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Effect Of Heterogenous DLI On Mouse Treated With Allo-BMT Post Nonlethal Preconditioning

Posted on:2007-03-01Degree:MasterType:Thesis
Country:ChinaCandidate:Y FangFull Text:PDF
GTID:2144360185970857Subject:Oncology
Abstract/Summary:PDF Full Text Request
Allogeneic hematopoietic cell transplantation (allo-HSCT) is an effective therapy for patients with benign hematological disorders and malignant tumors. HLA-identical donors are most important in allo-HSCT. Better matching of the HLA type between donor and recipient makes better transplants, less complication of graft-versus-host disease (GVHD) and better outcome.The best choice to look for a perfectly matched hematopoietic cell donor is within patient's own family. Siblings that HLA genotypes are coincide are the first choice, and the next choice is other family members. The chance of finding HLA-matched donors in family members become less and less, because the gene of mankind is so complicated that probability of HLA-matched is 25% in siblings, and single- child-family have become more and more; proportion of HLA-matched sibling is 30% even in western countries. Donor and recipient are blood unrelated. Choosing substitute donator is urgent priority when carrying out such transplantation. The donators are chiefly from HLA-matched blood unrelated donor and partly HLA-matched relatives. But the application is restrictive, due to severe GVHD post transplantation. According to statistics, incidence rate of patients received allo-HSCT is about 50%-80%, and the mortality rate is above 30%. Mature T cell that comes from donor's grafts can identify alloantigen, and induce GVHD. GVHD is the major complication and cause of leading to die, especially aGVHD is the major obstacle to success...
Keywords/Search Tags:allogeneic-bone marrow transplant, donor lymphocytes infusion, graft versus host disease, chimerism, graft vs. tumor
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