Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2003-6-10
pubmed:abstractText
We describe a patient with bcr/abl-positive acute mixed lineage leukemia who successfully underwent transplantation in primary induction failure, using unmanipulated bone marrow from a human leukocyte antigen (HLA)-haploidentical cousin. The tumor burden was successfully reduced by the administration of imatinib mesylate (STI571) before transplantation. As graft-versus-host disease (GVHD) prophylaxis, a combination of tacrolimus and a short course of methotrexate, methylprednisolone, and mycophenolate mofetil was used. Hematopoietic reconstitution was rapid, and acute GVHD was limited to the skin (grade I). The patient is still in complete remission past day +400. This successful case suggests that HLA-haploidentical transplantation using unmanipulated marrow from a distantly related relative can be considered for patients in urgent situations who do not have HLA-identical donors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1165-8
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12796797-Adult, pubmed-meshheading:12796797-Antineoplastic Agents, pubmed-meshheading:12796797-Family, pubmed-meshheading:12796797-Female, pubmed-meshheading:12796797-Genes, abl, pubmed-meshheading:12796797-Graft vs Host Disease, pubmed-meshheading:12796797-HLA Antigens, pubmed-meshheading:12796797-Haplotypes, pubmed-meshheading:12796797-Humans, pubmed-meshheading:12796797-Immunosuppressive Agents, pubmed-meshheading:12796797-Leukemia, Biphenotypic, Acute, pubmed-meshheading:12796797-Methotrexate, pubmed-meshheading:12796797-Methylprednisolone, pubmed-meshheading:12796797-Mycophenolic Acid, pubmed-meshheading:12796797-Pedigree, pubmed-meshheading:12796797-Piperazines, pubmed-meshheading:12796797-Pyrimidines, pubmed-meshheading:12796797-Tacrolimus, pubmed-meshheading:12796797-Tissue Donors, pubmed-meshheading:12796797-Transplantation, Homologous
pubmed:year
2003
pubmed:articleTitle
Successful treatment of bcr/abl-positive acute mixed lineage leukemia by unmanipulated bone marrow transplantation from an HLA-haploidentical (3-antigen-mismatched) cousin.
pubmed:affiliation
Department of Molecular Medicine, Osaka University Graduate School of Medicine, Suita city, Osaka, Japan.
pubmed:publicationType
Journal Article, Case Reports