Burkholder Tanya H, Colenda Lyn, Tuschong Laura M, Starost Matthew F, Bauer Thomas R, Hickstein Dennis D
Division of Veterinary Resources, Office of Research Services, National Institutes of Health, 9000 Rockville Pike, Bldg 28, Rm 104, Bethesda, MD 20892-0001, USA.
Blood. 2006 Sep 1;108(5):1767-9. doi: 10.1182/blood-2006-02-005645. Epub 2006 Apr 27.
Nonmyeloablative conditioning regimens are increasingly replacing myeolablative conditioning prior to allogeneic hematopoietic stem cell transplantation (SCT). The recent advent of these conditioning regimens has limited the assessment of the long-term effects of this treatment, including analysis of reproductive function. To address the question of reproductive function after nonmyeloablative transplantation, we analyzed a cohort of young dogs with the genetic disease canine leukocyte adhesion deficiency that were treated with a nonmyeloablative dose of 200 cGy total body irradiation followed by matched-littermate SCT. Five males and 5 females entered puberty; all 5 males and 4 females subsequently sired or delivered litters following transplantation. We demonstrate that fertility is intact and dogs have uncomplicated parturitions following nonmyeloablative conditioning for SCT. These results are encouraging for children and adults of childbearing age who receive similar conditioning regimens prior to allogeneic transplantation.
非清髓性预处理方案在异基因造血干细胞移植(SCT)前正越来越多地取代清髓性预处理。这些预处理方案的近期出现限制了对这种治疗长期影响的评估,包括生殖功能分析。为解决非清髓性移植后的生殖功能问题,我们分析了一组患有遗传性疾病犬白细胞黏附缺陷的幼犬,它们接受了200 cGy全身照射的非清髓性剂量,随后进行同窝匹配的SCT。5只雄性和5只雌性进入青春期;所有5只雄性和4只雌性在移植后随后都生育了后代。我们证明,非清髓性预处理用于SCT后,生育能力完好,犬的分娩过程无并发症。这些结果对于在异基因移植前接受类似预处理方案的育龄儿童和成人来说是令人鼓舞的。