TY - JOUR
T1 - Allogeneic Hematopoietic Stem Cell Transplantation for Leukocyte Adhesion Deficiency
AU - Horikoshi, Yasuo
AU - Umeda, Katsutsugu
AU - Imai, Kohsuke
AU - Yabe, Hiromasa
AU - Sasahara, Yoji
AU - Watanabe, Kenichiro
AU - Ozawa, Yukiyasu
AU - Hashii, Yoshiko
AU - Kurosawa, Hidemitsu
AU - Nonoyama, Shigeaki
AU - Morio, Tomohiro
N1 - Publisher Copyright:
© Copyright 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2018
Y1 - 2018
N2 - The clinical outcome of allogeneic hematopoietic stem cell transplantation (HSCT) was retrospectively analyzed in 6 patients with leukocyte adhesion deficiency. Of 3 patients transplanted with myeloablative conditioning, 2 patients had complete chimerism and 1 patient had mixed chimerism. By contrast, all 3 patients transplanted with reduced-intensity conditioning (RIC) had mixed chimerism, one of whom progressed to secondary graft failure. All patients with low-level mixed chimerism and secondary graft failure were rescued by donor lymphocyte infusion or a second HSCT. RIC-HSCT is feasible for leukocyte adhesion deficiency, although further refinement/modification of conditioning is required to achieve higher donor chimerism levels.
AB - The clinical outcome of allogeneic hematopoietic stem cell transplantation (HSCT) was retrospectively analyzed in 6 patients with leukocyte adhesion deficiency. Of 3 patients transplanted with myeloablative conditioning, 2 patients had complete chimerism and 1 patient had mixed chimerism. By contrast, all 3 patients transplanted with reduced-intensity conditioning (RIC) had mixed chimerism, one of whom progressed to secondary graft failure. All patients with low-level mixed chimerism and secondary graft failure were rescued by donor lymphocyte infusion or a second HSCT. RIC-HSCT is feasible for leukocyte adhesion deficiency, although further refinement/modification of conditioning is required to achieve higher donor chimerism levels.
KW - donor lymphocyte infusion
KW - hematopoietic stem cell transplantation
KW - leukocyte adhesion deficiency
KW - reduced-intensity conditioning
UR - http://www.scopus.com/inward/record.url?scp=85044375428&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044375428&partnerID=8YFLogxK
U2 - 10.1097/MPH.0000000000001028
DO - 10.1097/MPH.0000000000001028
M3 - Article
C2 - 29324573
AN - SCOPUS:85044375428
SN - 1077-4114
VL - 40
SP - 137
EP - 140
JO - Journal of Pediatric Hematology/Oncology
JF - Journal of Pediatric Hematology/Oncology
IS - 2
ER -