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单倍体相合供者:更快的移植能否挽救晚期疾病患者的生命?

Haploidentical Donors: Can Faster Transplantation Be Life-Saving for Patients with Advanced Disease?

作者信息

Tanase Alina, Tomuleasa Ciprian, Marculescu Alexandra, Bardas Alexandru, Colita Anca, Orban Carmen, Ciurea Stefan Octavian

机构信息

Department of Stem Cell Transplantation, Fundeni Clinical Institute, Bucharest, Romania.

出版信息

Acta Haematol. 2016;135(4):211-6. doi: 10.1159/000443469. Epub 2016 Feb 26.

DOI:10.1159/000443469
PMID:26914538
Abstract

Haploidentical stem cell transplantation is a therapeutic option for patients without an HLA-matched donor. It is increasingly being used worldwide due to the application of posttransplantation cyclophosphamide and is associated with lower incidence of graft-versus-host disease and treatment-related mortality. Haploidentical donors are generally available for most patients and stem cells can be rapidly obtained. Delays in transplantation while waiting for unrelated donor cells can be potentially problematic for patients with advanced disease at risk for progression; thus, the use of haploidentical donors, especially in this setting, can be life-saving. Here we reviewed the literature on haploidentical stem cell transplantation performed with posttransplantation cyclophosphamide.

摘要

单倍体相合干细胞移植是没有 HLA 匹配供者的患者的一种治疗选择。由于移植后环磷酰胺的应用,它在全球范围内越来越多地被使用,并且与移植物抗宿主病的发生率降低以及治疗相关死亡率降低相关。大多数患者通常都能找到单倍体相合供者,并且可以快速获得干细胞。对于有疾病进展风险的晚期患者,等待无关供者细胞时移植延迟可能会有潜在问题;因此,使用单倍体相合供者,尤其是在这种情况下,可能会挽救生命。在此,我们回顾了关于采用移植后环磷酰胺进行单倍体相合干细胞移植的文献。

相似文献

1
Haploidentical Donors: Can Faster Transplantation Be Life-Saving for Patients with Advanced Disease?单倍体相合供者:更快的移植能否挽救晚期疾病患者的生命?
Acta Haematol. 2016;135(4):211-6. doi: 10.1159/000443469. Epub 2016 Feb 26.
2
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.
3
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.
4
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.
5
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.
6
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.
7
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.
8
T Cell-Replete Peripheral Blood Haploidentical Hematopoietic Cell Transplantation with Post-Transplantation Cyclophosphamide Results in Outcomes Similar to Transplantation from Traditionally Matched Donors in Active Disease Acute Myeloid Leukemia.采用移植后环磷酰胺的T细胞充足的外周血单倍体相合造血细胞移植,在活动性疾病急性髓系白血病中产生的结果与来自传统匹配供体的移植相似。
Biol Blood Marrow Transplant. 2017 Apr;23(4):648-653. doi: 10.1016/j.bbmt.2017.01.068. Epub 2017 Jan 10.
9
Reduced intensity haplo plus single cord transplant compared to double cord transplant: improved engraftment and graft-versus-host disease-free, relapse-free survival.与双脐带移植相比,减低强度单倍体加单脐带移植:植入改善,无移植物抗宿主病,无复发生存率提高。
Haematologica. 2016 May;101(5):634-43. doi: 10.3324/haematol.2015.138594. Epub 2016 Feb 11.
10
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.

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Continuous renal replacement therapy in cytokine release syndrome following immunotherapy or cellular therapies?
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J Immunother Cancer. 2020 May;8(1). doi: 10.1136/jitc-2020-000742.
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Front Oncol. 2019 Sep 10;9:892. doi: 10.3389/fonc.2019.00892. eCollection 2019.
5
Clinical Approach to the Patient in Critical State Following Immunotherapy and/or Stem Cell Transplantation: Guideline for the On-Call Physician.免疫治疗和/或干细胞移植后危重症患者的临床处理:值班医生指南
J Clin Med. 2019 Jun 20;8(6):884. doi: 10.3390/jcm8060884.
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Cancer Manag Res. 2018 Jun 13;10:1517-1526. doi: 10.2147/CMAR.S154819. eCollection 2018.