Excellent outcome of allogeneic bone marrow transplantation for Fanconi anemia using fludarabine-based reduced-intensity conditioning regimen

Akira Shimada, Yoshiyuki Takahashi, Hideki Muramatsu, Asahito Hama, Olfat Ismael, Atsushi Narita, Hiroshi Sakaguchi, Sayoko Doisaki, Nobuhiro Nishio, Makito Tanaka, Nao Yoshida, Kimikazu Matsumoto, Koji Kato, Nobuhiro Watanabe, Seiji Kojima

研究成果: ジャーナルへの寄稿学術誌査読

22 被引用数 (Scopus)

抄録

Fanconi anemia (FA) is a disorder characterized by developmental anomalies, bone marrow failure and a predisposition to malignancy. It has recently been shown that hematopoietic stem cell transplantation using fludarabine (FLU)-based reduced-intensity conditioning is an efficient and quite safe therapeutic modality. We retrospectively analyzed the outcome of bone marrow transplantation (BMT) in eight patients with FA performed in two institutes between 2001 and 2011. There were seven females and one male with a median age at diagnosis = 4.5 years (range 2-12 years). The constitutional characteristics associated with FA, such as developmental anomalies, short stature and skin pigmentation, were absent in three of the patients. One patient showed myelodysplastic features at the time of BMT. All patients received BMT using FLU, cyclophosphamide (CY) and rabbit antithymocyte globulin (ATG) either from a related donor (n = 4) or an unrelated donor (n = 4). Acute graft-versushost disease (GVHD) of grade I developed in one patient, while chronic GVHD was not observed in any patient. All patients are alive and achieved hematopoietic recovery at a median follow-up of 72 months (range 4-117 months). BMT using FLU/low-dose CY/ATG -based regimens regardless to the donor is a beneficial therapeutic approach for FA patients.

本文言語英語
ページ(範囲)675-679
ページ数5
ジャーナルInternational journal of hematology
95
6
DOI
出版ステータス出版済み - 6月 2012
外部発表はい

!!!All Science Journal Classification (ASJC) codes

  • 血液学

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