Who is the better donor for older hematopoietic transplant recipients: an older-aged sibling or a young, matched unrelated volunteer?

Who is the better donor for older hematopoietic transplant recipients: an older-aged sibling or a young, matched unrelated volunteer?
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DOI:
10.1182/blood-2012-08-453860
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发表时间:
2013-03-28
期刊:
影响因子:
20.3
通讯作者:
Champlin, Richard E.
Champlin, Richard E.
中科院分区:
医学1区
文献类型:
--
作者:
Alousi, Amin M.;Le-Rademacher, Jennifer;Champlin, Richard E.

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年龄较大的患者越来越多地接受异基因造血移植。一个相关的问题是,是否可以用较年轻的等位基因水平8/8的HLA匹配的无关供者(MUD)而不是年龄较大的HLA匹配的兄弟姐妹(MSD)来改善预后。因此,对年龄=50岁的白血病/淋巴瘤患者的移植进行了分析,比较了接受MSD≫=50(n=1415)和MUD=50岁的患者的结果。
Older patients are increasingly undergoing allogeneic hematopoietic transplantation. A relevant question is whether outcomes can be improved with a younger allele-level 8/8 HLA-matched unrelated donor (MUD) rather than an older HLA-matched sibling (MSD). Accordingly, transplants in leukemia/lymphoma patients age >= 50 years were analyzed comparing outcomes for recipients of MSD >= 50 (n = 1415) versus MUD = 50 years.