PMID- 21600145 OWN - NLM STAT- MEDLINE DCOM- 20111202 LR - 20191210 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 50 IP - 4 DP - 2011 Apr TI - [The efficacy and safety of mismatched hematopoietic stem cell transplantation for treatment of severe aplastic anemia]. PG - 287-90 AB - OBJECTIVE: To study the efficacy and safety of human leukocyte antigen (HLA) mismatched hematopoietic stem cell transplantation (HSCT) on severe aplastic anemia (SAA). METHODS: From January 2006 to May 2010, 17 patients received mismatched HSCT. HLA antigens were 3-loci-mismatched in 9 patients, 2-loci-mismatched in 8. All patients received recombinant human granulocyte colony-stimulating factor (rhG-CSF) primed bone marrow cells plus peripheral blood stem cells after modified busulfan/cyclophosphamide + antithymocyte immunoglobulin (BU/CY + ATG) conditioning regimen. RESULTS: All patients achieved full donor type engraftment. Grade III-IV graft versus host disease (GVHD) occurred in 3 patients and extensive chronic GVHD in 1. With a median following-up time of 285 (60 - 1670) d, 11 patients were alive, 9 of them had normal blood counts and the other 2 were blood transfusion independent. Six patients died of transplant-related complications. CONCLUSION: Mismatched HSCT is a feasible and safe option for SAA patients without sibling identical donors. FAU - Han, Wei AU - Han W AD - Institute of Hematology, People's Hospital, Peking University, Beijing 100044, China. FAU - Huang, Xiao-Jun AU - Huang XJ FAU - Liu, Kai-Yan AU - Liu KY FAU - Xu, Lan-Ping AU - Xu LP FAU - Liu, Dai-Hong AU - Liu DH FAU - Chen, Huan AU - Chen H FAU - Zhang, Xiao-Hui AU - Zhang XH FAU - Chen, Yu-Hong AU - Chen YH FAU - Wang, Feng-Rong AU - Wang FR FAU - Wang, Yu AU - Wang Y LA - chi PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Antilymphocyte Serum) RN - 0 (HLA Antigens) SB - IM MH - Adolescent MH - Adult MH - Anemia, Aplastic/*immunology/*surgery MH - Antilymphocyte Serum MH - Child MH - Child, Preschool MH - Female MH - HLA Antigens/immunology MH - Hematopoietic Stem Cell Transplantation/*adverse effects/*methods MH - Histocompatibility Testing MH - Humans MH - Male MH - Young Adult EDAT- 2011/05/24 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/05/24 06:00 PHST- 2011/05/24 06:00 [entrez] PHST- 2011/05/24 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2011 Apr;50(4):287-90.