Zhonghua Xue Ye Xue Za Zhi. 2024 Jul 14;45(7):637-644. doi: 10.3760/cma.j.cn121090-20240611-00218.
Autologous stem cell transplantation (ASCT) emerges as a therapeutic strategy following remission in adult acute leukemia (AL). It offers advantages over allogeneic hematopoietic stem cell transplantation (allo-HSCT), including independence from donor availability, absence of graft-versus-host disease (GVHD), and a reduced risk of transplant-related mortality. Furthermore, when juxtaposed with the extended regimens of consolidation chemotherapy, ASCT stands out by markedly abbreviating treatment duration, alleviating the economic strain on patients, and enhancing their overall quality of life. Despite these benefits, the adoption of ASCT among adult AL patients in China remains disproportionately low. To enhance clinical physicians' understanding of the role and position of ASCT in AL management and to improve the clinical efficacy of ASCT, it is urgent to establish a consensus among experts on ASCT for adult acute leukemia in our nation.
自体干细胞移植(ASCT)已成为成人急性白血病(AL)缓解后的一种治疗策略。与异基因造血干细胞移植(allo-HSCT)相比,它具有诸多优势,包括不受供体可用性的限制、无移植物抗宿主病(GVHD)以及移植相关死亡率降低。此外,与强化巩固化疗方案相比,ASCT显著缩短了治疗时间,减轻了患者的经济负担,并提高了他们的整体生活质量。尽管有这些益处,但在中国成人AL患者中,ASCT的采用率仍然极低。为了增强临床医生对ASCT在AL治疗中的作用和地位的理解,并提高ASCT的临床疗效,在我国成人急性白血病ASCT专家之间达成共识迫在眉睫。