PMID- 26111471 OWN - NLM STAT- MEDLINE DCOM- 20151022 LR - 20191008 IS - 1532-8686 (Electronic) IS - 0037-1963 (Print) IS - 0037-1963 (Linking) VI - 52 IP - 3 DP - 2015 Jul TI - Alternative Donor Allogeneic Hematopoietic Cell Transplantation for Acute Myeloid Leukemia. PG - 232-42 LID - S0037-1963(15)00029-3 [pii] LID - 10.1053/j.seminhematol.2015.03.005 [doi] AB - Allogeneic hematopoietic cell transplantation (alloHCT) provides a potentially curative therapy for patients with high-risk or chemorefractory acute myeloid leukemia (AML). Historically, the applicability of alloHCT has been limited as only 30%-35% of patients have human leukocyte antigen (HLA)-matched siblings and outcomes using other donor types have been markedly inferior due to excess toxicity, graft failure, graft-versus-host disease (GVHD), and consequently non-relapse mortality. Advances in HLA typing, GVHD prophylactic approaches, and other transplantation techniques have successfully addressed these historical challenges. Herein, we review recent alloHCT studies using volunteer unrelated donors, umbilical cord blood units, or HLA-haploidentical donors, specifically focusing on studies that compared outcomes between donor sources. Although none are randomized and most are retrospective, these analyses suggest that current outcomes for AML patients using most alternative donor types are comparable to those seen using HLA-matched siblings. CI - Published by Elsevier Inc. FAU - Kanakry, Christopher G AU - Kanakry CG AD - Experimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD. Electronic address: christopher.kanakry@nih.gov. FAU - de Lima, Marcos J AU - de Lima MJ AD - University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH. FAU - Luznik, Leo AU - Luznik L AD - Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD. LA - eng GR - Z99 CA999999/Intramural NIH HHS/United States PT - Journal Article PT - Review DEP - 20150318 PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 SB - IM MH - Graft vs Host Disease/etiology MH - Haploidy MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - Histocompatibility Testing MH - Humans MH - Leukemia, Myeloid, Acute/*therapy MH - Tissue Donors MH - Transplantation, Homologous PMC - PMC4483196 MID - NIHMS687021 COIS- DISCLOSURES: The authors declare that they have no conflicts of interest or competing financial or personal relationships that could inappropriately influence the content of this article. EDAT- 2015/06/27 06:00 MHDA- 2015/10/23 06:00 PMCR- 2016/07/01 CRDT- 2015/06/27 06:00 PHST- 2015/06/27 06:00 [entrez] PHST- 2015/06/27 06:00 [pubmed] PHST- 2015/10/23 06:00 [medline] PHST- 2016/07/01 00:00 [pmc-release] AID - S0037-1963(15)00029-3 [pii] AID - 10.1053/j.seminhematol.2015.03.005 [doi] PST - ppublish SO - Semin Hematol. 2015 Jul;52(3):232-42. doi: 10.1053/j.seminhematol.2015.03.005. Epub 2015 Mar 18.