Hematopoietic stem cell transplantation
Author(s) -
Mark Tuthill,
Eleftheria Hatzimichael
Publication year - 2010
Publication title -
stem cells and cloning advances and applications
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.606
H-Index - 22
ISSN - 1178-6957
DOI - 10.2147/sccaa.s6815
Subject(s) - stem cell , hematopoietic stem cell transplantation , transplantation , medicine , haematopoiesis , leukemia , human leukocyte antigen , immunology , acute leukemia , lymphoma , antigen , biology , genetics
More than 25,000 hematopoietic stem cell transplantations (HSCTs) are performed each year for the treatment of lymphoma, leukemia, immune-deficiency illnesses, congenital metabolic defects, hemoglobinopathies, and myelodysplastic and myeloproliferative syndromes. Before transplantation, patients receive intensive myeloablative chemoradiotherapy followed by stem cell "rescue." Autologous HSCT is performed using the patient's own hematopoietic stem cells, which are harvested before transplantation and reinfused after myeloablation. Allogeneic HSCT uses human leukocyte antigen (HLA)-matched stem cells derived from a donor. Survival after allogeneic transplantation depends on donor-recipient matching, the graft-versus-host response, and the development of a graft versus leukemia effect. This article reviews the biology of stem cells, clinical efficacy of HSCT, transplantation procedures, and potential complications.
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