul R. Sanberg, A Jon. Stoessl, and Thomas B. Freeman
Referring to our report, "Bilateral human fetal striatal
transplantation in Huntington's disease," [1] Greenamyre and Shoulson [2]
suggest that we concluded that "a lack of significant worsening might
reflect clinical benefit in a progressive neurodegenerative disease" and
state that "this conclusion is a stretch." However, regarding our study,
we indicated that "we did not definitively demonstrate a lack of
significant worsening owing to the small number of subjects and the open
label design of the study. We also cannot exclude the influence of random
chance, bias, or placebo effects." Our study was intended to evaluate
feasibility and safety, and was not designed to definitively assess
efficacy. We concluded that transplantation of human fetal striatal cells
is feasible and survival of transplanted cells was demonstrated, but
patients with moderately advanced Huntington's disease are at risk for
subdural hemorrhage after transplantation surgery. We believe that our
published manuscript provides a fair and balanced description of our
observations and agree with the editorialists that we need better
treatments for this devastating disease.
References:
1) Hauser RA, Furtado S, Cimino CR, et al. Bilateral human fetal
striatal transplantation in Huntington's disease. Neurology 2002;58:687-
695.
2) Greenamyre JT, Shoulson I. We need something better, and we need
it now: Fetal striatal transplantation in Huntington's disease? Neurology
2002;58:675-676.