脐带血移植治疗骨髓衰竭综合征:最新进展。

Q1 Biochemistry, Genetics and Molecular Biology
Stem cell investigation Pub Date : 2019-12-05 eCollection Date: 2019-01-01 DOI:10.21037/sci.2019.10.04
Simona Pagliuca, Annalisa Ruggeri, Régis Peffault de Latour
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引用次数: 10

摘要

造血干细胞移植(HSCT)和免疫抑制疗法(IST)代表了特发性和遗传性骨髓衰竭(BMF)疾病治疗算法的里程碑。然而,缺乏合适供体或IST失败的患者预后仍然很差。脐带血移植(CBT)扩大了许多患者在缺乏合格供体的情况下进行造血干细胞移植的可能性,尽管在过去几年中,这种手术在一些血液学疾病中较少使用,但它仍然是治疗BMF综合征患者的一种选择。然而,优化调理方案和脐带血单位的选择是必要的,以减少移植失败和移植相关死亡率的风险。本文综述了CBT在BMF疾病领域的发展现状,重点介绍了特发性再生障碍性贫血和遗传性疾病的历史和近期问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cord blood transplantation for bone marrow failure syndromes: state of art.

Hematopoietic stem cell transplantation (HSCT) and immunosuppressive therapy (IST) represent the milestones of the treatment algorithm for idiopathic and inherited bone marrow failure (BMF) disorders. However, patients lacking a suitable donor or failing IST still have a poor prognosis. Cord blood transplantation (CBT) has extended the possibility of HSCT for many patients in case of the absence of an eligible donor, and although in the last years, this procedure is less used in several hematological diseases, it remains an option for the treatment of patients with BMF syndromes. Nevertheless, optimization of conditioning regimen and cord blood unit selection is warranted to reduce the risk of graft failure and transplant-related mortality. This review summarizes the state of art of CBT in the field of BMF diseases, focusing on historical and recent issues in idiopathic aplastic anemia and inherited disorders.

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来源期刊
Stem cell investigation
Stem cell investigation Biochemistry, Genetics and Molecular Biology-Developmental Biology
CiteScore
5.80
自引率
0.00%
发文量
9
期刊介绍: The Stem Cell Investigation (SCI; Stem Cell Investig; Online ISSN: 2313-0792) is a free access, peer-reviewed online journal covering basic, translational, and clinical research on all aspects of stem cells. It publishes original research articles and reviews on embryonic stem cells, induced pluripotent stem cells, adult tissue-specific stem/progenitor cells, cancer stem like cells, stem cell niche, stem cell technology, stem cell based drug discovery, and regenerative medicine. Stem Cell Investigation is indexed in PubMed/PMC since April, 2016.
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