Klein Orly R, Bonfim Carmem, Abraham Allistair, Ruggeri Annalisa, Purtill Duncan, Cohen Sandra, Wynn Robert, Russell Athena, Sharma Akshay, Ciccocioppo Rachele, Prockop Susan, Boelens Jaap Jan, Bertaina Alice
Division of Hematology, Oncology and Stem Cell Transplant and Regenerative Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA.
Pediatric Blood and Marrow Transplantation Division and Pele Pequeno Principe Research Institute, Hospital Pequeno Principe, Curitiba, Brazil.
Cytotherapy. 2023 May;25(5):463-471. doi: 10.1016/j.jcyt.2022.12.005. Epub 2023 Jan 27.
Hematopoietic stem cell transplantation (HSCT) is curative for many non-malignant disorders. As HSCT and supportive care technologies improve, this life-saving treatment may be offered to more and more patients. With the development of new preparative regimens, expanded alternative donor availability, and graft manipulation techniques, there are many options when choosing the best regimen for patients. Herein the authors review transplant considerations, transplant goals, conditioning regimens, donor choice, and graft manipulation strategies for patients with non-malignant disorders undergoing HSCT.
造血干细胞移植(HSCT)对许多非恶性疾病具有治愈作用。随着HSCT及支持治疗技术的进步,这种挽救生命的治疗方法可能会提供给越来越多的患者。随着新预处理方案的发展、替代供体来源的扩大以及移植物处理技术的进步,在为患者选择最佳方案时存在多种选择。在此,作者回顾了接受HSCT的非恶性疾病患者的移植注意事项、移植目标、预处理方案、供体选择及移植物处理策略。