» Articles » PMID: 26039202

Improving the Clinical Outcome of Unmanipulated Haploidentical Blood and Marrow Transplantation

Overview
Specialty General Surgery
Date 2015 Jun 4
PMID 26039202
Citations 6
Authors
Affiliations
Soon will be listed here.
Abstract

Unmanipulated haploidentical blood and marrow transplantation (HBMT) has been one of the most applied haploidentical transplant protocol, which offers rapid immune recovery, desirable health-related quality of life and comparable survival rate with those who received HLA-identical sibling transplantation or HLA-matched unrelated donor transplantation. Compared with HLA-identical sibling recipients, HBMT recipients experienced a lower risk of late effects. The HBMT protocol also shows superior in treating pediatric hematological malignancies compared with umbilical cord blood transplantation and could be successfully used as a post-remission treatment algorithm for adults acute myeloid leukemia with unfavorable cytogenetics. Several approaches, including optimal dose investigation of anti-thymocyte globulin, selecting the best donor, and modified donor lymphocyte infusion, have been designed to improve transplant outcomes.

Citing Articles

Granulocyte Colony-Stimulating Factor-Primed Unmanipulated Haploidentical Blood and Marrow Transplantation.

Chang Y, Zhao X, Huang X Front Immunol. 2019; 10:2516.

PMID: 31749802 PMC: 6842971. DOI: 10.3389/fimmu.2019.02516.


[Advances in haploidentical hematopoietic stem cell transplantation for myelodysplastic syndromes].

Wang Y, Huang X Zhonghua Xue Ye Xue Za Zhi. 2017; 38(4):348-351.

PMID: 28468102 PMC: 7342714. DOI: 10.3760/cma.j.issn.0253-2727.2017.04.019.


[Haploidentical transplantation for the treatment of intermediate- or high- risk acute myeloid leukemia in first complete remission: guideline and practice].

Wang Y, Huang X Zhonghua Xue Ye Xue Za Zhi. 2016; 37(8):721-4.

PMID: 27587260 PMC: 7348534. DOI: 10.3760/cma.j.issn.0253-2727.2016.08.020.


[Strategy to improve clinical outcome of unmanipulated haploidentical stem cell transplantation without in vitro T cell depletion].

Chang Y, Huang X Zhonghua Xue Ye Xue Za Zhi. 2016; 37(8):716-20.

PMID: 27587259 PMC: 7348540. DOI: 10.3760/cma.j.issn.0253-2727.2016.08.019.


Recent advances in haploidentical hematopoietic stem cell transplantation using ex vivo T cell-depleted graft in children and adolescents.

Im H, Koh K, Seo J Blood Res. 2016; 51(1):8-16.

PMID: 27104186 PMC: 4828537. DOI: 10.5045/br.2016.51.1.8.


References
1.
Chang Y, Huang X . Haploidentical SCT: the mechanisms underlying the crossing of HLA barriers. Bone Marrow Transplant. 2014; 49(7):873-9. DOI: 10.1038/bmt.2014.19. View

2.
Castagna L, Crocchiolo R, Furst S, Bramanti S, El Cheikh J, Sarina B . Bone marrow compared with peripheral blood stem cells for haploidentical transplantation with a nonmyeloablative conditioning regimen and post-transplantation cyclophosphamide. Biol Blood Marrow Transplant. 2014; 20(5):724-9. DOI: 10.1016/j.bbmt.2014.02.001. View

3.
Yan C, Liu D, Xu L, Liu K, Zhao T, Wang Y . Modified donor lymphocyte infusion-associated acute graft-versus-host disease after haploidentical T-cell-replete hematopoietic stem cell transplantation: incidence and risk factors. Clin Transplant. 2012; 26(6):868-76. DOI: 10.1111/j.1399-0012.2012.01618.x. View

4.
Bashey A, Zhang X, Sizemore C, Manion K, Brown S, Holland H . T-cell-replete HLA-haploidentical hematopoietic transplantation for hematologic malignancies using post-transplantation cyclophosphamide results in outcomes equivalent to those of contemporaneous HLA-matched related and unrelated donor.... J Clin Oncol. 2013; 31(10):1310-6. DOI: 10.1200/JCO.2012.44.3523. View

5.
Chang Y, Zhao X, Huang X . Immune reconstitution after haploidentical hematopoietic stem cell transplantation. Biol Blood Marrow Transplant. 2013; 20(4):440-9. DOI: 10.1016/j.bbmt.2013.11.028. View