Unrelated bone marrow transplantation for leukocyte adhesion deficiency.

Autor: Farinha NJ; Division of Hematology-Oncology, Hôpital Sainte-Justine, Montreal, Canada., Duval M, Wagner E, Champagne J, Lapointe N, Barrette S, Tapiero B, Busque L, Champagne MA
Jazyk: angličtina
Zdroj: Bone marrow transplantation [Bone Marrow Transplant] 2002 Dec; Vol. 30 (12), pp. 979-81.
DOI: 10.1038/sj.bmt.1703719
Abstrakt: The severe form of leukocyte adhesion deficiency type I (LAD-I) usually leads to death early in life. Allogeneic haematopoietic transplantation is the only cure. Unrelated transplantation has been reported only once. We describe three children with LAD-I transplanted with T cell non-depleted bone marrow from unrelated HLA-matched donors. All patients engrafted, one of them at second transplant. One patient developed grade I and one grade II acute GVHD. Two patients are alive, one of them with a decrease in CD11/CD18 expression. Early referral for HLA-matched unrelated BMT is a reasonable option for patients with LAD-I lacking an HLA-matched related donor.
Databáze: MEDLINE