Unrelated cord blood transplantation in pediatric patients: a report from Saudi Arabia

被引：8

作者：

Ayas, M. ^{[1
]}

Al-Seraihi, A. ^{[1
]}

Al-Jefri, A. ^{[1
]}

Al-Ahmari, A. ^{[1
]}

Al-Mahr, M. ^{[1
]}

Al-Ghonaium, A. ^{[2
]}

Al-Muhsen, S. ^{[2
,7
]}

Al-Mousa, H. ^{[2
]}

Al-Dhekri, H. ^{[2
]}

Alsaud, B. ^{[2
]}

Eldali, A. ^{[3
]}

Mohamad, A. ^{[1
]}

Al-Humaidan, H. ^{[4
]}

Chadrawi, A. ^{[5
]}

Al-Kaff, M. ^{[4
]}

Al-Hassnan, Z. ^{[6
]}

El-Solh, H. ^{[1
]}

机构：

[1] King Faisal Specialist Hosp & Res Ctr, Dept Pediat Hematol Oncol, Sect Pediat Stem Cell Transplantat, Riyadh 11211, Saudi Arabia

[2] King Faisal Specialist Hosp & Res Ctr, Dept Pediat, Sect Pediat Immunol, Riyadh 11211, Saudi Arabia

[3] King Faisal Specialist Hosp & Res Ctr, Dept Biostat & Epidemiol, Riyadh 11211, Saudi Arabia

[4] King Faisal Specialist Hosp & Res Ctr, Dept Pathol & Lab Med, Riyadh 11211, Saudi Arabia

[5] King Faisal Specialist Hosp & Res Ctr, Sect Pediat Neurol, Dept Neurosci, Riyadh 11211, Saudi Arabia

[6] King Faisal Specialist Hosp & Res Ctr, Dept Med Genet, Riyadh 11211, Saudi Arabia

[7] King Saud Univ, Coll Med, Sect Pediat, Riyadh 11461, Saudi Arabia

来源：

BONE MARROW TRANSPLANTATION | 2010年 / 45卷 / 08期

关键词：

ethnicity; cord blood transplantation; antithymocyte globulin; graft failure; TBI; STEM-CELL TRANSPLANTATION; NONMALIGNANT DISEASES; GRAFT FAILURE; BONE-MARROW; DONOR; EXPERIENCE; IMMUNODEFICIENCY; RECIPIENTS; CHILDREN; SURVIVAL;

D O I：

10.1038/bmt.2009.350

中图分类号：

Q6 [生物物理学];

学科分类号：

071011 ;

摘要：

In unrelated cord blood (UCB) transplantation, survival has been shown to correlate with the degree of HLA matching. Thus, to extend transplant access to different ethnic backgrounds, many western UCB transplantation banks now encourage donation from non-Caucasians. Until recently, Saudi Arabia did not have a national UCB bank. In this study we report our experience in UCB transplantation in children using units procured from western cord blood banks. A total of 97 children underwent unrelated UCB transplantation at King Faisal Specialist Hospital and Research Center (KFSHRC), of which 95 were of Arab ethnicity. A total of 30 patients had malignant disorders, 25 patients had non-malignant hematological disorders and 42 patients had inborn errors. Conditioning was according to disease, with six patients receiving reduced-intensity regimens. In all, 46 patients received one-Ag-mismatched units and 51 received two-Ag-mismatched units. Engraftment occurred in 93% of patients, the 100-TRM was 15%, acute GVHD developed in 20% of patients and chronic GVHD occurred in 9% of patients. The 5-year OS and EFS estimates were 52 and 43%, respectively. The search for UCB transplantation units for Saudi patients in western banks yielded reasonably compatible units for our patients; the results are consistent with published data. Our data are encouraging for UCB transplant programs in countries in which there are no national UCB transplantation banks. Bone Marrow Transplantation (2010) 45, 1281-1286; doi: 10.1038/bmt.2009.350; published online 14 December 2009

引用

页码：1281 / 1286

页数：6

共 31 条

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