Impact of stem cell source and conditioning regimen on erythrocyte recovery kinetics after allogeneic haematopoietic stem cell transplantation from an ABO-incompatible donor

  • Yoshinobu Kanda
  • , Ryuji Tanosaki
  • , Kunihisa Nakai
  • , Takeshi Saito
  • , Mutsuko Ohnishi
  • , Hironari Niiya
  • , Aki Chizuka
  • , Kimikazu Yakushijin
  • , Norinaga Urahama
  • , Kyoji Ueda
  • , Kimiko Iijima
  • , Toshihiko Ando
  • , Hiroshi Matsubara
  • , Masahiro Kami
  • , Atsushi Makimoto
  • , Yukio Kobayashi
  • , Kensei Tobinai
  • , Shin Mineishi
  • , Yoichi Takaue

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

We evaluated erythrocyte recovery in 121 allogeneic haematopoietic stem cell transplantation (HSCT) recipients. There were 35 major and minor ABO-incompatible transplants, respectively, including 10 bi-directionally ABO-incompatible transplants. The use of peripheral blood stem cells facilitated erythrocyte recovery, regardless of the presence or absence of major ABO-incompatibility, and was associated with a frequent detection of anti-host isohaemagglutin early after minor ABO-incompatible transplantation, which was not associated with clinically relevant haemolysis. The use of a reduced-intensity regimen combining a purine analogue and busulphan did not delay erythrocyte recovery after major ABO-incompatible transplantation, suggesting this regimen had a strong activity against host plasma cell.

Original languageEnglish (US)
Pages (from-to)128-131
Number of pages4
JournalBritish Journal of Haematology
Volume118
Issue number1
DOIs
StatePublished - 2002

All Science Journal Classification (ASJC) codes

  • Hematology

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