Haploidentical hematopoietic stem cell transplantation without in vitro T cell depletion for treatment of hematological malignancies in children  Daihong.

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Presentation transcript:

Haploidentical hematopoietic stem cell transplantation without in vitro T cell depletion for treatment of hematological malignancies in children  Daihong Liu, Xiaojun Huang, Kaiyan Liu, Lanping Xu, Huan Chen, Wei Han, Yuhong Chen, Xiaohui Zhang, Qian Jiang  Biology of Blood and Marrow Transplantation  Volume 14, Issue 4, Pages 469-477 (April 2008) DOI: 10.1016/j.bbmt.2008.02.007 Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 (A) Cumulative incidence of acute GVHD grade 2-4 with HLA disparity after haploidentical HCT for children. Among HLA-A, B, DRB1, 4 patients with 1 mismatched locus, 15 patients with 2 mismatched loci and 23 with 3 mismatched loci. Tick marks indicate censored patients. (B) Cumulative incidence of acute GVHD grade 3 and 4 with HLA disparity after haploidentical HCT for children. Tick marks indicate censored patients. Biology of Blood and Marrow Transplantation 2008 14, 469-477DOI: (10.1016/j.bbmt.2008.02.007) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Cumulative incidence of chronic GVHD after haploidentical stem cell transplantation for children. Twenty of thirty-seven patients that survived longer than 100 days after transplantation developed chronic GVHD, of whom nine had extensive type. Tick marks indicate censored patients. Biology of Blood and Marrow Transplantation 2008 14, 469-477DOI: (10.1016/j.bbmt.2008.02.007) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 (A) Probability of leukemia-free survival in different risk groups after haploidentical HCT for children. Twenty-five of forty-two patients survived without recurrence of disease. Eighteen patients were classified into high-risk group and twenty-four patients in standard-risk group. Tick marks indicate censored people. (B) Probability of relapse in different risk groups after haploidentical HCT for children. Nine patients relapsed after transplantation and five of them were from high-risk group. Tick marks indicate censored people. Biology of Blood and Marrow Transplantation 2008 14, 469-477DOI: (10.1016/j.bbmt.2008.02.007) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 4 (A) Probability of leukemia-free survival with different diagnosis after haploidentical HCT for children. Ten of twenty-four patients survived without recurrence of disease. Fifteen of eighteen patients with diagnosis of AML and CML survived without relapse. Tick marks indicate censored people. (B) Probability of relapse with different diagnosis after haploidentical HCT for children. Nine patients relapsed after transplantation were all diagnosed as ALL before transplantation. No patients with AML or CML relapsed within the follow-up. Tick marks indicate censored people. Biology of Blood and Marrow Transplantation 2008 14, 469-477DOI: (10.1016/j.bbmt.2008.02.007) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 5 Influence of chronic GVHD on replase after haploidentical HCT for children. Lower probability of relapse was associated with occurrence of chronic GVHD, one of seven patients with chronic GVHD relapsed and eight of twelve patients without chronic GVHD relapsed. Tick marks indicate censored patients. Biology of Blood and Marrow Transplantation 2008 14, 469-477DOI: (10.1016/j.bbmt.2008.02.007) Copyright © 2008 American Society for Blood and Marrow Transplantation Terms and Conditions