文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

[异基因造血干细胞移植治疗首次缓解期急性髓细胞白血病]

[Allogeneic hematopoietic stem cell transplantation for acute myeloblastic leukemia in first remission].

作者信息

Bondarenko S N, Semenova E V, Vavilov V N, Stancheva N V, Morozova E V, Alianskiĭ A L, Babenko E V, Osipova N É, Zubarovskaia L S, Afanas'ev B V

出版信息

Ter Arkh. 2013;85(7):18-25.


DOI:
PMID:24137943
Abstract

AIM: To evaluate the efficiency of allogeneic hematopoietic stem cell transplantation (allo-HSCT) in patients with acute myeloblastic leukemia in first remission depending on the regimens of conditioning, the source of a graft, and the characteristics of a donor and a recipient. SUBJECTS AND METHODS: In 66 treated patients, including from partially HLA-mismatched relatives (n=4), the efficiency of allo-HSCT from related donors (n=26) and unrelated donors (n=40), were compared. According to cytogenetic findings, 7 (11%), 31 (47%), and 10 (15%) patients belonged to low-, intermediate-, and high-risk groups, respectively. RESULTS: Five-year overall survival (OS) and mortality associated with transplantation were 56 and 22% for allo-HSCT from related donors, 68 and 23% for that from HLA-matched donors, and 71 and 25% for that from partially HLA-mismatched donors, respectively (p=0.8 and p=0.7). The relapse risk after allo-HSCT from unrelated donors was significantly lower than after that from related donors (13 and 35%, respectively; p=0.8). Univariate analysis showed that the OS rates depended on the cytogenetic risk group (OS was 24 and 64% in the high- and intermediate-risk groups, respectively (p=0.027). The relapse risk in chronic graft-versus-host reaction (GVHR) and in grade 3 acute GVHR (p=0.01) was shown to be less than that in grades 1-2 acute GVHR (p=0.06). CONCLUSION: OS rates after allo-HSCT from related and unrelated donors were comparable and unrelated to the source of a graft, the regimen of conditioning, and other characteristics of a donor and a recipient.

摘要

目的:根据预处理方案、移植物来源以及供受者特征,评估首次缓解的急性髓细胞白血病患者接受异基因造血干细胞移植(allo-HSCT)的疗效。 对象与方法:比较66例接受治疗的患者,包括来自部分HLA配型不合亲属(n = 4)、相关供者(n = 26)和无关供者(n = 40)的allo-HSCT疗效。根据细胞遗传学结果,7例(11%)、31例(47%)和10例(15%)患者分别属于低、中、高危组。 结果:相关供者allo-HSCT的5年总生存率(OS)和移植相关死亡率分别为56%和22%,HLA配型相合供者的分别为68%和23%,部分HLA配型不合供者的分别为71%和25%(p = 0.8和p = 0.7)。无关供者allo-HSCT后的复发风险显著低于相关供者(分别为13%和35%;p = 0.8)。单因素分析显示,OS率取决于细胞遗传学风险组(高危组和中危组的OS分别为24%和64%(p = 0.027))。慢性移植物抗宿主病(GVHR)和3级急性GVHR的复发风险(p = 0.01)低于1 - 2级急性GVHR(p = 0.06)。 结论:相关和无关供者allo-HSCT后的OS率相当,且与移植物来源、预处理方案以及供受者的其他特征无关。

相似文献

[1]
[Allogeneic hematopoietic stem cell transplantation for acute myeloblastic leukemia in first remission].

Ter Arkh. 2013

[2]
Poor outcome with nonmyeloablative conditioning regimen before cord blood transplantation for patients with high-risk acute myeloid leukemia compared with matched related or unrelated donor transplantation.

Biol Blood Marrow Transplant. 2014-10

[3]
[Efficacy of donor lymphocyte infusion in patients after different types of allogeneic hematopoietic stem cell transplantation].

Ter Arkh. 2013

[4]
[Impact of HLA compatibility on the outcome of allogeneic hematopoietic stem cell transplantation for chronic myeloid leukemia].

Nan Fang Yi Ke Da Xue Xue Bao. 2011-3

[5]
Favorable outcomes after allogeneic hematopoietic stem cell transplantation in children with high-risk or advanced acute myeloid leukemia.

J Pediatr Hematol Oncol. 2011-5

[6]
Allogeneic hematopoietic stem cell transplantation for pediatric patients with treatment-related myelodysplastic syndrome or acute myelogenous leukemia.

Biol Blood Marrow Transplant. 2011-11-10

[7]
HLA-mismatched/haploidentical hematopoietic stem cell transplantation without in vitro T cell depletion for chronic myeloid leukemia: improved outcomes in patients in accelerated phase and blast crisis phase.

Ann Med. 2008

[8]
The impact of HLA-matching on reduced intensity conditioning regimen unrelated donor allogeneic stem cell transplantation for acute myeloid leukemia in patients above 50 years-a report from the EBMT acute leukemia working party.

J Hematol Oncol. 2016-8-3

[9]
Prospective evaluation of allogeneic hematopoietic stem-cell transplantation from matched related and matched unrelated donors in younger adults with high-risk acute myeloid leukemia: German-Austrian trial AMLHD98A.

J Clin Oncol. 2010-8-30

[10]
Long-term outcomes of HLA-matched sibling compared with mismatched related and unrelated donor hematopoietic stem cell transplantation for chronic phase chronic myelogenous leukemia: a single institution experience in China.

Ann Hematol. 2010-9-25

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索