Marrow transplantation from HLA-identical siblings for treatment of aplastic anemia: is exposure to marrow donor blood products 24 hours before high-dose cyclophosphamide needed for successful engraftment?

Abstract:

:The present study in patients with aplastic anemia was undertaken to determine whether exposure of recipients to donor blood products 24 hr before preparation with cyclophosphamide (1) enhanced the rate of sustained engraftment of marrow from HLA-identical siblings as suggested by animal experiments, (2) increased the rejection rate, in particular in transfused patients who may already have been exposed to donor antigens by blood products, or (3) was of no relevance to the outcome of transplantation of marrow from HLA-identical siblings. One-hundred fifty-five patients were studied, of whom 78 received blood products from the marrow donor 24 hr before cyclophosphamide and 77 did not. A binary logistic regression analysis was applied to the data, simultaneously considering five previously known risk factors for rejection. Results showed that preceding transfusion of donor blood products had neither a significant beneficial nor detrimental effect on the incidence of sustained engraftment.

journal_name

Blood

journal_title

Blood

authors

Storb R,Prentice RL,Banaji M,Witherspoon RP,Sullivan KM,Stewart P,Sanders JE,Mason M,Doney K,Deeg J,Clift RA,Buckner CD,Appelbaum FR,Thomas ED

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

672-5

issue

4

eissn

0006-4971

issn

1528-0020

journal_volume

61

pub_type

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