Horse versus Rabbit Antithymocyte Globulin in Acquired Aplastic Anemia
Author(s) -
Phillip Scheinberg,
Olga Núñez,
Barbara Weinstein,
Priscila Scheinberg,
Angélique Biancotto,
Colin O. Wu,
Neal S. Young
Publication year - 2011
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1103975
Subject(s) - medicine , horse , aplastic anemia , globulin , gastroenterology , confidence interval , transplantation , hematopoietic stem cell transplantation , anemia , immunology , bone marrow , surgery , biology , paleontology
In severe acquired aplastic anemia, hematopoietic failure is the result of immune-mediated destruction of bone marrow stem and progenitor cells. Immunosuppressive therapy with antithymocyte globulin (ATG) plus cyclosporine is an effective alternative to stem-cell transplantation and improves blood counts and survival. Although horse ATG is the standard therapy, rabbit ATG is more potent in depleting peripheral-blood lymphocytes and is preferred in other clinical circumstances.
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