Prenatal HLA-matching to determine suitability for allogeneic bone marrow transplantation.

Abstract:

:For several haematological malignancies, allogeneic stem cell transplantation is the treatment of choice. In most cases an HLA-identical sibling is required. If the mother of a patient is pregnant, cord blood from a related donor, which can be used for stem cell transplantation, might be obtainable in the near future. For the patient, knowledge of the foetal HLA-type can be important since it might influence choice of treatment and timing of transplantation. If the foetus is HLA compatible, as would be the situation in 25% of cases, the delivery has to be arranged in such a way that cord stem cells can be collected. As a result, in the other 75% of cases (spontaneous) delivery can take place in the home/local setting. Here we report four cases in which amniocentesis was performed and HLA-typing influenced treatment of the patient and delivery of the sibling.

journal_name

Bone Marrow Transplant

authors

van den Berg H,Verjaal M,Boer K,Lardy NM

doi

10.1038/sj.bmt.1702219

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

579-81

issue

6

eissn

0268-3369

issn

1476-5365

journal_volume

25

pub_type

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