[同种异体造血干细胞移植治疗骨髓纤维化的疗效]。

Takumi Nishikawa, Masuho Saburi, Kuniaki Maehara, Keiichi Uraisami, Hiroyuki Takata, Yasuhiko Miyazaki, Eiichi Ohtsuka
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引用次数: 0

摘要

我们回顾性研究了本院接受骨髓纤维化异基因干细胞移植的四名患者(中位年龄:54.5岁)的治疗结果。移植包括非亲缘骨髓移植(BMT)(n=1)、亲缘外周血干细胞移植(PBSCT)(n=1)和移植后环磷酰胺单倍体PBSCT(PTCy-haplo)(n=2)。治疗方案为氟达拉滨联合12.8毫克/千克丁硫安或美法仑140毫克/平方米。所有患者都接受了JAK2抑制剂治疗,该药逐渐减量,然后在治疗前停用。三位 PBSCT 受者实现了移植,目前病情缓解。一名 BMT 受体死于移植失败。PTCy-haplo、髓鞘脱落调理和JAK2抑制剂可能对骨髓纤维化患者的移植有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Outcome of allogeneic hematopoietic stem cell transplantation for myelofibrosis].

We retrospectively reviewed outcomes of four patients (median age: 54.5 years) who received allogeneic stem cell transplantation for myelofibrosis at our hospital. Transplantation consisted of unrelated bone marrow transplantation (BMT) (n=1), related peripheral blood stem cell transplantation (PBSCT) (n=1), and haploidentical PBSCT with post-transplant cyclophosphamide (PTCy-haplo) (n=2). The conditioning regimen was fludarabine combined with busulfan 12.8 mg/kg or melphalan 140 mg/m2. All patients received a JAK2 inhibitor, which was gradually tapered and then discontinued before conditioning. The three PBSCT recipients achieved engraftment, and are alive in remission. The BMT recipient died of graft failure. PTCy-haplo, myeloablative conditioning, and JAK2 inhibitors may be useful for transplantation in patients with myelofibrosis.

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