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Impaired thymopoiesis predicts for a high risk of severe infections after reduced intensity conditioning without anti-thymocyte globulin in double umbilical cord blood transplantation
by
Somers, Judith
, Cornelissen, Jan J.
, Braakman, Eric
, Beije, Nick
, van der Holt, Bronno
, Duinhouwer, Lucia E.
, Rijken-Schelen, Anita
, Lamers, Cor H.
in
13/31
/ 38/77
/ 631/532/1542
/ 631/67/1990
/ 692/308/2779
/ 692/700/1750
/ B cells
/ Cell Biology
/ Cell differentiation
/ Complications and side effects
/ Conditioning
/ Cord blood
/ Data recovery
/ Fetal blood transplantation
/ Globulins
/ Health aspects
/ Health risks
/ Hematology
/ Hematopoietic stem cell transplantation
/ Hematopoietic stem cells
/ Immune reconstitution
/ Infection
/ Infections
/ Internal Medicine
/ Lymphocytes
/ Lymphocytes T
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Morbidity
/ Mortality
/ Patient outcomes
/ Patients
/ Public Health
/ Risk factors
/ Stem cell transplantation
/ Stem Cells
/ Surgery
/ T cell receptors
/ T cells
/ Thymocytes
/ Thymopoiesis
/ Toxicity
/ Transplantation
/ Transplants & implants
/ Umbilical cord
2018
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Impaired thymopoiesis predicts for a high risk of severe infections after reduced intensity conditioning without anti-thymocyte globulin in double umbilical cord blood transplantation
by
Somers, Judith
, Cornelissen, Jan J.
, Braakman, Eric
, Beije, Nick
, van der Holt, Bronno
, Duinhouwer, Lucia E.
, Rijken-Schelen, Anita
, Lamers, Cor H.
in
13/31
/ 38/77
/ 631/532/1542
/ 631/67/1990
/ 692/308/2779
/ 692/700/1750
/ B cells
/ Cell Biology
/ Cell differentiation
/ Complications and side effects
/ Conditioning
/ Cord blood
/ Data recovery
/ Fetal blood transplantation
/ Globulins
/ Health aspects
/ Health risks
/ Hematology
/ Hematopoietic stem cell transplantation
/ Hematopoietic stem cells
/ Immune reconstitution
/ Infection
/ Infections
/ Internal Medicine
/ Lymphocytes
/ Lymphocytes T
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Morbidity
/ Mortality
/ Patient outcomes
/ Patients
/ Public Health
/ Risk factors
/ Stem cell transplantation
/ Stem Cells
/ Surgery
/ T cell receptors
/ T cells
/ Thymocytes
/ Thymopoiesis
/ Toxicity
/ Transplantation
/ Transplants & implants
/ Umbilical cord
2018
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Impaired thymopoiesis predicts for a high risk of severe infections after reduced intensity conditioning without anti-thymocyte globulin in double umbilical cord blood transplantation
by
Somers, Judith
, Cornelissen, Jan J.
, Braakman, Eric
, Beije, Nick
, van der Holt, Bronno
, Duinhouwer, Lucia E.
, Rijken-Schelen, Anita
, Lamers, Cor H.
in
13/31
/ 38/77
/ 631/532/1542
/ 631/67/1990
/ 692/308/2779
/ 692/700/1750
/ B cells
/ Cell Biology
/ Cell differentiation
/ Complications and side effects
/ Conditioning
/ Cord blood
/ Data recovery
/ Fetal blood transplantation
/ Globulins
/ Health aspects
/ Health risks
/ Hematology
/ Hematopoietic stem cell transplantation
/ Hematopoietic stem cells
/ Immune reconstitution
/ Infection
/ Infections
/ Internal Medicine
/ Lymphocytes
/ Lymphocytes T
/ Medical research
/ Medicine
/ Medicine & Public Health
/ Morbidity
/ Mortality
/ Patient outcomes
/ Patients
/ Public Health
/ Risk factors
/ Stem cell transplantation
/ Stem Cells
/ Surgery
/ T cell receptors
/ T cells
/ Thymocytes
/ Thymopoiesis
/ Toxicity
/ Transplantation
/ Transplants & implants
/ Umbilical cord
2018
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Impaired thymopoiesis predicts for a high risk of severe infections after reduced intensity conditioning without anti-thymocyte globulin in double umbilical cord blood transplantation
Journal Article
Impaired thymopoiesis predicts for a high risk of severe infections after reduced intensity conditioning without anti-thymocyte globulin in double umbilical cord blood transplantation
2018
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Overview
Umbilical cord blood stem cell transplantation (UCBT) is associated with retarded hematopoietic recovery and immune reconstitution and a high infection-related morbidity and mortality, especially after conditioning including anti-thymocyte globulin (ATG). However, data on immune recovery, incidence of infections, and outcome in double UCBT (dUCBT) recipients receiving an ATG-free reduced intensity conditioning (RIC) are lacking. In this study, recovery of lymphocyte subsets, thymopoiesis, and its association with severe infections and clinical outcome was assessed in a group of 55 recipients of a dUCBT ATG-free RIC regimen. T cell recovery was severely protracted in the majority of patients. However, T cell receptor excision circle TREC
+
T cells were detectable in 62% of patients at 3 months post-transplantation. A total of 128 common toxicity criteria grade 3−4 infections were observed in the first year post-transplantation. Non-relapse mortality at 12 months post-transplant was 16%, of which 78% infectious mortality. One-year overall survival was 73%. Patients who failed to recover thymopoiesis at 3 months post-transplantation were at a 3.3-fold higher risk of subsequent severe grade 3–4 infections.
Publisher
Nature Publishing Group UK,Nature Publishing Group
Subject
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