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Haploidentical transplantation of hematopoietic stem cells

Transplantes haploidênticos de células-tronco hematopoieticas

SUMMARY

Objective:

To review and discuss the literature on hematopoietic stem cell transplantation (HSCT) with haploidentical donors in Brazil.

Method:

Literature review.

Results:

The haploidentical hematopoietic stem cell transplantations have become a safe option in hematology since the 80s, with the possibility of ex-vivo T-cell depletion. However, its broad use worldwide occurred with the advent of haploidentical nonmyeloablative transplants using in vivo T-cell depletion with the administration of post-transplant cyclophosphamide. The results were encouraging, despite the increased risk of infection and post-transplantation recurrence. Recent publications on acute myeloid leukemia, myelodysplastic syndrome and Hodgkin’s lymphoma have shown similar results among haploidentical, unrelated and related full-match transplants. Obviously, these findings of retrospective studies should be confirmed by clinical trials.

Conclusions:

Transplantation with haploidentical donor has shown to be feasible in Brazil and the first publications and results are showing encouraging results.

Keywords
Bone Marrow Transplantation; Stem cells; Transplants

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