PMID- 27788761 OWN - NLM STAT- MEDLINE DCOM- 20170302 LR - 20220317 IS - 1532-8686 (Electronic) IS - 0037-1963 (Linking) VI - 53 IP - 4 DP - 2016 Oct TI - Umbilical cord blood cells from unrelated donor as an alternative source of hematopoietic stem cells for transplantation in children and adults. PG - 237-245 LID - S0037-1963(16)30090-7 [pii] LID - 10.1053/j.seminhematol.2016.08.002 [doi] AB - Umbilical cord blood (CB) is an alternative source of hematopoietic stem cells (HSC) for patients requiring allogeneic HSC transplantation but lacking a suitable human leukocyte antigen (HLA)-matched donor. Using CB has many advantages, including lower HLA-matching requirements, increased donor availability, and low rates of graft-versus-host disease. Furthermore, with over 630,000 cryopreserved volunteer CB units currently stored in international CB banks worldwide, CB is rapidly available for those patients requiring urgent transplantation. However, concern remains over the low HSC doses available in CB grafts, resulting in delayed engraftment and poor immune reconstitution. This article reviews the current use and future developments of unrelated allogeneic CB transplantation (CBT). An overview of the encouraging results of CBT and the comparisons with other HSC sources and transplant strategies both in children and adults with malignant and non-malignant diseases are shown. We will discuss important factors that need to be considered when selecting CB units for transplantation to further improve the results of CBT. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Rocha, Vanderson AU - Rocha V AD - Department of Haematology, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, United Kingdom; NHS Blood and Transplant, Oxford Centre, John Radcliffe Hospital, Oxford, United Kingdom; Eurocord, Hopital Saint Louis APHP, University Paris VII IUH Paris, France; Department of Hematology, University of Sao Paulo, Sao Paulo, Brazil. Electronic address: rocha.vanderson@hotmail.fr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160815 PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 SB - IM MH - Adult MH - Child MH - *Cord Blood Stem Cell Transplantation MH - Fetal Blood MH - Graft vs Host Disease MH - Hematopoietic Stem Cell Transplantation MH - Hematopoietic Stem Cells MH - Humans MH - *Unrelated Donors OTO - NOTNLM OT - Adults and children OT - Clinical results OT - Unrelated cord blood transplantation EDAT- 2016/10/30 06:00 MHDA- 2017/03/03 06:00 CRDT- 2016/10/30 06:00 PHST- 2016/08/08 00:00 [received] PHST- 2016/08/09 00:00 [accepted] PHST- 2016/10/30 06:00 [pubmed] PHST- 2017/03/03 06:00 [medline] PHST- 2016/10/30 06:00 [entrez] AID - S0037-1963(16)30090-7 [pii] AID - 10.1053/j.seminhematol.2016.08.002 [doi] PST - ppublish SO - Semin Hematol. 2016 Oct;53(4):237-245. doi: 10.1053/j.seminhematol.2016.08.002. Epub 2016 Aug 15.