Immune reconstitution and survival, following hematopoietic stem cell transplantation in Omani patients with inborn errors of immunity

被引:0
作者
Al-Tamemi, Salem [1 ,6 ]
Al-Rawas, Abdulhakim [2 ]
Al-Khabori, Murtadha [3 ]
Al-Farsi, Khalil [3 ]
Al-Huneini, Mohammed [3 ]
Abdalla, Amr [2 ,4 ]
Al-Kindi, Salam [3 ,5 ]
Dennison, David [3 ]
机构
[1] Sultan Qaboos Univ Hosp, Dept Child Hlth, Clin Immunol & Allergy Unit, Muscat, Oman
[2] Sultan Qaboos Univ Hosp, Dept Child Hlth, BMT Unit, Muscat, Oman
[3] Sultan Qaboos Univ Hosp, Dept Hematol, BMT Unit, Muscat, Oman
[4] Cairo Univ, NCI, Pediat Oncol Dept, Cairo, Egypt
[5] Coll Med & Hlth Sci, Muscat, Oman
[6] Sultan Qaboos Univ Hosp, Dept Child Hlth, Muscat, Oman
关键词
Hematopoietic stem cell transplantation; Inborn errors of immunity; Primary immunodeficiency; Immune reconstitution; Oman; BONE-MARROW-TRANSPLANTATION; SEVERE COMBINED IMMUNODEFICIENCY; INTRAVENOUS IMMUNOGLOBULIN; EXPERIENCE; ANTIBODY; INFECTIONS; CHILDREN; BMT;
D O I
10.1016/j.clim.2024.110263
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: Hematopoietic stem cell transplantation (HSCT) is a curative treatment for certain inborn errors of immunity. Methods: A 17 -year retrospective cohort study was conducted on 40 immunodeficient patients who underwent HSCT. Results: The median age at transplant was 11.0 months (4.6 -61.0). Donors were primarily matched sibling donors (60%). 90% and 85% of patients received conditioning and graft -versus -host disease (GVHD) prophylaxis, respectively. The mean donor chimerism at the last follow-up was 88.6% +/- 17.9% (40 -100). Median serum immunoglobulin (Ig) G level, CD4 + T -cell count, and CD19 + B -cell count were 11.7 g/L (9.2 -13.6), 0.9 x 10 9 /L 0.6 -1.2), and 0.5 x 10 9 /L (0.2 -0.7), respectively. 29 patients (72.5%) received intravenous immunoglobulins (IVIG) therapy, with a median duration of 10.0 months (4.0 -14.0). The median post -transplant follow-up was 6.5 years (IQR:1.4 -11.5). The 10 -year overall probability of survival is 84.3%. Conclusion: Monitoring IRC is important in ensuring adequate disease -free survival.
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页数:6
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