TY - JOUR
T1 - Unrelated cord blood transplantation in children with sickle cell disease
T2 - Review of four-center experience
AU - Adamkiewicz, Tom V.
AU - Szabolcs, Paul
AU - Haight, Ann
AU - Baker, K. Scott
AU - Staba, Susan
AU - Kedar, Amos
AU - Chiang, K. Y.
AU - Krishnamurti, Lakshmanan
AU - Boyer, Michael W.
AU - Kurtzberg, Joan
AU - Wagner, John E.
AU - Wingard, John R.
AU - Yeager, Andrew M.
PY - 2007/9
Y1 - 2007/9
N2 - UCBT was performed in seven children with SCD and stroke (HLA match 4/6 n = 5; 5/6 n = 2). Four received myeloablative regimens (BU, CY, ATG plus FLU in one patient). One had primary graft failure, three had sustained engraftment, two with grade III-IV GVHD (one died, one developed chronic GVHD), one with stable mixed chimerism. Three patients treated with reduced-intensity regimens (FLU, BU or CY, ATG, TLI) failed to engraft; one engrafted after second UCBT (HU, TT, RXA, ALZ, TBI). Four patients (57%) developed viral infections. Engraftment, GVHD, and infection remain challenges.
AB - UCBT was performed in seven children with SCD and stroke (HLA match 4/6 n = 5; 5/6 n = 2). Four received myeloablative regimens (BU, CY, ATG plus FLU in one patient). One had primary graft failure, three had sustained engraftment, two with grade III-IV GVHD (one died, one developed chronic GVHD), one with stable mixed chimerism. Three patients treated with reduced-intensity regimens (FLU, BU or CY, ATG, TLI) failed to engraft; one engrafted after second UCBT (HU, TT, RXA, ALZ, TBI). Four patients (57%) developed viral infections. Engraftment, GVHD, and infection remain challenges.
KW - Reduced intensity conditioning
KW - Sickle cell disease
KW - Umbilical cord transplant
KW - Unrelated donor transplant
UR - http://www.scopus.com/inward/record.url?scp=34547428427&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34547428427&partnerID=8YFLogxK
U2 - 10.1111/j.1399-3046.2007.00725.x
DO - 10.1111/j.1399-3046.2007.00725.x
M3 - Article
C2 - 17663687
AN - SCOPUS:34547428427
SN - 1397-3142
VL - 11
SP - 641
EP - 644
JO - Pediatric transplantation
JF - Pediatric transplantation
IS - 6
ER -