Keywords :
Animals; Graft vs Host Disease; HLA Antigens/immunology/metabolism; Hematologic Diseases/therapy; Hematopoietic Stem Cell Transplantation/history; History, 20th Century; History, 21st Century; Humans; Transplantation Chimera; Transplantation Conditioning; Transplantation Immunology; Transplantation, Homologous/history
Abstract :
[en] During the past 50 years, the role of allogeneic hematopoietic cell transplantation (HCT) has changed from a desperate therapeutic maneuver plagued by apparently insurmountable complications to a curative treatment modality for thousands of patients with hematologic diseases. Now, cure rates following human leukocyte antigen (HLA) allogeneic HCT with matched siblings exceed 85% for some otherwise lethal diseases, such as chronic myeloid leukemia, aplastic anemia, or thalassemia. In addition, the recent development of non-myeloablative conditioning and stem cell transplantation has opened the way to include elderly patients with a wide variety of hematologic malignancies. Further progress in adoptive transfer of T cell populations with relative tumor specificity would make the transplant procedure more effective and would extend the use of allogeneic HCT for treatment of non-hematopoietic malignancies.
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