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Journal of Medical Sciences

Year: 2007 | Volume: 7 | Issue: 7 | Page No.: 1143-1149
DOI: 10.3923/jms.2007.1143.1149
Matched Unrelated Hematopoietic Stem Cell Transplantation Using Selected CD34+ Cells in Fanconi’s Anemia: Experience of One Center
M. Sedki, V. Rocha, N. Parquet, J.P. Marolleau, H. Esperou, R. Traineau, G. Socie, P. Ribaud, A. Devergie, Nagwa Abdallah and E. Gluckman

Abstract: In order to prevent Graft versus Host Disease (GvHD) in Matched Unrelated Donor Hematopoietic Stem Cell Transplantation (MUD-HSCT) in Fanconi’s Anemia (FA), we report the results of 15 children transplanted by CD34+ positive cells selected by immunomagnetic method isolex/isolex 300i (Baxter Healthcare Corp. USA) in the period between April 1996 and September 1999. Methods: The median total nucleated cells infused 3x108E kg-1 (0, 65- 3, 95), CD34 cells 2.12x106E kg-1 (0.7-5.8), CD3 cells 2.56x106E kg-1 (0.001-0.5). Median follow-up is 131 days (34-3022) till 06/2005. All patients achieved engraftment except 2 and another 2 rejected early post transplant. Acute GVHD > grade II and extensive chronic GVHD occurred in 4 cases and one case, respectively. Ten/Fifteen patients died. Transplant related mortality in 8 patients (graft failure n = 4, fungal infection n = 3 and GVHD n = 1), 2ry leukemia and relapse of initial disease in one patient, respectively. Five cases are alive and well 6 years at least post transplant. Positive selection of CD34 cells minimizes GVHD in Fanconi’s anemia patients and gives acceptable survival. However, graft failure remains the main obstacle.

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How to cite this article
M. Sedki, V. Rocha, N. Parquet, J.P. Marolleau, H. Esperou, R. Traineau, G. Socie, P. Ribaud, A. Devergie, Nagwa Abdallah and E. Gluckman, 2007. Matched Unrelated Hematopoietic Stem Cell Transplantation Using Selected CD34+ Cells in Fanconi’s Anemia: Experience of One Center. Journal of Medical Sciences, 7: 1143-1149.

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