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Stem cell comparison: what can we learn clinically from unrelated cord blood transplantation as an alternative stem cell source?

Milano, Filippo ; Boelens, Jaap Jan

Cytotherapy (Oxford, England), 2015-06, Vol.17 (6), p.695-701 [Periódico revisado por pares]

England: Elsevier Inc

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  • Título:
    Stem cell comparison: what can we learn clinically from unrelated cord blood transplantation as an alternative stem cell source?
  • Autor: Milano, Filippo ; Boelens, Jaap Jan
  • Assuntos: Advanced Basic Science ; benign hematological disorders ; Cord Blood Stem Cell Transplantation ; cord blood transplantation ; Fetal Blood - cytology ; hematological malignancies ; Humans ; Metabolism, Inborn Errors - therapy ; Neoplasms - therapy ; Other ; Stem Cells - cytology ; unrelated donor transplants
  • É parte de: Cytotherapy (Oxford, England), 2015-06, Vol.17 (6), p.695-701
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: Abstract Allogeneic hematopoietic cell transplantation (HCT) is an important therapeutic option for a variety of malignant and non-malignant disorders (NMD). The use of umbilical cord blood transplantation (UCBT) has made HCT available to many more patients. The increased level of human leukocyte antigen disparity that can be tolerated makes UCBT a very attractive alternative source of hematopoietic stem cells; however, the increased risk of early death observed after UCBT remains an obstacle. Novel strategies such as ex vivo stem cell expansion are now becoming part of the standard clinical approach, and preliminary results are extremely encouraging with suggestion of reduction of early transplant–related mortality. Although there are no randomized studies that compare the risks and benefits of UCBT relative to those observed with related and unrelated donors both for malignant and NMD, several retrospective studies have compared outcomes between UCBT and other stem cell sources. In this review, we aim to describe and summarize the findings of the principal studies in this field. We hope that what we can learn from these studies and how we can use this information will improve the outcomes of HCT for patients with malignant and NMD.
  • Editor: England: Elsevier Inc
  • Idioma: Inglês
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