Unrelated cord blood transplantation in children with sickle cell disease: Review of four-center experience

  • Tom V. Adamkiewicz
  • , Paul Szabolcs
  • , Ann Haight
  • , K. Scott Baker
  • , Susan Staba
  • , Amos Kedar
  • , K. Y. Chiang
  • , Lakshmanan Krishnamurti
  • , Michael W. Boyer
  • , Joan Kurtzberg
  • , John E. Wagner
  • , John R. Wingard
  • , Andrew M. Yeager

Research output: Contribution to journalArticlepeer-review

67 Scopus citations

Abstract

UCBT was performed in seven children with SCD and stroke (HLA match 4/6 n = 5; 5/6 n = 2). Four received myeloablative regimens (BU, CY, ATG plus FLU in one patient). One had primary graft failure, three had sustained engraftment, two with grade III-IV GVHD (one died, one developed chronic GVHD), one with stable mixed chimerism. Three patients treated with reduced-intensity regimens (FLU, BU or CY, ATG, TLI) failed to engraft; one engrafted after second UCBT (HU, TT, RXA, ALZ, TBI). Four patients (57%) developed viral infections. Engraftment, GVHD, and infection remain challenges.

Original languageEnglish (US)
Pages (from-to)641-644
Number of pages4
JournalPediatric transplantation
Volume11
Issue number6
DOIs
StatePublished - Sep 2007

Keywords

  • Reduced intensity conditioning
  • Sickle cell disease
  • Umbilical cord transplant
  • Unrelated donor transplant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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