PMID- 23527810 OWN - NLM STAT- MEDLINE DCOM- 20130613 LR - 20191112 IS - 1001-9294 (Print) IS - 1001-9294 (Linking) VI - 28 IP - 1 DP - 2013 Mar TI - Three times spontaneous remission of severe aplastic anemia following granulocyte transfusion from related donors: a case report and literature review. PG - 58-60 AB - Aplastic anemia (AA) is a bone marrow failure disease caused by abnormal activation of T lymphocytes, resulting in the apoptosis of hematopoietic cells and bone marrow failure. Currently, hematopoietic stem cell transplantation (HSCT), immunosuppressive - therapy (IST), and supportive care (e.g. transfusion adjuvant therapy, hematopoietic growth factors, and prevention of infection) are the main treatments of AA. Granulocyte transfusion has recently been accepted as an useful adjuvant therapy of HSCT and intensive IST. This article reported a severe AA patient who failed to respond to IST, but achieved spontaneous remission three times after granulocyte transfusions from related donors. Such cases have rarely been reported. Existence of human leukocyte antigen (HLA) cross between the patient and his relatives may influence the T cell-mediated immunity, which might explain this patient's recovery. FAU - Fang, Bao-zhi AU - Fang BZ AD - Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - He, Guang-sheng AU - He GS FAU - Zhou, Hai-xia AU - Zhou HX FAU - Chang, Hui-rong AU - Chang HR FAU - Wu, De-pei AU - Wu DP FAU - Sun, Ai-ning AU - Sun AN FAU - Chen, Su-ning AU - Chen SN LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - China TA - Chin Med Sci J JT - Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih JID - 9112559 SB - IM MH - Adult MH - Anemia, Aplastic/immunology/*physiopathology/*therapy MH - Granulocytes/*transplantation MH - Humans MH - *Leukocyte Transfusion MH - Male MH - Remission, Spontaneous EDAT- 2013/03/27 06:00 MHDA- 2013/06/14 06:00 CRDT- 2013/03/27 06:00 PHST- 2013/03/27 06:00 [entrez] PHST- 2013/03/27 06:00 [pubmed] PHST- 2013/06/14 06:00 [medline] AID - 10080 [pii] AID - 10.1016/s1001-9294(13)60021-8 [doi] PST - ppublish SO - Chin Med Sci J. 2013 Mar;28(1):58-60. doi: 10.1016/s1001-9294(13)60021-8.