Cord-Blood Engraftment with Ex Vivo Mesenchymal-Cell Coculture

Use of 2 units of cord blood, 1 of which had been cocultured with mesenchymal stem cells, produced more rapid hematopoietic engraftment than 2 units of unmanipulated cord blood. Umbilical-cord blood is an attractive source of hematopoietic support for patients who lack a suitable HLA-matched donor....

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Veröffentlicht in:The New England journal of medicine 2012-12, Vol.367 (24), p.2305-2315
Hauptverfasser: de Lima, Marcos, McNiece, Ian, Robinson, Simon N, Munsell, Mark, Eapen, Mary, Horowitz, Mary, Alousi, Amin, Saliba, Rima, McMannis, John D, Kaur, Indreshpal, Kebriaei, Partow, Parmar, Simrit, Popat, Uday, Hosing, Chitra, Champlin, Richard, Bollard, Catherine, Molldrem, Jeffrey J, Jones, Roy B, Nieto, Yago, Andersson, Borje S, Shah, Nina, Oran, Betul, Cooper, Laurence J.N, Worth, Laura, Qazilbash, Muzaffar H, Korbling, Martin, Rondon, Gabriela, Ciurea, Stefan, Bosque, Doyle, Maewal, Ila, Simmons, Paul J, Shpall, Elizabeth J
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container_end_page 2315
container_issue 24
container_start_page 2305
container_title The New England journal of medicine
container_volume 367
creator de Lima, Marcos
McNiece, Ian
Robinson, Simon N
Munsell, Mark
Eapen, Mary
Horowitz, Mary
Alousi, Amin
Saliba, Rima
McMannis, John D
Kaur, Indreshpal
Kebriaei, Partow
Parmar, Simrit
Popat, Uday
Hosing, Chitra
Champlin, Richard
Bollard, Catherine
Molldrem, Jeffrey J
Jones, Roy B
Nieto, Yago
Andersson, Borje S
Shah, Nina
Oran, Betul
Cooper, Laurence J.N
Worth, Laura
Qazilbash, Muzaffar H
Korbling, Martin
Rondon, Gabriela
Ciurea, Stefan
Bosque, Doyle
Maewal, Ila
Simmons, Paul J
Shpall, Elizabeth J
description Use of 2 units of cord blood, 1 of which had been cocultured with mesenchymal stem cells, produced more rapid hematopoietic engraftment than 2 units of unmanipulated cord blood. Umbilical-cord blood is an attractive source of hematopoietic support for patients who lack a suitable HLA-matched donor. Despite the advantages offered by cord-blood transplantation, such as the use of a frozen, readily available allograft in patients who are members of minority groups, who often have limited access to adult donors, the clinical usefulness in adults has been restricted by the relatively low number of hematopoietic progenitors in a unit of cord blood. 1 – 4 Delayed or failed engraftment of neutrophils and platelets with cord-blood transplantation can result in an increased risk of transplant-related complications or death and increased health care costs, . . .
doi_str_mv 10.1056/NEJMoa1207285
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine Current
subjects Adolescent
Adult
Biological and medical sciences
Blood Cell Count
Blood Platelets
Bone marrow
Cause of Death
Cell Culture Techniques
Cord Blood Stem Cell Transplantation
General aspects
Good Manufacturing Practice
Graft Enhancement, Immunologic
Graft vs Host Disease
Hematologic Neoplasms - mortality
Hematologic Neoplasms - therapy
Humans
Medical sciences
Mesenchymal Stem Cell Transplantation
Mesenchymal Stromal Cells
Middle Aged
Neutrophils
Stem cells
Transplantation Chimera
Transplantation, Homologous
Transplants & implants
Young Adult
title Cord-Blood Engraftment with Ex Vivo Mesenchymal-Cell Coculture
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