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人类白细胞抗原单倍型相合移植的最新进展

Recent developments in HLA-haploidentical transplantations.

作者信息

Showel Margaret, Fuchs Ephraim J

机构信息

Division of Hematologic Malignancies, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 289 Cancer Research Building, 1650 Orleans Street, Baltimore, MD 21287, USA.

Division of Hematologic Malignancies, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 289 Cancer Research Building, 1650 Orleans Street, Baltimore, MD 21287, USA.

出版信息

Best Pract Res Clin Haematol. 2015 Jun-Sep;28(2-3):141-6. doi: 10.1016/j.beha.2015.10.011. Epub 2015 Oct 22.

DOI:10.1016/j.beha.2015.10.011
PMID:26590771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5013658/
Abstract

While allogeneic hematopoietic stem cell transplantations have a curative potential, several patients with hematologic malignancies cannot avail themselves of this therapeutic option due to lack of matched donor availability. Although HLA-haploidentical transplantations were previously associated with poor outcomes, recent evidence with use of post transplantation cyclophosphamide indicate improved safety and efficacy. The following paper discusses the most recent developments in this area.

摘要

虽然异基因造血干细胞移植具有治愈潜力,但由于缺乏匹配的供体,一些血液系统恶性肿瘤患者无法采用这种治疗选择。尽管HLA单倍型相合移植以前与不良预后相关,但最近使用移植后环磷酰胺的证据表明安全性和疗效有所改善。以下论文讨论了该领域的最新进展。

相似文献

1
Recent developments in HLA-haploidentical transplantations.人类白细胞抗原单倍型相合移植的最新进展
Best Pract Res Clin Haematol. 2015 Jun-Sep;28(2-3):141-6. doi: 10.1016/j.beha.2015.10.011. Epub 2015 Oct 22.
2
Total Body Irradiation-Based Myeloablative Haploidentical Stem Cell Transplantation Is a Safe and Effective Alternative to Unrelated Donor Transplantation in Patients Without Matched Sibling Donors.对于没有匹配同胞供者的患者,基于全身照射的清髓性单倍体相合干细胞移植是无关供者移植的一种安全有效的替代方案。
Biol Blood Marrow Transplant. 2015 Jul;21(7):1299-307. doi: 10.1016/j.bbmt.2015.03.003. Epub 2015 Mar 19.
3
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 transplantation.采用移植后环磷酰胺的 T 细胞富含 HLA 单倍体相合造血移植治疗血液系统恶性肿瘤可获得与同期 HLA 匹配的亲缘和无关供者移植相当的结果。
J Clin Oncol. 2013 Apr 1;31(10):1310-6. doi: 10.1200/JCO.2012.44.3523. Epub 2013 Feb 19.
4
Reduced-Intensity Conditioning with Busulfan, Fludarabine, and Antithymocyte Globulin for Hematopoietic Cell Transplantation from Unrelated or Haploidentical Family Donors in Patients with Acute Myeloid Leukemia in Remission.使用白消安、氟达拉滨和抗胸腺细胞球蛋白进行减低强度预处理用于缓解期急性髓系白血病患者接受无关或单倍体相合家庭供者造血细胞移植
Biol Blood Marrow Transplant. 2017 Sep;23(9):1555-1566. doi: 10.1016/j.bbmt.2017.05.025. Epub 2017 May 25.
5
Unmanipulated haploidentical transplants compared with other alternative donors and matched sibling grafts.与其他替代供体和匹配的同胞移植物相比,未处理的单倍体同基因移植。
Biol Blood Marrow Transplant. 2014 Oct;20(10):1573-9. doi: 10.1016/j.bbmt.2014.05.029. Epub 2014 Jun 5.
6
A Bortezomib-Based Regimen Offers Promising Survival and Graft-versus-Host Disease Prophylaxis in Myeloablative HLA-Mismatched and Unrelated Donor Transplantation: A Phase II Trial.基于硼替佐米的方案在清髓性HLA配型不合及无关供者移植中提供了有前景的生存及移植物抗宿主病预防效果:一项II期试验
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7
Comparable composite endpoints after HLA-matched and HLA-haploidentical transplantation with post-transplantation cyclophosphamide.接受移植后环磷酰胺治疗的HLA匹配和HLA单倍型相同移植后的可比复合终点。
Haematologica. 2017 Feb;102(2):391-400. doi: 10.3324/haematol.2016.144139. Epub 2016 Oct 20.
8
Results of a 2-arm, phase 2 clinical trial using post-transplantation cyclophosphamide for the prevention of graft-versus-host disease in haploidentical donor and mismatched unrelated donor hematopoietic stem cell transplantation.一项双臂2期临床试验的结果,该试验使用移植后环磷酰胺预防单倍体相合供者和错配无关供者造血干细胞移植中的移植物抗宿主病。
Cancer. 2016 Nov 15;122(21):3316-3326. doi: 10.1002/cncr.30180. Epub 2016 Jul 12.
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Haploidentical Allogeneic Hematopoietic Cell Transplantation for Multiple Myeloma Using Post-Transplantation Cyclophosphamide Graft-versus-Host Disease Prophylaxis.使用移植后环磷酰胺预防移植物抗宿主病的单倍体相合异基因造血细胞移植治疗多发性骨髓瘤
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Comparative Outcomes after Haploidentical or Unrelated Donor Bone Marrow or Blood Stem Cell Transplantation in Adult Patients with Hematological Malignancies.单倍体相合或非血缘供者骨髓或造血干细胞移植治疗成年血液系统恶性肿瘤患者后的比较结局
Biol Blood Marrow Transplant. 2016 Nov;22(11):2047-2055. doi: 10.1016/j.bbmt.2016.08.003. Epub 2016 Aug 10.

引用本文的文献

1
Complete resolution of severe ulcerative colitis after haploidentical hematopoietic stem cell transplantation followed by post-transplant high-dose cyclophosphamide.单倍体相合造血干细胞移植后序贯移植后高剂量环磷酰胺治疗,严重溃疡性结肠炎完全缓解。
Bone Marrow Transplant. 2017 Aug;52(8):1204-1205. doi: 10.1038/bmt.2017.94. Epub 2017 Jun 5.

本文引用的文献

1
Outcomes of Nonmyeloablative HLA-Haploidentical Blood or Marrow Transplantation With High-Dose Post-Transplantation Cyclophosphamide in Older Adults.老年患者接受非清髓性 HLA 半相合血液或骨髓移植并联合大剂量移植后环磷酰胺的疗效
J Clin Oncol. 2015 Oct 1;33(28):3152-61. doi: 10.1200/JCO.2014.60.4777. Epub 2015 Aug 10.
2
Haploidentical transplant with posttransplant cyclophosphamide vs matched unrelated donor transplant for acute myeloid leukemia.单倍体相合移植联合移植后环磷酰胺与匹配无关供者移植治疗急性髓系白血病
Blood. 2015 Aug 20;126(8):1033-40. doi: 10.1182/blood-2015-04-639831. Epub 2015 Jun 30.
3
HLA-haploidentical blood or marrow transplantation with high-dose, post-transplantation cyclophosphamide.高剂量移植后环磷酰胺的HLA单倍型相合血液或骨髓移植
Bone Marrow Transplant. 2015 Jun;50 Suppl 2(0 2):S31-6. doi: 10.1038/bmt.2015.92.
4
Risk-stratified outcomes of nonmyeloablative HLA-haploidentical BMT with high-dose posttransplantation cyclophosphamide.非清髓性 HLA 单倍型相合异基因骨髓移植联合大剂量移植后环磷酰胺的风险分层结局
Blood. 2015 May 7;125(19):3024-31. doi: 10.1182/blood-2015-01-623991. Epub 2015 Mar 26.
5
Validation and refinement of the Disease Risk Index for allogeneic stem cell transplantation.异体造血干细胞移植疾病风险指数的验证和优化。
Blood. 2014 Jun 5;123(23):3664-71. doi: 10.1182/blood-2014-01-552984. Epub 2014 Apr 17.
6
Aldehyde dehydrogenase expression drives human regulatory T cell resistance to posttransplantation cyclophosphamide.醛脱氢酶表达促使人类调节性T细胞对移植后环磷酰胺产生抗性。
Sci Transl Med. 2013 Nov 13;5(211):211ra157. doi: 10.1126/scitranslmed.3006960.
7
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 transplantation.采用移植后环磷酰胺的 T 细胞富含 HLA 单倍体相合造血移植治疗血液系统恶性肿瘤可获得与同期 HLA 匹配的亲缘和无关供者移植相当的结果。
J Clin Oncol. 2013 Apr 1;31(10):1310-6. doi: 10.1200/JCO.2012.44.3523. Epub 2013 Feb 19.
8
A disease risk index for patients undergoing allogeneic stem cell transplantation.异体干细胞移植患者的疾病风险指数。
Blood. 2012 Jul 26;120(4):905-13. doi: 10.1182/blood-2012-03-418202. Epub 2012 Jun 18.
9
High-dose, post-transplantation cyclophosphamide to promote graft-host tolerance after allogeneic hematopoietic stem cell transplantation.异基因造血干细胞移植后大剂量环磷酰胺促进移植物抗宿主耐受。
Immunol Res. 2010 Jul;47(1-3):65-77. doi: 10.1007/s12026-009-8139-0.
10
Treatment of high-risk acute leukemia with T-cell-depleted stem cells from related donors with one fully mismatched HLA haplotype.采用来自具有一个完全错配HLA单倍型的相关供体的T细胞去除干细胞治疗高危急性白血病。
N Engl J Med. 1998 Oct 22;339(17):1186-93. doi: 10.1056/NEJM199810223391702.