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Article ; Online: Advances in haploidentical stem cell transplantation

Ulas Darda Bayraktar / Marcos de Lima / Stefan Octavian Ciurea

Revista Brasileira de Hematologia e Hemoterapia, Vol 33, Iss 3, Pp 237-

2011  Volume 241

Abstract: Hematopoietic stem cell transplantation from haploidentical donors is an attractive method of transplantation due to the immediate donor availability, ease of stem cell procurement and the possibility to collect additional donor cells for cellular ... ...

Abstract Hematopoietic stem cell transplantation from haploidentical donors is an attractive method of transplantation due to the immediate donor availability, ease of stem cell procurement and the possibility to collect additional donor cells for cellular therapy, if needed. Historically, maintaining T-cells in the graft has been associated with very high rates of graft-versus-host disease, while T-cell depleted haploidentical transplantation has been limited by a higher incidence of graft rejection and delayed immune reconstitution post-transplant. Recent approaches attempt to maintain the T-cells in the graft while effectively preventing the development of graft-versus-host disease post-transplant. Selective depletion of alloreactive T-cells post-transplant using high-dose post-transplant cyclophosphamide is under investigation as a promising alternative in haploidentical transplantation. While engraftment has improved and graft-versus-host disease is controlled with this approach, future directions should focus on optimizing conditioning regimens and the prevention of disease relapse post-transplant.
Keywords Hematopoietic stem cell transplantation ; Hematologic neoplasms ; Bone marrow transplantation ; T-lymphocytes ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Subject code 610
Language English
Publishing date 2011-06-01T00:00:00Z
Publisher Sociedade Brasileira de Hematologia e Hemoterapia
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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