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HSCT 治疗跨洋的 GATA2 缺陷

HSCT for GATA2 deficiency across the pond.

机构信息

National Cancer Institute.

出版信息

Blood. 2018 Mar 22;131(12):1272-1274. doi: 10.1182/blood-2018-02-826461.

DOI:10.1182/blood-2018-02-826461
PMID:29567757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5865236/
Abstract

In this issue of , Tholouli et al describe successful in vivo T-cell–depleted allogeneic hematopoietic stem cell transplant (HSCT) in 4 patients with GATA2 deficiency using a reduced-intensity conditioning (RIC) regimen including serotherapy with alemtuzumab. Three immediate questions come to mind when contemplating the first sentence, namely: what is GATA2 deficiency, what is the natural history of the disease that leads to HSCT, and what makes HSCT so special for GATA2 deficiency that it warrants a commentary?

摘要

本期 ,Tholouli 等人描述了使用包含阿仑单抗血清疗法的减强度预处理方案,成功地对 4 例 GATA2 缺陷患者进行了 T 细胞耗竭的同种异体造血干细胞移植(HSCT)。在考虑第一句话时,有三个直接的问题,即:什么是 GATA2 缺陷,导致 HSCT 的疾病的自然史是什么,以及是什么使 HSCT 对 GATA2 缺陷如此特别,以至于值得评论?

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本文引用的文献

1
Allogeneic Hematopoietic Stem Cell Transplantation for GATA2 Deficiency Using a Busulfan-Based Regimen.异基因造血干细胞移植治疗 GATA2 缺陷症:采用基于白消安的方案。
Biol Blood Marrow Transplant. 2018 Jun;24(6):1250-1259. doi: 10.1016/j.bbmt.2018.01.030. Epub 2018 Feb 3.
2
In vivo T-depleted reduced-intensity transplantation for -related immune dysfunction.体内 T 细胞耗竭的降低强度移植治疗与免疫功能障碍相关的疾病。
Blood. 2018 Mar 22;131(12):1383-1387. doi: 10.1182/blood-2017-10-811489. Epub 2018 Jan 2.
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
Association of busulfan exposure with survival and toxicity after haemopoietic cell transplantation in children and young adults: a multicentre, retrospective cohort analysis.白消安暴露与儿童及青年造血细胞移植后的生存及毒性的关联:一项多中心回顾性队列分析
Lancet Haematol. 2016 Nov;3(11):e526-e536. doi: 10.1016/S2352-3026(16)30114-4. Epub 2016 Oct 13.
5
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Biol Blood Marrow Transplant. 2014 Dec;20(12):1940-8. doi: 10.1016/j.bbmt.2014.08.004. Epub 2014 Aug 9.
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Nat Genet. 2011 Sep 4;43(10):1012-7. doi: 10.1038/ng.913.
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