Update on current research into haploidentical hematopoietic stem cell transplantation.
Yu-Qian SunYing-Jun ChangXiao-Jun HuangPublished in: Expert review of hematology (2018)
Haploidentical stem cell transplantation (Haplo-SCT) is currently a suitable alternative worldwide for patients with hematological diseases, who lack human leukocyte antigen (HLA)-matched siblings or unrelated donors. Areas covered: This review summarizes the advancements in Haplo-SCT in recent years, primarily focusing on the global trends of haploidentical allograft, the comparison of outcomes between Haplo-SCT and other transplantation modalities, strategies for improving clinical outcomes, including donor selection, hematopoietic reconstitution promotion, and graft-versus-host disease, and relapse prevention/management, as well as the expanded indications of Haplo-SCT, such as severe aplastic anemia, myeloma and lymphoma. Expert commentary: Haploidentical allografts, including granulocyte colony-stimulating factor-based protocol and a post-transplant cyclophosphamide-based protocol, have been the mainstream strategy for Haplo-SCT. However, there are many unanswered questions in this field.
Keyphrases
- stem cell transplantation
- high dose
- peripheral blood
- randomized controlled trial
- low dose
- bone marrow
- endothelial cells
- type diabetes
- acute myeloid leukemia
- chronic kidney disease
- stem cells
- allogeneic hematopoietic stem cell transplantation
- cord blood
- intellectual disability
- early onset
- mesenchymal stem cells
- metabolic syndrome
- drug induced
- acute lymphoblastic leukemia
- autism spectrum disorder