PMID- 10372135 OWN - NLM STAT- MEDLINE DCOM- 19990712 LR - 20190616 IS - 0077-8923 (Print) IS - 0077-8923 (Linking) VI - 872 DP - 1999 Apr 30 TI - The Placental/Umbilical Cord Blood Program of the New York Blood Center. A progress report. PG - 328-34; discussion 334-5 AB - The transplantation of placental/umbilical cord blood (P/CB) has been used successfully to reconstitute bone marrow function in both related and unrelated recipients. We report here the experience of the New York Blood Center P/CB Program. Since its inception in 1992, over 400 unrelated transplants were supported between July 1993 and September 1997. Overall, event-free survival for all diagnoses and ages approached 0.45. Success and rapidity of engraftment correlated most strongly with the degree of human leukocyte antigen (HLA) disparity and cell dose/kg body weight recipient. Acute graft-versus-host disease (GVHD) was common in all patients but, surprisingly, did not differ between those patients who received grafts having one or more antigen mismatches. Chronic GVHD was uncommon and only rarely contributed to death. These results demonstrate the feasibility of large-scale P/CB banking for the provision of cryopreserved stem cell preparations for unrelated transplants. The degree of the program's success argues strongly for additional P/CB banks in order to increase the likelihood of finding a suitable stem cell preparation for patients for whom related matched donors do not exist. FAU - Rubinstein, P AU - Rubinstein P AD - Lindsley F. Kimball Research Institute of the New York Blood Center, New York, New York 10021, USA. FAU - Adamson, J W AU - Adamson JW FAU - Stevens, C AU - Stevens C LA - eng PT - Journal Article PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 SB - IM MH - Anemia/therapy MH - Blood Banks/*organization & administration/statistics & numerical data MH - Blood Preservation MH - Cryopreservation MH - Fetal Blood/*cytology MH - Graft vs Host Disease/epidemiology MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - Infant, Newborn MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy MH - New York City MH - Placenta EDAT- 1999/06/18 00:00 MHDA- 1999/06/18 00:01 CRDT- 1999/06/18 00:00 PHST- 1999/06/18 00:00 [pubmed] PHST- 1999/06/18 00:01 [medline] PHST- 1999/06/18 00:00 [entrez] AID - 10.1111/j.1749-6632.1999.tb08477.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 1999 Apr 30;872:328-34; discussion 334-5. doi: 10.1111/j.1749-6632.1999.tb08477.x.