Haploidentical Donor Bone Marrow Transplantation for Severe Aplastic Anemia.

Haploidentical Donor Bone Marrow Transplantation for Severe Aplastic Anemia.
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DOI:
10.1016/j.hoc.2018.04.001
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发表时间:
2018-08
期刊:
Hematology/oncology clinics of North America
影响因子:
--
通讯作者:
Brodsky RA
Brodsky RA
中科院分区:
其他
文献类型:
--
作者:
DeZern AE;Brodsky RA

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造血干细胞移植(BMT)是目前治疗重型再生障碍性贫血(SAA)的唯一有效方法。来自HLA匹配的兄弟姐妹捐赠者的BMT是年轻患者的标准护理;免疫抑制治疗(IST)用于老年患者或缺乏匹配兄弟姐妹捐赠者的患者。越来越多的难治性或复发性疾病患者接受HLA半相合BMT治疗。从历史上看,单倍相合的BMT导致移植物排斥和移植物抗宿主病(GVHD)的高发生率。减轻GVHD风险的高剂量环磷酰胺是一项重大进展。在这里,我们提供了一个概述的单倍体相合骨髓移植的方法在SAA。
Hematopoietic stem cell transplantation (BMT) is the only curative treatment for severe aplastic anemia (SAA). BMT from an HLA matched sibling donor is the standard of care for young patients; immunosuppressive therapy (IST) is used for older patients or those lacking matched sibling donors. Patients with refractory or relapsed disease are increasingly treated with HLA haploidentical BMT. Historically, haploidentical BMT led to high rates of graft rejection and graft-versus-host disease (GVHD). High dose cyclophosphamide which mitigates the risk of GVHD is a major advance. Here we provide an overview of the haploidentical BMT approach in SAA.
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发表时间: 2015-08
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