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难治性血小板减少性紫癜自体干细胞移植失败

Failure of autologous stem cell transplantation in refractory thrombocytopenic purpura.

作者信息

Marmont A M, van Lint M T, Occhini D, Lamparelli T, Bacigalupo A

机构信息

II Division of Haematology and Stem Cell Transplantation Centre, S Martino's Hospital, Genova, Italy.

出版信息

Bone Marrow Transplant. 1998 Oct;22(8):827-8. doi: 10.1038/sj.bmt.1701431.

DOI:10.1038/sj.bmt.1701431
PMID:9827985
Abstract

A 44-year-old man with splenectomised refractory autoimmune thrombocytopenic purpura (AITP) of 10 years' duration underwent an autologous, T cell-depleted marrow transplant following conditioning with thiotepa and CY. There was no response to the transplant procedure. This is the fourth case in the literature to show failure following autologous stem cell transplantation, although complete, steroid-independent remissions were obtained in the first two patients for over 1 year.

摘要

一名44岁男性,患难治性自身免疫性血小板减少性紫癜(AITP)10年且已行脾切除术,在接受噻替派和环磷酰胺预处理后进行了自体T细胞去除骨髓移植。移植过程无反应。这是文献中第四例自体干细胞移植失败的病例,尽管前两名患者获得了超过1年的完全、不依赖类固醇的缓解。

相似文献

1
Failure of autologous stem cell transplantation in refractory thrombocytopenic purpura.难治性血小板减少性紫癜自体干细胞移植失败
Bone Marrow Transplant. 1998 Oct;22(8):827-8. doi: 10.1038/sj.bmt.1701431.
2
Resolution of refractory chronic autoimmune thrombocytopenic purpura following mesenchymal stem cell transplantation: a case report.间充质干细胞移植后难治性慢性自身免疫性血小板减少性紫癜的缓解:一例报告
Transplant Proc. 2009 Jun;41(5):1827-30. doi: 10.1016/j.transproceed.2008.12.031.
3
Successful treatment of resistant thrombotic thrombocytopenic purpura/hemolytic uremic syndrome with autologous peripheral blood stem and progenitor (CD34+) cell transplantation.自体外周血干细胞和祖细胞(CD34+)移植成功治疗难治性血栓性血小板减少性紫癜/溶血性尿毒症综合征。
Bone Marrow Transplant. 1999 Jul;24(2):207-9. doi: 10.1038/sj.bmt.1701859.
4
Intense immunosuppressive therapy followed by autologous peripheral blood selected progenitor cell reinfusion for severe autoimmune disease.强化免疫抑制治疗后自体外周血选择祖细胞回输治疗重症自身免疫性疾病。
Am J Hematol. 2001 Feb;66(2):75-9. doi: 10.1002/1096-8652(200102)66:2<75::AID-AJH1020>3.0.CO;2-V.
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Haematopoetic stem cell transplantation for refractory autoimmune cytopenia.难治性自身免疫性血细胞减少症的造血干细胞移植
Br J Haematol. 2004 Jun;125(6):749-55. doi: 10.1111/j.1365-2141.2004.04978.x.
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Immune ablation and stem cell transplantation for severe Evans syndrome and refractory thrombocytopenic purpura.免疫消融及干细胞移植治疗重症Evans综合征和难治性血小板减少性紫癜。
Bone Marrow Transplant. 1999 Jun;23(12):1215-6. doi: 10.1038/sj.bmt.1701823.
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Autoimmune thrombocytopenia in a patient with small cell lung cancer developing after chemotherapy and resolving following autologous peripheral blood stem cell transplantation.一名小细胞肺癌患者在化疗后出现自身免疫性血小板减少症,并在自体外周血干细胞移植后病情缓解。
Bone Marrow Transplant. 1999 Aug;24(3):335-7. doi: 10.1038/sj.bmt.1701902.
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Haematopoietic stem cell transplantation for immune thrombopenia and other refractory autoimmune cytopenias.造血干细胞移植治疗免疫性血小板减少症及其他难治性自身免疫性血细胞减少症。
Best Pract Res Clin Haematol. 2004 Jun;17(2):305-15. doi: 10.1016/j.beha.2004.04.006.
9
Autoimmune thrombocytopenia following autologous hematopoietic cell transplantation: review of literature and treatment options.自体造血细胞移植后自身免疫性血小板减少症:文献综述与治疗选择
Bone Marrow Transplant. 2000 Oct;26(8):925-7. doi: 10.1038/sj.bmt.1702658.
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Thiotepa, busulfan, cyclophosphamide (TBC) and autologous hematopoietic transplantation: an intensive regimen for the treatment of multiple myeloma.噻替派、白消安、环磷酰胺(TBC)与自体造血干细胞移植:一种用于治疗多发性骨髓瘤的强化方案
Bone Marrow Transplant. 2001 Apr;27(8):821-8. doi: 10.1038/sj.bmt.1703007.

引用本文的文献

1
Favorable response of chronic refractory immune thrombocytopenic purpura to mesenchymal stem cells.慢性难治性免疫性血小板减少性紫癜对间充质干细胞的良好反应。
Stem Cells Dev. 2012 Feb 10;21(3):497-502. doi: 10.1089/scd.2011.0231. Epub 2011 Aug 12.
2
Induction of tolerance in autoimmune diseases by hematopoietic stem cell transplantation: getting closer to a cure?造血干细胞移植诱导自身免疫性疾病的免疫耐受:离治愈更近一步了吗?
Int J Hematol. 2002 Aug;76 Suppl 1:226-47. doi: 10.1007/BF03165251.