PMID- 25667129 OWN - NLM STAT- MEDLINE DCOM- 20151117 LR - 20181113 IS - 1558-822X (Electronic) IS - 1558-8211 (Linking) VI - 10 IP - 1 DP - 2015 Mar TI - Alternative donor transplantation--"mixing and matching": the role of combined cord blood and haplo-identical donor transplantation (haplo-cord SCT) as a treatment strategy for patients lacking standard donors? PG - 1-7 LID - 10.1007/s11899-014-0245-y [doi] AB - In the past decade, haplo-cord stem cell transplantation (SCT) using myeloablative or reduced intensive conditioning regimens has been shown to result in reliable and fast engraftment of neutrophils and platelets comparable to HLA-matched donors and much faster than after cord stem cell transplant. Haplo-cord SCT also has a low incidence of early non-relapse mortality, low incidences of acute and chronic graft-vs-host disease (GVHD), and excellent graft-vs-leukemia (GVL) effects. Favorable long-term outcomes for high-risk patients with hematologic malignancies have been reported, including older patients. Haplo-cord SCT will likely overcome the limitations of cell dose during cord stem cell selection and might significantly expand the use of cord stem cell transplant in the adult population. The comparable survival outcomes of matched related donor (MRD), matched unrelated donor (MUD), and haplo-cord stem cell transplant strongly argue that haplo-cord SCT should be considered as effective alternative stem cell transplant for high-risk patients lacking standard donors. Further improvement in supportive care and incorporation of a better understanding of the human fetal immune development into the haplo-cord SCT are required to further improve this strategy. FAU - Liu, Hongtao AU - Liu H AD - Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL, USA, hliu2@medicine.bsd.uchicago.edu. FAU - van Besien, Koen AU - van Besien K LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Hematol Malig Rep JT - Current hematologic malignancy reports JID - 101262565 SB - IM MH - Chimerism MH - Cord Blood Stem Cell Transplantation/*methods MH - Graft Survival MH - Graft vs Host Disease/prevention & control MH - Hematologic Neoplasms/*therapy MH - Humans MH - Survival Rate MH - Transplantation Conditioning/methods EDAT- 2015/02/11 06:00 MHDA- 2015/11/18 06:00 CRDT- 2015/02/11 06:00 PHST- 2015/02/11 06:00 [entrez] PHST- 2015/02/11 06:00 [pubmed] PHST- 2015/11/18 06:00 [medline] AID - 10.1007/s11899-014-0245-y [doi] PST - ppublish SO - Curr Hematol Malig Rep. 2015 Mar;10(1):1-7. doi: 10.1007/s11899-014-0245-y.