Bone Marrow Transplantation Using HLA-Matched Unrelated Donors for Patients Suffering from Severe Combined Immunodeficiency  Eyal Grunebaum, MD, Chaim.

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Presentation transcript:

Bone Marrow Transplantation Using HLA-Matched Unrelated Donors for Patients Suffering from Severe Combined Immunodeficiency  Eyal Grunebaum, MD, Chaim M. Roifman, MD, FRCPC, FCACB  Hematology/Oncology Clinics  Volume 25, Issue 1, Pages 63-73 (February 2011) DOI: 10.1016/j.hoc.2010.11.005 Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 1 Increase in registered bone marrow donors and registries. Number of countries that have bone marrow registries, number of registries, and number of donors (in millions) registered in 1986, 1996, and 2006. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 2 Survival of patients with SCID who received BMT from MUD or MMRD. Percentage of patients surviving after MUD or MMRD BMT. For patients who received multiple transplants, survival was calculated from the date of the last transplant. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 3 Engraftment of hematopoietic lineages after MUD BMT for SCID. The numbers of days required to achieve engraftment of neutrophils (absolute neutrophil count >500/μL), red blood cells (last red blood cells transfusion), and platelets (platelets >20,000/μL) after MUD BMT for patients with SCID at the Hospital for Sick Children, Toronto, Canada. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 4 Graft loss after MUD or MMRD BMT for SCID. Percentage of patients with SCID that lost donor lymphocyte engraftment after MUD or MMRD BMT. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 5 T-cell receptor repertoire after MUD or MMRD BMT for SCID. Percentage of patients with SCID that achieved normal T-cell repertoire, as determined by T-cell receptor variable beta chain expression, after MUD or MMRD BMT. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 6 Pneumonitis after MUD or MMRD BMT for SCID. Number of patients with SCID that suffered interstitial pneumonitis and died of interstitial pneumonitis after MUD or MMRD BMT. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 7 Acute graft versus host disease after MUD or MMRD BMT for SCID. Percentage of patients with SCID that suffered acute graft versus host disease or grade III and higher acute graft versus host disease after MUD or MMRD BMT. Hematology/Oncology Clinics 2011 25, 63-73DOI: (10.1016/j.hoc.2010.11.005) Copyright © 2011 Elsevier Inc. Terms and Conditions