PMID- 7749108 OWN - NLM STAT- MEDLINE DCOM- 19950620 LR - 20060424 IS - 0340-4684 (Print) IS - 0340-4684 (Linking) VI - 20 IP - 2-3 DP - 1994 TI - Unrelated, HLA-mismatched multiple human umbilical cord blood transfusion in four cases with advanced solid tumors: initial studies. PG - 285-92 AB - Four patients with advanced solid tumors were treated by means of high-dose chemotherapy and HLA-mismatched and unrelated multi-cord blood transfusion. Of these patients, three achieved complete remission and one achieved a partial remission. Little or no graft vs. host disease (GVHD) was observed. Partial donor cell engraftment was suggested by 101 to 320 days for two patients by cytogenetic analysis and hemoglobin F levels in the peripheral blood. Recurrent disease was confirmed clinically on day 210 (4-year-old girl with liposarcoma) and on day 90 (11-year-old boy with non-Hodgkin's lymphoma). These results suggest the possibility that HLA-mismatched and unrelated multi-cord blood transfusion may engraft with little or no GVHD and hasten recovery from marrow suppression that is due to chemotherapy. It remains to be determined, however, whether these results document true stem/progenitor cell engraftment or alternatively transient engraftment of more mature cells along with repopulation by autologous cells. FAU - Shen, B J AU - Shen BJ AD - Department of Pediatrics, Affiliated Hospital, Shandong Medical University, People's Republic of China. FAU - Hou, H S AU - Hou HS FAU - Zhang, H Q AU - Zhang HQ FAU - Sui, X W AU - Sui XW LA - eng PT - Journal Article PL - United States TA - Blood Cells JT - Blood cells JID - 7513567 SB - IM CIN - Blood Cells. 1994;20(2-3):293-5. PMID: 7749109 MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Blood Grouping and Crossmatching MH - Bone Marrow Diseases/chemically induced/therapy MH - Child MH - Child, Preschool MH - Combined Modality Therapy MH - Endodermal Sinus Tumor/drug therapy/therapy MH - Female MH - Fetal Blood/*cytology MH - Graft Survival MH - Graft vs Host Disease/etiology MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - Histocompatibility MH - Humans MH - Liposarcoma/drug therapy/therapy MH - Lymphoma, Non-Hodgkin/drug therapy/therapy MH - Male MH - Neoplasms/drug therapy/*therapy MH - Neuroblastoma/drug therapy/therapy MH - Neurofibroma/pathology MH - Pelvic Neoplasms/drug therapy/therapy MH - Remission Induction EDAT- 1994/01/01 00:00 MHDA- 1994/01/01 00:01 CRDT- 1994/01/01 00:00 PHST- 1994/01/01 00:00 [pubmed] PHST- 1994/01/01 00:01 [medline] PHST- 1994/01/01 00:00 [entrez] PST - ppublish SO - Blood Cells. 1994;20(2-3):285-92.