PMID- 27265791 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160829 LR - 20160606 IS - 1300-7777 (Print) IS - 1300-7777 (Linking) VI - 27 IP - 1 DP - 2010 Mar 5 TI - Mixed chimerism following hematopoietic stem cell transplantation in pediatric thalassemia major patients: a single center experience. PG - 8-14 AB - OBJECTIVE: Stable mixed chimerism (MC) may result in cure for thalassemia major patients following hematopoietic stem cell transplantation (HSCT), but rejection can occur. Twenty-eight HSCTs for thalassemia major were reviewed retrospectively to evaluate the clinical course of MC with possible risk factors and predictors of outcome, with a median follow-up of 1669 days (811-3576 days). METHODS: Chimerism was detected by fluorescence in situ hybridization (FISH) or multiplex polymerase chain reaction depending on the sex match between the donor and the recipient. RESULTS: Primary rejection, stable MC and full donor chimerism was detected in 3.6%, 17.8% and 78.6% of patients, respectively. Clinically, 4/5 patients with stable MC had thalassemia trait with donor chimerism as low as 14%. One patient was started on pRBC transfusions at 2.5 years postHSCT. CONCLUSION: Stable MC can result in cure for thalassemia major patients. The clinical picture remains as the best guide for intervention until a more reliable predictor is available. FAU - Unal Ince, Elif AU - Unal Ince E AD - Department of Pediatric Hematology, Ankara University Faculty of Medicine, Dikimevi 06100, Ankara, Turkey Phone: +90 0312 595 69 06 E-mail: elifunal@msn.com. FAU - Ertem, Mehmet AU - Ertem M FAU - Ileri, Talia AU - Ileri T FAU - Dalva, Klara AU - Dalva K FAU - Topcuoglu, Pervin AU - Topcuoglu P FAU - Uysal, Zumrut AU - Uysal Z LA - eng PT - Journal Article TT - Pediatrik talasemi major hastalarinda hematopoetik kok hucre nakli sonrasi karisik tip kimerizm-tek merkez sonuclari. PL - Turkey TA - Turk J Haematol JT - Turkish journal of haematology : official journal of Turkish Society of Haematology JID - 9606065 EDAT- 2010/03/05 00:00 MHDA- 2010/03/05 00:01 CRDT- 2016/06/07 06:00 PHST- 2016/06/07 06:00 [entrez] PHST- 2010/03/05 00:00 [pubmed] PHST- 2010/03/05 00:01 [medline] PST - ppublish SO - Turk J Haematol. 2010 Mar 5;27(1):8-14.