Stem-cell transplantation for inherited immunodeficiency disorders.

Published

Journal Article (Review)

For patients with well-characterized, rapidly fatal, nonmalignant immunodeficiency disorders, such as SCID, the decision to proceed with allogeneic SCT is clear-cut. For patients with many other disorders, this decision can be extremely difficult. Disorders such as LAD or CGD have a variable natural history. Each patient must be considered individually, with the risk for SCT-related morbidity and mortality carefully weighed against that of the underlying disease. Significant advances during the past 10 years have made SCT a much safer procedure. Use of nonmyeloablative conditioning regimens as a means of reducing toxicity of high-dose chemotherapy and irradiation hold great promise. Highly immunosuppressive, nonchemotherapeutic agents that inhibit graft rejection or GVHD by blocking the critical costimulatory component of the T-cell receptor-antigen interaction are beginning to emerge and may be ideal for SCT of nonmalignant diseases. Therefore, the risk-benefit equation must be reassessed each year as the severity of patients' disorders is better defined and techniques of SCT improve.

Full Text

Duke Authors

Cited Authors

  • Horwitz, ME

Published Date

  • December 2000

Published In

Volume / Issue

  • 47 / 6

Start / End Page

  • 1371 - 1387

PubMed ID

  • 11131001

Pubmed Central ID

  • 11131001

International Standard Serial Number (ISSN)

  • 0031-3955

Digital Object Identifier (DOI)

  • 10.1016/s0031-3955(05)70276-5

Language

  • eng

Conference Location

  • United States