Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schwinger, W; Sovinz, P; Benesch, M; Lackner, H; Seidel, M; Strenger, V; Sperl, D; Raicht, A; Brunner-Krainz, M; Paschke, E; Plecko, B; Urban, C.
Unrelated CD3/CD19-depleted peripheral stem cell transplantation for Hurler syndrome.
Pediatr Hematol Oncol. 2014; 31(8):723-730
Doi: 10.3109/08880018.2014.939794
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Schwinger Wolfgang
- Co-Autor*innen der Med Uni Graz
- Benesch Martin
- Brunner-Krainz Michaela
- Lackner Herwig
- Paschke Eduard
- Plecko Barbara
- Ritter-Sovinz Petra
- Seidel Markus
- Sperl Daniela Ingrid
- Strenger Volker
- Urban Ernst-Christian
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- Abstract:
- For patients with mucopolysaccharidosis type IH (MPS1-H; Hurler syndrome), early allogeneic hematopoietic stem cell transplantation (HSCT) is the treatment of choice. One boy and one girl aged 20.5 and 22 months, respectively, with MPS1-H received a conditioning regimen consisting of thiotepa, fludarabine, treosulfan, and ATG. Grafts were peripheral blood stem cells from unrelated donors (10/12 and 11/11 matched), that were manipulated by CD3/CD19 depletion and contained 20.3 and 28.2 × 10(6) CD34+ cells/kg body weight, respectively. Both patients achieved stable hematopoietic engraftment and stable donor chimerism. Neither acute or chronic graft-versus-host disease (GVHD) nor other severe transplant-related complications occurred. At a follow-up of 48 and 37 months, both patients are alive and well with normal levels of α-L-iduronidase and have made major neurodevelopmental progress. Treosulfan-based conditioning offers the advantage of reduced toxicity; the use of unrelated CD3/CD19-depleted peripheral stem cell grafts allows transfusion of high CD34+ cell numbers together with a "tailored" number of CD3+ cells as well as engraftment facilitating cells in order to achieve rapid hematopoietic engraftment while reducing the risk of graft rejection and GVHD. This regimen might be an additional option when unrelated donor HSCT is considered for a patient with MPS1-H.
- Find related publications in this database (using NLM MeSH Indexing)
- Antigens, CD19 -
- Antineoplastic Agents, Alkylating - administration & dosage
- Busulfan - administration & dosage
- Busulfan - analogs & derivatives
- CD3 Complex -
- Chimerism -
- Drug-Related Side Effects and Adverse Reactions - complications
- Female -
- Graft Rejection - prevention & control
- Graft vs Host Disease -
- Hematopoietic Stem Cell Transplantation -
- Humans -
- Infant -
- Lymphocyte Depletion -
- Male -
- Mucopolysaccharidosis I - complications
- Mucopolysaccharidosis I - immunology
- Mucopolysaccharidosis I - therapy
- Peripheral Blood Stem Cell Transplantation -
- Quality of Life - psychology
- Survival Analysis -
- Thiotepa - administration & dosage
- Transplantation Conditioning -
- Transplantation, Homologous -
- Treatment Outcome -
- Vidarabine - administration & dosage
- Vidarabine - analogs & derivatives
- Find related publications in this database (Keywords)
- CD3/CD19-depletion
- hematopoietic stem cell transplantation
- HSCT
- Hurler syndrome
- mucopolysaccharidosis 1
- treosulfan