徐丽昕, 刘周阳, 曹永彬, 达万明, 吴晓雄. 单倍型异基因造血干细胞移植治疗再障-阵发性睡眠性血红蛋白尿1例[J]. 解放军医学院学报, 2014, 35(1): 65-67. DOI: 10.3969/j.issn.2095-5227.2014.01.021
引用本文: 徐丽昕, 刘周阳, 曹永彬, 达万明, 吴晓雄. 单倍型异基因造血干细胞移植治疗再障-阵发性睡眠性血红蛋白尿1例[J]. 解放军医学院学报, 2014, 35(1): 65-67. DOI: 10.3969/j.issn.2095-5227.2014.01.021
XU Li-xin, LIU Zhou-yang, CAO Yong-bin, DA Wan-ming, WU Xiao-xiong. Haplo-hematopoietic stem cell transplantation in treatment of aplastic anemia-paroxysmal nocturnal hemoglobinuria syndome: A case report[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2014, 35(1): 65-67. DOI: 10.3969/j.issn.2095-5227.2014.01.021
Citation: XU Li-xin, LIU Zhou-yang, CAO Yong-bin, DA Wan-ming, WU Xiao-xiong. Haplo-hematopoietic stem cell transplantation in treatment of aplastic anemia-paroxysmal nocturnal hemoglobinuria syndome: A case report[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2014, 35(1): 65-67. DOI: 10.3969/j.issn.2095-5227.2014.01.021

单倍型异基因造血干细胞移植治疗再障-阵发性睡眠性血红蛋白尿1例

Haplo-hematopoietic stem cell transplantation in treatment of aplastic anemia-paroxysmal nocturnal hemoglobinuria syndome: A case report

  • 摘要: 目的 分析单倍体造血干细胞移植治疗再生障碍性贫血-阵发性睡眠性血红蛋白尿综合征(AA-PNH综合征)的方法。 方法 2011年3月本院1例确诊AA-PNH综合征3年余的患者,进行母亲的单倍体造血干细胞移植。移植物选择动员后骨髓加外周干细胞,并选择脐带间充质干细胞为第三方细胞。 结果 输注供者的单个核细胞总数和CD34+细胞数分别为10.8×108/kg和4.8×106/kg。中性粒细胞> 0.5×109/L和血小板> 20×109/L的时间分别为37 d和58 d。30 d嵌合体为完全供者型,40 d左右出现Ⅰ度急性移植物抗宿主病,治疗后好转,未出现其他严重并发症。 结论 单倍体造血干细胞移植治疗AA-PNH综合征安全有效。

     

    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 10.8×108/kg and 4.8× 106/kg, respectively. The number of neutrophils and platelets was> 0.5×109/L and> 20×109/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.

     

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