Full-intensity and reduced-intensity allogeneic stem cell transplantation in AML

被引:35
|
作者
Craddock, C. F. [1 ,2 ]
机构
[1] Univ Hosp Birmingham, NHS Trust, Ctr Clin Haematol, Birmingham, W Midlands, England
[2] Univ Birmingham, Inst Canc Studies, Birmingham, W Midlands, England
关键词
AML; reduced-intensity conditioning; GVL;
D O I
10.1038/sj.bmt.1705975
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Allogeneic stem cell transplantation represents the most active form of anti-leukaemic therapy in acute myeloid leukaemia (AML). Advances in transplant technology and supportive care have resulted in improved outcomes in patients allografted using a myeloablative conditioning regimen. At the same time the use of reduced-intensity conditioning regimens has allowed an immunologically mediated graft-versus-leukaemia effect to be exploited in older patients who were previously ineligible for transplantation on the grounds of age or comorbidity. This coupled with the increased availability of alternative stem cell sources, in the form of either unrelated or cord blood donations, has established allogeneic transplantation as a key therapeutic strategy in the treatment of both younger and older adults with AML.
引用
收藏
页码:415 / 423
页数:9
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