PMID- 27000731 OWN - NLM STAT- MEDLINE DCOM- 20160912 LR - 20201226 IS - 1532-8686 (Electronic) IS - 0037-1963 (Linking) VI - 53 IP - 2 DP - 2016 Apr TI - Haploidentical stem cell transplantation: anti-thymocyte globulin-based experience. PG - 82-9 LID - S0037-1963(16)00005-6 [pii] LID - 10.1053/j.seminhematol.2016.01.004 [doi] AB - Haploidentical stem cell transplantation (haplo-SCT) with an anti-thymocyte globulin (ATG) preparative regimen is associated with induced immune tolerance, rapid hematopoietic recovery, effective prevention of graft-versus-host disease (GVHD), and lower non-relapse mortality (NRM). This has become a common and successfully applied protocol in patients with hematological diseases undergoing haplo-SCT. Survival rates among patients who undergo unmanipulated haploidentical blood and marrow transplantation (HBMT) with anti-thymocyte globulin (ATG)-based regimens are comparable to those following human leukocyte antigen (HLA)-matched sibling transplantation or unrelated donor transplantation. Unmanipulated HBMT can also be successfully used as a post-remission treatment algorithm for acute lymphoblastic leukemia (ALL) and adult acute myeloid leukemia (AML) in cases with unfavorable cytogenetics. Future investigations should focus on further improving donor selection, optimizing allografts, dealing with primary graft failure, and relapse prophylaxis and treatment. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Chang, Ying-Jun AU - Chang YJ AD - Peking University People׳s Hospital, Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Huang, Xiao-Jun AU - Huang XJ AD - Peking University People׳s Hospital, Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China; Peking-Tsinghua Center for Life Sciences, Beijing 100871, China. Electronic address: xjhrm@medmail.com.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160118 PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 RN - 0 (Antilymphocyte Serum) SB - IM MH - Antilymphocyte Serum/*therapeutic use MH - Haploidy MH - Hematologic Diseases/therapy MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Stem Cell Transplantation MH - Transplantation, Homologous MH - Treatment Outcome OTO - NOTNLM OT - Anti-thymocyte globulin OT - Haploidentical stem cell transplantation OT - Hematological malignancies OT - Myeloablative conditioning OT - Reduced-intensity conditioning EDAT- 2016/03/24 06:00 MHDA- 2016/09/13 06:00 CRDT- 2016/03/23 06:00 PHST- 2016/03/23 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2016/09/13 06:00 [medline] AID - S0037-1963(16)00005-6 [pii] AID - 10.1053/j.seminhematol.2016.01.004 [doi] PST - ppublish SO - Semin Hematol. 2016 Apr;53(2):82-9. doi: 10.1053/j.seminhematol.2016.01.004. Epub 2016 Jan 18.