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The European Society for Blood and Marrow Transplantation (EBMT) Consensus Guidelines for the Detection and Treatment of Donor-specific Anti-HLA Antibodies (DSA) in Haploidentical Hematopoietic Cell Transplantation

by Locatelli, Franco , Martelli, Massimo , Lazarus, Hillard M. , Ballen, Karen , Fernandez-Vina, Marcelo , Castagna, Luca , Blaise, Didier , Ciceri, Fabio , Malki, Monzr Al , Savani, Bipin N. , Ciurea, Stefan O. , Handgretinger, Rupert , Bashey, Asad , Nagler, Arnon , Luznik, Leo , Mohty, Mohamad , Aversa, Franco , Bacigalupo, Andrea , Fuchs, Ephraim , Huang, Xiao-Jun , O’Donnell, Paul , Kongtim, Piyanuch , Cao, Kai , Roy, Denis-Claude

in 631/250/1904 / 631/250/249 / Analysis / Antibodies / Antigens / Blood / Bone marrow / Bone marrow transplantation / Bone Marrow Transplantation - adverse effects / Cell Biology / Females / Graft rejection / Graft Rejection - immunology / Grafts / Hematology / Hematopoietic stem cell transplantation / Hematopoietic Stem Cell Transplantation - adverse effects / Hematopoietic stem cells / Histocompatibility antigen HLA / HLA antigens / HLA Antigens - immunology / Humans / Internal Medicine / Isoantibodies - analysis / Isoimmunization / Life Sciences / Medicine / Medicine & Public Health / Offspring / Practice guidelines (Medicine) / Progenitor cells / Public Health / Review Article / Stem cell transplantation / Stem Cells / Surgery / Tissue Donors / Transplantation / Transplantation, Haploidentical - adverse effects / Transplants & implants / Treatment Outcome

2018

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Journal Article

The European Society for Blood and Marrow Transplantation (EBMT) Consensus Guidelines for the Detection and Treatment of Donor-specific Anti-HLA Antibodies (DSA) in Haploidentical Hematopoietic Cell Transplantation

Locatelli, Franco,

Martelli, Massimo,

Lazarus, Hillard M.,

Ballen, Karen,

Fernandez-Vina, Marcelo,

Castagna, Luca,

Blaise, Didier,

Ciceri, Fabio,

Malki, Monzr Al,

Savani, Bipin N.,

Ciurea, Stefan O.,

Handgretinger, Rupert,

Bashey, Asad,

Nagler, Arnon,

Luznik, Leo,

Mohty, Mohamad,

Aversa, Franco,

Bacigalupo, Andrea,

Fuchs, Ephraim,

Huang, Xiao-Jun,

O’Donnell, Paul,

Kongtim, Piyanuch,

Cao, Kai,

Roy, Denis-Claude

2018

Overview

Haploidentical donors are now increasingly considered for transplantation in the absence of HLA-matched donors or when an urgent transplant is needed. Donor-specific anti-HLA antibodies (DSA) have been recently recognized as an important barrier against successful engraftment of donor cells, which can affect transplant survival. DSA appear more prevalent in this type of transplant due to higher likelihood of alloimmunization of multiparous females against offspring’s HLA antigens, and the degree of mismatch. Here we summarize the evidence for the role of DSA in the development of primary graft failure in haploidentical transplantation and provide consensus recommendations from the European Society for Blood and Marrow Transplant Group on testing, monitoring, and treatment of patients with DSA receiving haploidentical hematopoietic progenitor cell transplantation.

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Publisher

Nature Publishing Group UK,Nature Publishing Group

Subject

/ Blood