PMID- 23422203 OWN - NLM STAT- MEDLINE DCOM- 20131211 LR - 20130220 IS - 2542-5641 (Electronic) IS - 0366-6999 (Linking) VI - 126 IP - 4 DP - 2013 Feb TI - Cord blood transplantation for the treatment of acute leukemia. PG - 761-7 AB - OBJECTIVE: This review discussed the available data on treatment outcomes of cord blood transplantation (CBT) for acute leukemia. DATA SOURCES: The data cited in this review were obtained from articles listed in Medline and Pubmed. STUDY SELECTION: We reviewed the articles of clinical results from various registries and institutions, as well as our experiences with CBT in children, adolescents and adults. RESULTS: This research has clearly shown that cord blood (CB) has several unique characteristics resulting in distinct advantage and disadvantages when compared to transplantation with unrelated donor bone marrow or peripheral blood stem cells. The field of CBT has advanced from investigating its safety and feasibility to addressing more specific issues such as accelerating engraftment, extending access, and examining outcomes in specific subgroups of patients. Many approaches have been investigated in the attempt to improve engraftment and survival. Variable factors have been identified, such as factors related to donor choice (human leukocyte antigen (HLA) compatibility, cell dose, and others) and transplantation (conditioning and graft-versus-host disease prophylaxis regimen). Data support that CB should be considered a reasonable option in those that do not have HLA matched sibling donor and for those in whom the time to transplant is critical. CONCLUSIONS: CB is a reasonable alternative to unrelated donor bone marrow or peripheral blood progenitor cells for transplantation. Recently developed strategies aimed at improving hematopoietic recovery and reducing early transplantation-related mortality could further improve treatment outcomes of CBT for patients with acute leukemia. FAU - Park, Meerim AU - Park M AD - Department of Pediatrics, College of Medicine, Chungbuk National University, Cheongju, Korea. FAU - Lee, Young-ho AU - Lee YH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 SB - IM MH - Acute Disease MH - Fetal Blood/*transplantation MH - Humans MH - Leukemia/*therapy EDAT- 2013/02/21 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/02/21 06:00 PHST- 2013/02/21 06:00 [entrez] PHST- 2013/02/21 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PST - ppublish SO - Chin Med J (Engl). 2013 Feb;126(4):761-7.