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Impact of stem cell source and conditioning regimen on erythrocyte recovery kinetics after allogeneic haematopoietic stem cell transplantation from an ABO-incompatible donor
Authors:Kanda Yoshinobu  Tanosaki Ryuji  Nakai Kunihisa  Saito Takeshi  Ohnishi Mutsuko  Niiya Hironari  Chizuka Aki  Yakushijin Kimikazu  Urahama Norinaga  Ueda Kyoji  Iijima Kimiko  Ando Toshihiko  Matsubara Hiroshi  Kami Masahiro  Makimoto Atsushi  Kobayashi Yukio  Tobinai Kensei  Mineishi Shin  Takaue Yoichi
Affiliation:Stem Cell Transplantation Unit, National Cancer Center Hospital, Tokyo, Japan.
Abstract:We evaluated erythrocyte recovery in 121 allogeneic haematopoietic stem cell transplantation (HSCT) recipients. There were 35 major and minor ABO-incompatible transplants, respectively, including 10 bi-directionally ABO-incompatible transplants. The use of peripheral blood stem cells facilitated erythrocyte recovery, regardless of the presence or absence of major ABO-incompatibility, and was associated with a frequent detection of anti-host isohaemagglutin early after minor ABO-incompatible transplantation, which was not associated with clinically relevant haemolysis. The use of a reduced-intensity regimen combining a purine analogue and busulphan did not delay erythrocyte recovery after major ABO-incompatible transplantation, suggesting this regimen had a strong activity against host plasma cell.
Keywords:peripheral blood stem cell transplantation    bone marrow transplantation    reduced-intensity stem cell transplantation    erythrocyte recovery    isohaemagglutin
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