PMID- 27788762 OWN - NLM STAT- MEDLINE DCOM- 20170302 LR - 20181202 IS - 1532-8686 (Electronic) IS - 0037-1963 (Linking) VI - 53 IP - 4 DP - 2016 Oct TI - Selecting the best haploidentical donor. PG - 246-251 LID - S0037-1963(16)30049-X [pii] LID - 10.1053/j.seminhematol.2016.08.001 [doi] AB - The substantial evidence of the safety of human leukocyte antigen (HLA)-haploidentical (haplo) blood or marrow transplantation (BMT) has led to its increasing utilization. When prioritizing HLA-matched grafts, patients frequently have few or no donors from whom to choose. However, a given patient may have multiple suitable haplo donors. Therefore factors other than HLA-match become critical for selecting the best donor. We recommend a donor selection algorithm based on the donor-specific antibodies, ABO match, donor age, donor sex, and cytomegalovirus (CMV) serostatus match. Despite provocative initial evidence, further studies are warranted to determine whether there is any benefit to selecting a haplo donor based on the number of HLA-mismatches, natural killer cell alloreactivity, or the presence of non-inherited maternal HLA antigens. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - McCurdy, Shannon R AU - McCurdy SR AD - Johns Hopkins University, Baltimore, MD. Electronic address: smccurd2@jhmi.edu. FAU - Fuchs, Ephraim J AU - Fuchs EJ AD - Johns Hopkins University, Baltimore, MD. LA - eng PT - Journal Article PT - Review DEP - 20160815 PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 RN - 0 (ABO Blood-Group System) RN - 0 (HLA Antigens) SB - IM MH - ABO Blood-Group System MH - HLA Antigens/immunology MH - *Haploidy MH - Hematopoietic Stem Cell Transplantation MH - Humans MH - Killer Cells, Natural/immunology MH - *Tissue Donors OTO - NOTNLM OT - Donor Selection OT - Haploidentical OT - Post-transplant cyclophosphamide EDAT- 2016/10/30 06:00 MHDA- 2017/03/03 06:00 CRDT- 2016/10/30 06:00 PHST- 2016/05/17 00:00 [received] PHST- 2016/08/03 00:00 [revised] PHST- 2016/08/08 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)30049-X [pii] AID - 10.1053/j.seminhematol.2016.08.001 [doi] PST - ppublish SO - Semin Hematol. 2016 Oct;53(4):246-251. doi: 10.1053/j.seminhematol.2016.08.001. Epub 2016 Aug 15.