Abstract:
Objective To study the haplo-hematopoietic stem cell transplantation in treatment of aplastic anemia-paroxysmal nocturnal hemoglobinuria syndrome (AA-PNH).
Methods One patient with AA-PNH for 3 years admitted to our hospital in March 2011 underwent transplantation of haplo-hematopoietic stem cells from his mother. Grafts were selected from the mobilized haplohematopoietic bone marrow and peripheral blood. Human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) were transferred as the third part of cells.
Results The total number of mononuclear cells (MNC) and CD34
+cells was 10.8×10
8/kg and 4.8× 10
6/kg, respectively. The number of neutrophils and platelets was> 0.5×10
9/L and> 20×10
9/L on days 37 and 58. The chimeras accounted for 100% on day 30 and grade 1 aGVHD was observed on about day 40, with no other severe complications occurred after treatment.
Conclusion Haplo-hematopoietic stem cell transplantation is a safe and effective treatment modality for AA-PNH syndrome.