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《北京议定书》单倍体相合造血干细胞移植更新。

Update of the "Beijing Protocol" haplo-identical hematopoietic stem cell transplantation.

机构信息

Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing, China.

Peking-Tsinghua Center for Life Sciences, Beijing, China.

出版信息

Bone Marrow Transplant. 2019 Aug;54(Suppl 2):703-707. doi: 10.1038/s41409-019-0605-2.

Abstract

As one of the three successful approaches for haplo-identical stem cell transplantation (haplo-SCT) in recent decades, "Beijing protocol" was based on immune tolerance induced by granulocyte colony-stimulating factor plus anti-thymocyte globulin, which included individualized conditioning regimens, novel donor selection algorithm, and risk-directed strategies for GvHD and relapse, etc. Haplo-HSCT following "Beijing protocol" demonstrated similar efficacy to HLA-matched SCT, which has become the predominant strategy for allogeneic SCT in China as well as inspiration for refinement of global practice. This review will focus on recent progressions and prospective of this approach in (1) the indications from hematological malignancies to non-malignant diseases; (2) microenvironment for hematopoietic recovery; and (3) improving T cells function.

摘要

作为近几十年来同种异体造血干细胞移植(haplo-SCT)的三种成功方法之一,“北京方案”基于粒细胞集落刺激因子加抗胸腺细胞球蛋白诱导的免疫耐受,包括个体化预处理方案、新型供者选择算法以及移植物抗宿主病和复发的风险导向策略等。“北京方案”下的 haplo-HSCT 与 HLA 匹配 SCT 具有相似的疗效,已成为中国异基因 SCT 的主要策略,也为全球实践的完善提供了启示。本综述将重点介绍该方法在(1)从血液恶性肿瘤到非恶性疾病的适应证;(2)造血恢复的微环境;和(3)改善 T 细胞功能方面的最新进展和前景。

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