Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Outcome of Haematopoietic Stem Cell Transplantation in Dyskeratosis Congenita Publisher Pubmed



Fioredda F1 ; Iacobelli S2 ; Korthof ET3 ; Knol C4 ; Van Biezen A4 ; Bresters D5 ; Veys P6 ; Yoshimi A7 ; Fagioli F8 ; Mats B9 ; Zecca M10 ; Faraci M11 ; Miano M1 ; Arcuri L1 Show All Authors
Authors
  1. Fioredda F1
  2. Iacobelli S2
  3. Korthof ET3
  4. Knol C4
  5. Van Biezen A4
  6. Bresters D5
  7. Veys P6
  8. Yoshimi A7
  9. Fagioli F8
  10. Mats B9
  11. Zecca M10
  12. Faraci M11
  13. Miano M1
  14. Arcuri L1
  15. Maschan M12
  16. Obrien T13
  17. Diaz MA14
  18. Sevilla J15
  19. Smith O16
  20. Peffault De Latour R17
  21. De La Fuente J18
  22. Or R19
  23. Van Lint MT20
  24. Tolar J21
  25. Aljurf M22
  26. Fisher A23
  27. Skorobogatova EV24
  28. Diaz De Heredia C25
  29. Risitano A26
  30. Dalle JH27
  31. Sedlacek P28
  32. Ghavamzadeh A29
  33. Dufour C1

Source: British Journal of Haematology Published:2018


Abstract

Dyskeratosis congenita (DC) is a genetic multisystem disorder with frequent involvement of the bone marrow. Haematopoietic stem cell transplantation (HSCT) is the only definitive cure to restore haematopoiesis, even though it cannot correct other organ dysfunctions. We collected data on the outcome of HSCT in the largest cohort of DC (n = 94) patients ever studied. Overall survival (OS) and event-free survival (EFS) at 3 years after HSCT were 66% and 62%, respectively. Multivariate analysis showed better outcomes in patients aged less than 20 years and in patients transplanted from a matched, rather than a mismatched, donor. OS and EFS curves tended to decline over time. Early lethal events were infections, whereas organ damage and secondary malignancies appeared afterwards, even a decade after HSCT. A non-myeloablative conditioning regimen appeared to be most advisable. Organ impairment present before HSCT seemed to favour the development of chronic graft-versus-host disease and T-B immune deficiency appeared to enhance pulmonary fibrosis. According to the present data, HSCT in DC is indicated in cases of progressive marrow failure, whereas in patients with pre-existing organ damage, this should be carefully evaluated. Further efforts to investigate treatment alternatives to HSCT should be encouraged. © 2018 British Society for Haematology and John Wiley & Sons Ltd
Other Related Docs
9. Pre-Hsct Cardiovascular Evaluation, Cardiovascular Considerations in Hematopoietic Stem Cell Transplantation (2024)