In Utero Hematopoietic Cell Transplantation for Hemoglobinopathies
Overview
Affiliations
In utero hematopoietic cell transplantation (IUHCTx) is a promising strategy to circumvent the challenges of postnatal hematopoietic stem cell (HSC) transplantation. The goal of IUHCTx is to introduce donor cells into a naïve host prior to immune maturation, thereby inducing donor-specific tolerance. Thus, this technique has the potential of avoiding host myeloablative conditioning with cytotoxic agents. Over the past two decades, several attempts at IUHCTx have been made to cure numerous underlying congenital anomalies with limited success. In this review, we will briefly review the history of IUHCTx and give a perspective on alpha thalassemia major, one target disease for its clinical application.
In utero hematopoietic stem cell transplantation for Fanconi anemia.
Swartzrock L, Dib C, Denis M, Willner H, Ho K, Haslett E Blood Adv. 2024; 8(17):4554-4558.
PMID: 38991119 PMC: 11399615. DOI: 10.1182/bloodadvances.2023011894.
Expansion of human megakaryocyte-biased hematopoietic stem cells by biomimetic Microniche.
Li Y, He M, Zhang W, Liu W, Xu H, Yang M Nat Commun. 2023; 14(1):2207.
PMID: 37072407 PMC: 10113370. DOI: 10.1038/s41467-023-37954-3.
Regenerative medicine: prenatal approaches.
De Coppi P, Loukogeorgakis S, Gotherstrom C, David A, Almeida-Porada G, Chan J Lancet Child Adolesc Health. 2022; 6(9):643-653.
PMID: 35963269 PMC: 10664288. DOI: 10.1016/S2352-4642(22)00192-4.
Conditioning Regimens for Hematopoietic Cell Transplantation in Primary Immunodeficiency.
Lum S, Hoenig M, Gennery A, Slatter M Curr Allergy Asthma Rep. 2019; 19(11):52.
PMID: 31741098 PMC: 6861349. DOI: 10.1007/s11882-019-0883-1.
Biomaterials in fetal surgery.
Winkler S, Harrison M, Messersmith P Biomater Sci. 2019; 7(8):3092-3109.
PMID: 31099350 PMC: 8232972. DOI: 10.1039/c9bm00177h.