دورية أكاديمية

Preceding immunosuppressive therapy with antithymocyte globulin and ciclosporin increases the incidence of graft rejection in children with aplastic anaemia who underwent allogeneic bone marrow transplantation from HLA-identical siblings.

التفاصيل البيبلوغرافية
العنوان: Preceding immunosuppressive therapy with antithymocyte globulin and ciclosporin increases the incidence of graft rejection in children with aplastic anaemia who underwent allogeneic bone marrow transplantation from HLA-identical siblings.
المؤلفون: Kobayashi R; Department of Paediatrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan. r-koba@med.hokudai.ac.jp, Yabe H, Hara J, Morimoto A, Tsuchida M, Mugishima H, Ohara A, Tsukimoto I, Kato K, Kigasawa H, Tabuchi K, Nakahata T, Ohga S, Kojima S
مؤلفون مشاركون: Japan Childhood Aplastic Anemia Study Group
المصدر: British journal of haematology [Br J Haematol] 2006 Dec; Vol. 135 (5), pp. 693-6. Date of Electronic Publication: 2006 Oct 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 0372544 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0007-1048 (Print) Linking ISSN: 00071048 NLM ISO Abbreviation: Br J Haematol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Wiley-Blackwell
Original Publication: Oxford : Blackwell Scientific Publications
مواضيع طبية MeSH: Bone Marrow Transplantation* , Graft Rejection*, Anemia, Aplastic/*therapy , Antilymphocyte Serum/*administration & dosage , Antineoplastic Agents/*therapeutic use , Cyclosporine/*therapeutic use, Adolescent ; Anemia, Aplastic/drug therapy ; Anemia, Aplastic/immunology ; Child ; Child, Preschool ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Risk Factors ; Siblings ; Statistics, Nonparametric ; Survival Rate ; Transplantation Conditioning ; Transplantation, Isogeneic ; Treatment Failure
مستخلص: The incidence of graft rejection was determined in 66 children with acquired aplastic anaemia (AA) following bone marrow transplantation (BMT) from a related donor. Eleven of 65 evaluable patients experienced either early or late rejection. Multivariate analysis identified previous immunosuppressive therapy with antithymocyte-globulin (ATG) and ciclosporin (CsA) as a risk factor for graft rejection (relative risk: 16.6, P = 0.001). Patients who received ATG and CsA had a significantly lower probability of failure-free survival than those who did not (69.7 +/- 6.2% vs. 87.9 +/- 8.0%, P = 0.044). These results suggest that BMT should be instituted immediately in children with severe AA who have human leucocyte antigen-identical siblings.
المشرفين على المادة: 0 (Antilymphocyte Serum)
0 (Antineoplastic Agents)
83HN0GTJ6D (Cyclosporine)
تواريخ الأحداث: Date Created: 20061014 Date Completed: 20070308 Latest Revision: 20131121
رمز التحديث: 20231215
DOI: 10.1111/j.1365-2141.2006.06352.x
PMID: 17038001
قاعدة البيانات: MEDLINE
الوصف
تدمد:0007-1048
DOI:10.1111/j.1365-2141.2006.06352.x