Source:http://linkedlifedata.com/resource/pubmed/id/16205730
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2006-1-4
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pubmed:abstractText |
Allogeneic SCT remains the only potential cure for patients with thalassemia. However, most BMT candidates lack a suitable family donor and require an unrelated donor (UD). We evaluated whether BMT using UDs in high-risk adult thalassemia patients can offer a probability of cure comparable to that reported employing an HLA-compatible sibling as donor. A total of 27 adult thalassemia patients (15 males and 12 females, median age 22 years) underwent BMT from a UD selected by high-resolution HLA molecular typing. The conditioning regimen consisted of Busulphan (BU, 14 mg/kg) plus Cyclophosphamide (CY, 120 or 160 mg/kg) in 12 cases and BU (14 mg/kg), Thiotepa (10 mg/kg) and CY (120-160 mg/kg) in the remaining 15 cases. Cyclosporine-A and short-term Methotrexate were used for graft-versus-host disease (GVHD) prophylaxis. In all, 19 patients (70%) are alive and transfusion-independent after a median follow-up of 43 months (range 16-137). A total of 10 patients (37%) developed grade II-IV acute GVHD and six (27%) chronic GVHD. Eight patients (30%) died from transplant-related causes. UD-BMT can cure more than two-thirds of adult thalassemia patients, and is a particularly attractive option for patients who are not compliant with conventional treatment.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
36
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
971-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16205730-Adolescent,
pubmed-meshheading:16205730-Adult,
pubmed-meshheading:16205730-Bone Marrow Transplantation,
pubmed-meshheading:16205730-Cause of Death,
pubmed-meshheading:16205730-Female,
pubmed-meshheading:16205730-Graft vs Host Disease,
pubmed-meshheading:16205730-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:16205730-Histocompatibility Testing,
pubmed-meshheading:16205730-Humans,
pubmed-meshheading:16205730-Male,
pubmed-meshheading:16205730-Survival Analysis,
pubmed-meshheading:16205730-Thalassemia,
pubmed-meshheading:16205730-Tissue Donors,
pubmed-meshheading:16205730-Transplantation Conditioning,
pubmed-meshheading:16205730-Treatment Outcome
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pubmed:year |
2005
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pubmed:articleTitle |
Unrelated donor stem cell transplantation in adult patients with thalassemia.
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pubmed:affiliation |
Unità Operativa Centro Trapianti di Midollo Osseo, Centro Regionale Trapianti, P.O. R. Binaghi, Cagliari, Italy. lanasa@tiscali.it
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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