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来自两个HLA位点不匹配的相关供体的“异基因到同基因”异体骨髓移植

["Hetero to homo" allogeneic bone marrow transplantation from a related donor with two HLA loci mismatch].

作者信息

Kawano R, Kimura M, Noguchi Y, Goto T, Takatsuki H, Yufu Y, Uike N

机构信息

Department of Hematology, National Kyushu Cancer Center Hospital.

出版信息

Rinsho Ketsueki. 2000 Sep;41(9):761-3.

Abstract

We describe a 46-year-old HLA-homozygous female patient with CML who received a bone marrow transplant from her son, who had two HLA (A, B) loci mismatch. After conditioning with total body irradiation plus cyclophosphamide, the patient received 4.8 x 10(8) bone marrow cells/kg. Cyclosporin and short-term methotrexate were used for GVHD prophylaxis. She successfully established rapid engraftment with no acute GVHD, and later developed chronic but mild GVHD. Family members with two HLA loci mismatch may be considered as candidate donors for "hetero to homo" bone marrow transplantation.

摘要

我们描述了一名46岁的慢性粒细胞白血病(CML)HLA纯合子女性患者,她接受了来自其儿子的骨髓移植,其儿子有两个HLA(A、B)位点不匹配。在接受全身照射加环磷酰胺预处理后,患者接受了4.8×10⁸个骨髓细胞/千克。使用环孢素和短期甲氨蝶呤预防移植物抗宿主病(GVHD)。她成功实现了快速植入,没有急性GVHD,后来发展为慢性但轻度的GVHD。有两个HLA位点不匹配的家庭成员可被视为“异基因到同基因”骨髓移植的候选供体。

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