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Journal ArticleDOI

Hematopoietic Stem-Cell Transplantation

Edward A. Copelan
- 27 Apr 2006 - 
- Vol. 354, Iss: 17, pp 1813-1826
TLDR
Hematopoietic stem-cell transplantation was first conceived more than 50 years ago, but problems associated with transplanting a nonsolid organ and modulating the immune response had to be solved before the procedure could be used clinically as mentioned in this paper.
Abstract
Hematopoietic stem-cell transplantation, which is used to treat both malignant and nonmalignant conditions, was first conceived more than 50 years ago, but problems associated with transplanting a nonsolid organ and modulating the immune response had to be solved before the procedure could be used clinically. This review summarizes background information about hematopoietic stem-cell transplantation and discusses the current role of the procedure.

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Citations
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Journal ArticleDOI

Acute myeloid leukaemia

TL;DR: Whereas significant progress has been made in the treatment of younger adults, the prospects for elderly patients have remained dismal, with median survival times of only a few months, current efforts in clinical research focus on the assessment of targeted therapies.
Journal ArticleDOI

Gene therapy returns to centre stage

TL;DR: Technology for editing genes and correcting inherited mutations, the engagement of stem cells to regenerate tissues and the effective exploitation of powerful immune responses to fight cancer are also contributing to the revitalization of gene therapy.
Journal ArticleDOI

HLA Match Likelihoods for Hematopoietic Stem-Cell Grafts in the U.S. Registry

TL;DR: Most patients likely to benefit from HSCT will have a donor, with the highest probability among whites of European descent, and the lowest probability among blacks of South or Central American descent, regardless of racial and ethnic background.
Journal Article

Outcomes of transplantation of unrelated donor umbilical cord blood and bone marrow in children with acute leukaemia: a comparison study. Editorial comment

TL;DR: These data support the use of HLA-matched and one- or two-antigen Hla-mismatched umbilical cord blood in children with acute leukaemia who need transplantation and greater investment in large-scale banking is needed to increase HLA diversity.
Journal ArticleDOI

Outcomes of transplantation of unrelated donor umbilical cord blood and bone marrow in children with acute leukaemia: a comparison study

TL;DR: In this article, the relative effect of cell dose and HLA match, and their potential interaction on leukaemia-free survival after cord-blood transplantation was assessed, and it was shown that better HLA matching and higher cell doses significantly decrease the risk of transplant-related mortality after umbilical-cord blood transplantation.
References
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Journal ArticleDOI

Human acute myeloid leukemia is organized as a hierarchy that originates from a primitive hematopoietic cell

TL;DR: It is demonstrated that the cell capable of initiating human AML in non-obese diabetic mice with severe combined immunodeficiency disease (NOD/SCID mice) — termed the SCID leukemia-initiating cell, or SL-IC — possesses the differentiate and proliferative capacities and the potential for self-renewal expected of a leukemic stem cell.
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A cell initiating human acute myeloid leukaemia after transplantation into SCID mice

TL;DR: This in vivo model replicates many aspects of human AML and defines a new leukaemia-initiating cell which is less mature than colony-forming cells.
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Tumour stem cells and drug resistance

TL;DR: Gaining a better insight into the mechanisms of stem-cell resistance to chemotherapy might lead to new therapeutic targets and better anticancer strategies.
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Effectiveness of Donor Natural Killer Cell Alloreactivity in Mismatched Hematopoietic Transplants

TL;DR: It is shown that donor-versus-recipient natural killer (NK)–cell alloreactivity could eliminate leukemia relapse and graft rejection and protect patients against GVHD in human transplants and in mice, the pretransplant infusion of alloreactive NK cells obviated the need for high-intensity conditioning and reduced GV HD.
Journal ArticleDOI

Graft-versus-leukemia reactions after bone marrow transplantation

TL;DR: The results explain the efficacy of allogeneic bone marrow transplantation in eradicating leukemia, provide evidence for a role of the immune system in controlling human cancers, and suggest future directions to improve leukemia therapy.
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