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Stem cell transplantation for congenital immunodeficiencies using reduced-intensity conditioning
被引:26
作者:
Veys, P
[1
]
Rao, K
[1
]
Amrolia, P
[1
]
机构:
[1] Great Ormond St Hosp Children NHS Trust, London WC1N 3JH, England
关键词:
reduced-intensity conditioning (RIC);
stem cell transplantation (SCT);
immunodeficiency;
D O I:
10.1038/sj.bmt.1704846
中图分类号:
Q6 [生物物理学];
学科分类号:
071011 ;
摘要:
The optimal preparation for stem cell transplantation (SCT) in children with congenital immunodeficiencies is currently unknown. In all, 81 children with immunodeficiency underwent 82 SCTs using reduced-intensity conditioning (RIC). The incidence of significant GVHD was low; viral reactivation was prominent with an unexpected increase in EBV reactivation; immune reconstitution was similar between different donor groups and comparable to conventional SCT. Overall, 68/81 (84%) survive with no significant difference between donor types or between severe combined immunodeficiency ( SCID) and non-SCID diseases. Findings suggest a significant survival advantage in the unrelated donor setting for RIC compared to conventional SCT.
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页码:S45 / S47
页数:3
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