Allogeneic Hematopoietic Stem Cell Transplantation for Adults with Sickle Cell Disease

被引:9
作者
Saraf, Santosh L. [1 ]
Rondelli, Damiano [1 ]
机构
[1] Univ Illinois, Dept Med, Div Hematol & Oncol, Chicago, IL 60612 USA
关键词
sickle cell disease; transplantation; BONE-MARROW-TRANSPLANTATION; QUALITY-OF-LIFE; MATCHED RELATED DONORS; PULMONARY-HYPERTENSION; REDUCED-INTENSITY; UNITED-STATES; RISK-FACTORS; HEALTH-CARE; MORTALITY; ANEMIA;
D O I
10.3390/jcm8101565
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sickle cell disease (SCD) is an inherited red blood cell disorder that leads to substantial morbidity and early mortality. Acute and chronic SCD-related complications increase with older age, and therapies are urgently needed to treat adults. Allogeneic hematopoietic stem cell transplantation (HSCT) is a curative therapy, but has been used less frequently in adults compared to children. This is, in part, due to (1) greater chronic organ damage, limiting tolerability to myeloablative conditioning regimens, (2) a higher rate of HSCT-related complications in adults versus children with SCD, and (3) limited coverage by public and private health insurance. Newer approaches using nonmyeloablative and reduced-intensity conditioning HSCT regimens have demonstrated better safety and tolerability, with high rates of stable engraftment in SCD adults. This review will focus on the impacts of HSCT, using more contemporary approaches to SCD-related complications in adults.
引用
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页数:17
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