Cotransplantation of haploidentical mesenchymal stem cells to enhance engraftment of hematopoietic stem cells and to reduce the risk of graft failure in two children with severe aplastic anemia

被引:37
作者
Fang, Baijun [1 ]
Li, Ning [1 ]
Song, Yongping [1 ]
Li, Jing [2 ,3 ,4 ]
Zhao, Robert Chunhua [2 ,3 ,4 ]
Ma, Yuanfang [5 ]
机构
[1] Henan Tumor Hosp, Henan Inst Haematol, Zhengzhou 450008, Peoples R China
[2] Chinese Acad Med Sci, Inst Basic Med Sci, Beijing 100730, Peoples R China
[3] Chinese Acad Med Sci, Sch Basic Med, Ctr Excellence Tissue Engn, Beijing 100730, Peoples R China
[4] Peking Union Med Coll, Beijing 100021, Peoples R China
[5] Henan Univ, Inst Immunol, Cellular & Mol Immunol Lab, Kaifeng, Peoples R China
关键词
severe aplastic anemia; transplantation; graft failure; mesenchymal stem cell; VERSUS-HOST-DISEASE; BONE-MARROW-TRANSPLANTATION; IN-VITRO; MIXED CHIMERISM; CD34(+) CELLS; BLOOD; VIVO; THERAPY; RECOVERY; CULTURE;
D O I
10.1111/j.1399-3046.2008.01002.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
MSC have been suggested to be the precursor cells in the bone marrow stroma that provide a scaffold and promote hematopoiesis. They have therefore been suggested to enhance engraftment after autologous and allogeneic HSC transplantation. In patients undergoing transplantation, MSC infusion was shown to be safe and to enhance engraftment of HSC, as well as to reduce the incidence of both acute and chronic GVHD. We cotransplanted haploidentical AMSC with HLA-identical sibling-matched PBSC in two pediatric patients with refractory SAA after primary or secondary graft failure. At present, the two patients are more than two yr after cotransplantation without any treatment, transfusion-independent and in good condition. Thus, cotransplantation of MSC might enhance engraftment of HSC in patients regrafted for graft failure.
引用
收藏
页码:499 / 502
页数:4
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