PMID- 33472463 OWN - NLM STAT- MEDLINE DCOM- 20220602 LR - 20220602 IS - 1532-4311 (Electronic) IS - 0882-0139 (Linking) VI - 51 IP - 4 DP - 2022 May TI - Long Term Follow-Up of the Patients with Severe Combined Immunodeficiency After Hematopoietic Stem Cell Transplantation: A Single-Center Study. PG - 739-747 LID - 10.1080/08820139.2020.1869776 [doi] AB - BACKGROUND: We aimed to evaluate hematopoietic stem cell transplantation (HSCT) related outcomes of patients with severe combined immunodeficiency (SCID). METHODS: We retrospectively collected data from SCID patients who were diagnosed, followed up and survived at least 2 years after HSCT. RESULTS: Forty four SCID patients were included in the study. Median age of HSCT and follow-up period after HSCT were 7.1 months and 8.7 years, respectively. Human leukocyte antigen (HLA) identical donors were used in 77.3% (n = 34) of the patients (23 siblings, six fathers, two mothers, three extended family donors), HLA 1-2 mismatched family donors in 11.3% (n = 5), and haploidentical family donors in 11.3% (n = 5). CD3 and CD19 counts were normal in more than 90% and in 45.4% at last follow-up, respectively. Intravenous immunoglobulin (IVIG) could be stopped in 72.7% (n = 32) after HSCT. B+ SCID patients had better CD19 counts than B- (p < .001). T cell numbers, lymphocyte proliferation, IVIG need, immunoglobulin levels, antibody responses did not differ among B- and B+ immunophenotypes. Acute graft-versus-host disease (GVHD) was less in bone marrow transplanted patients (19.4%) than peripheral stem cell (58.3%) transplanted ones (p = .024). There was no correlation between age at transplantation and immune reconstitution. At the last follow-up, 70.2% and 78.3% of the patients had body weight and height above 3(rd) percentile, respectively. CONCLUSION: The immune reconstitution and the growth were normal in the majority of SCID patients after HSCT. It may be rational to use bone marrow instead of peripheral stem cell, as acute GVHD was less in bone marrow transplanted patients. FAU - Demirtas, Duygu AU - Demirtas D AUID- ORCID: 0000-0002-3662-4355 AD - Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Cagdas, Deniz AU - Cagdas D AUID- ORCID: 0000-0003-2213-4627 AD - Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Turul Ozgur, Tuba AU - Turul Ozgur T AUID- ORCID: 0000-0003-4545-6151 AD - Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Kuskonmaz, Baris AU - Kuskonmaz B AUID- ORCID: 0000-0002-1207-4205 AD - Department of Pediatrics, Division of Hematology, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Uckan Cetinkaya, Duygu AU - Uckan Cetinkaya D AUID- ORCID: 0000-0003-3593-6493 AD - Department of Pediatrics, Division of Hematology, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Sanal, Ozden AU - Sanal O AUID- ORCID: 0000-0003-3463-7555 AD - Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Ankara, Turkey. FAU - Tezcan, Ilhan AU - Tezcan I AUID- ORCID: 0000-0001-7257-4554 AD - Department of Pediatrics, Division of Immunology, Hacettepe University Faculty of Medicine, Ankara, Turkey. LA - eng PT - Journal Article DEP - 20210121 PL - England TA - Immunol Invest JT - Immunological investigations JID - 8504629 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Follow-Up Studies MH - *Graft vs Host Disease/etiology MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - Humans MH - Immunoglobulins, Intravenous MH - Retrospective Studies MH - *Severe Combined Immunodeficiency/etiology/therapy OTO - NOTNLM OT - Severe combined immunodeficiency OT - hematopoietic stem cell transplantation OT - immune reconstitution EDAT- 2021/01/22 06:00 MHDA- 2022/06/03 06:00 CRDT- 2021/01/21 05:23 PHST- 2021/01/22 06:00 [pubmed] PHST- 2022/06/03 06:00 [medline] PHST- 2021/01/21 05:23 [entrez] AID - 10.1080/08820139.2020.1869776 [doi] PST - ppublish SO - Immunol Invest. 2022 May;51(4):739-747. doi: 10.1080/08820139.2020.1869776. Epub 2021 Jan 21.