PMID- 20602183 OWN - NLM STAT- MEDLINE DCOM- 20101105 LR - 20211020 IS - 1534-6269 (Electronic) IS - 1523-3790 (Print) IS - 1523-3790 (Linking) VI - 12 IP - 5 DP - 2010 Sep TI - Haploidentical transplantation for leukemia. PG - 292-301 LID - 10.1007/s11912-010-0113-4 [doi] AB - Hematopoietic stem cell transplantation from human leukocyte antigen (HLA)-haploidentical family members offers a potential cure for patients in need of allogeneic immunotherapy who have no immediate access to an HLA-matched donor. The use of ex vivo T-cell-depleted stem cells combined with immuno-myeloablative conditioning has enabled durable donor engraftment with a low incidence of acute graft-versus-host disease despite the HLA disparity. Moreover, additional transplant techniques involving in vivo T-cell depletion and reduced-intensity conditioning have further minimized the risks. However, a major drawback is delayed immune reconstitution leading to infections and high relapse rates, prompting significant research efforts focused on improving recovery in the post-transplant period. Infusions with donor lymphocytes are common, though newer manipulations with a focus on donor natural killer cells hold great promise, as do other modified donor T-cell infusions. Success of these new procedures will make haploidentical transplants safer and more effective, further broadening its appeal. FAU - Kanda, Junya AU - Kanda J AD - Division of Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, NC 27705, USA. FAU - Chao, Nelson J AU - Chao NJ FAU - Rizzieri, David A AU - Rizzieri DA LA - eng GR - P01 CA047741/CA/NCI NIH HHS/United States PT - Journal Article PT - Review PL - United States TA - Curr Oncol Rep JT - Current oncology reports JID - 100888967 RN - 0 (HLA Antigens) SB - IM MH - Clinical Trials as Topic MH - *Graft Survival MH - HLA Antigens/metabolism MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility MH - Humans MH - Leukemia/*therapy MH - Transplantation, Homologous PMC - PMC3874937 MID - NIHMS519682 EDAT- 2010/07/06 06:00 MHDA- 2010/11/06 06:00 PMCR- 2013/12/30 CRDT- 2010/07/06 06:00 PHST- 2010/07/06 06:00 [entrez] PHST- 2010/07/06 06:00 [pubmed] PHST- 2010/11/06 06:00 [medline] PHST- 2013/12/30 00:00 [pmc-release] AID - 10.1007/s11912-010-0113-4 [doi] PST - ppublish SO - Curr Oncol Rep. 2010 Sep;12(5):292-301. doi: 10.1007/s11912-010-0113-4.