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重症联合免疫缺陷中非同胞骨髓移植成功。

Successful nonsibling bone marrow transplantation in severe combined immunodeficiency.

作者信息

Ramsøe K, Skinhøj P, Andersen V, Ernst P, Faber V, Platz P, Thomsen M, Svejgaard A, Eriksen K R, Plesner T, Morling N, Philip J, Killmann S A, Koch C, Muller-Bérat N, Henningsen K, Axelsen H

出版信息

Transplantation. 1978 Dec;26(6):369-72. doi: 10.1097/00007890-197812000-00001.

DOI:10.1097/00007890-197812000-00001
PMID:366819
Abstract

Severe combined immunodeficiency (SCID) was diagnosed in a girl immediately after birth; her older brother had SCID and was successfully reconstituted by bone marrow transplantation from his uncle. She was isolated in a laminar air flow bench and decontaminated. The father differed by one HLA-A antigen but was HLA-Dw2 homozygous like the patient; his lymphocytes showed a slight response to the patient's cells in mixed lymphocyte culture (MLC). At the age of 2 1/2 months and again at 5 months, she was given a bone marrow transplant from the father. During the entire course the patient had no infections, and apart from a transient eosinophilia she had no signs of graft-versus-host reaction. Immunological reconstitution was nearly complete at 9 months of age, when she was recontaminated. One year later plasma immunoglobulin concentrations are in the low normal range (IgG and IgM) or decreased (IgA); tests of cell-mediated immunity are normal. Apart from slight upper respiratory infections, the patient has been healthy. Physical and psychological development have been normal.

摘要

一名女孩出生后立即被诊断为重症联合免疫缺陷病(SCID);她的哥哥患有SCID,并通过其叔叔的骨髓移植成功重建了免疫系统。她被隔离在层流通风柜中并进行了净化处理。父亲与患者在一个HLA - A抗原上不同,但与患者一样是HLA - Dw2纯合子;在混合淋巴细胞培养(MLC)中,他的淋巴细胞对患者的细胞有轻微反应。在2个半月和5个月时,她接受了来自父亲的骨髓移植。在整个病程中,患者没有感染,除了短暂的嗜酸性粒细胞增多外,没有移植物抗宿主反应的迹象。9个月大时免疫重建几乎完成,此时她再次受到污染。一年后,血浆免疫球蛋白浓度处于低正常范围(IgG和IgM)或降低(IgA);细胞介导免疫测试正常。除了轻微的上呼吸道感染外,患者一直健康。身体和心理发育正常。

相似文献

1
Successful nonsibling bone marrow transplantation in severe combined immunodeficiency.重症联合免疫缺陷中非同胞骨髓移植成功。
Transplantation. 1978 Dec;26(6):369-72. doi: 10.1097/00007890-197812000-00001.
2
Graft vs graft reaction resulting in the elimination of maternal cells in a SCID patient with maternofetal GVHd after an HLA identical bone marrow transplantation.在 HLA 配型相同的骨髓移植后,移植物抗移植物反应导致患有母胎移植物抗宿主病的重症联合免疫缺陷(SCID)患者体内的母体细胞被清除。
J Immunol. 1987 Jan 15;138(2):423-7.
3
Immunological reconstitution of a patient with severe combined immunodeficiency with bone marrow from the MLC matched but HLA-incompatible mother [proceedings].
Z Immunitatsforsch Immunobiol. 1976 Dec;152(4):337-40.
4
Reconstitution of immunologic function in a patient with severe combined immunodeficiency following transplantation of marrow from an HLA-A,B,C nonidentical but MLC-compatible paternal donor.
Transplant Proc. 1979 Dec;11(4):1934-7.
5
Bone marrow transplanation for severe combined immunodeficiency with the HL-A-incompatible but MLC-identical mother as a donor.以HL - A不相容但混合淋巴细胞培养相同的母亲作为供体,为重症联合免疫缺陷患者进行骨髓移植。
Transplant Proc. 1976 Dec;8(4):623-8.
6
Immunologic reconstitution in severe combined immunodeficiency following transplantation with parental bone marrow.双亲骨髓移植后严重联合免疫缺陷的免疫重建
Pediatrics. 1976 Sep;58(3):451-5.
7
Reconstitution in severe combined immunodeficiency by transplantation of marrow from an unrelated donor.
N Engl J Med. 1977 Dec 15;297(24):1311-8. doi: 10.1056/NEJM197712152972403.
8
Reconstitution after transplantation with T-lymphocyte-depleted HLA haplotype-mismatched bone marrow for severe combined immunodeficiency.采用去除T淋巴细胞的HLA单倍型不相合骨髓移植治疗重症联合免疫缺陷后的重建。
Proc Natl Acad Sci U S A. 1982 Oct;79(19):6047-51. doi: 10.1073/pnas.79.19.6047.
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Treatment of severe combined immunodeficiency with bone-marrow from an unrelated, mixed-leucocyte-culture-non-reactive donor.
Lancet. 1975 Sep 6;2(7932):431-3. doi: 10.1016/s0140-6736(75)90845-4.
10
Nature of reconstitution with histoincompatible maternal marrow in a case of severe combined immunodeficiency with graft-versus-host disease following maternofetal transfusion.
Clin Immunol Immunopathol. 1981 Mar;18(3):387-401. doi: 10.1016/0090-1229(81)90132-x.

引用本文的文献

1
Proceedings of the Annual Meeting of the European Foundation for Bone Marrow Transplantation, Sils Maria (Engadine), Switzerland, April 13-16, 1980.欧洲骨髓移植基金会年度会议论文集,瑞士锡尔斯玛利亚(恩加丁),1980年4月13日至16日。
Blut. 1980 Sep;41(3):151-245. doi: 10.1007/BF02464145.