HAPLOIDENTICAL HEMATOPOIETIC STEM CELL TRANSPLANTATION IN CHILD HEMATOLOGIC MALIGNANCIES WITH G-CSF-MOBILIZED MARROW GRAFTS WITHOUT T-CELL DEPLETION: A Single-Center Report of 45 Cases

Autor: Zi-Kuan Guo, Mei Xue, Liang-Ding Hu, Zhi-Dong Wang, Heng-Xiang Wang, Jing Liu, Lian-Ning Duan, Ling Zhu, Hong-Min Yan
Rok vydání: 2009
Předmět:
Zdroj: Pediatric Hematology and Oncology. 26:119-128
ISSN: 1521-0669
0888-0018
Popis: In this report, the authors describe a protocol for haploidentical bone marrow transplantation in children who received G-CSF-mobilized bone marrow grafts without T-cell depletion from HLA-mismatched parents. Forty-two of 45 patients achieved complete donor hematopoietic engraftment; the medium time for neutrophil and platelet recovery was 17 and 19 days, respectively. Three died of early transplantation-associated complications; other causes of death included relapse (11 cases), fungal pneumonia (5), and acute graft-versus-host disease (2). The total disease-free survival rate longer than 2 years was 53.3%. These data suggest that haploidentical hematopoietic transplantation is an alterative strategy for children who lack immediate access to HLA-matched sources.
Databáze: OpenAIRE
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