Autoimmune hematological diseases following haploidentical donor hematopoietic stem cell transplant compared with matched sibling and unrelated donor Article Swipe
Weiran Lv
,
Zhiping Fan
,
Fen Huang
,
Na Xu
,
Li Xuan
,
Guopan Yu
,
Qianli Jiang
,
Hongsheng Zhou
,
Ren Lin
,
Xin Zhang
,
Jing Sun
,
Qifa Liu
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.18632/oncotarget.15710
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.18632/oncotarget.15710
Autoimmune hematological diseases (AHDs) occur more frequently than other autoimmune complications after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and are often refractory to treatment. This study was to analyze the incidence and risk factors of AHDs as well as their response to treatment . Four hundred and forty-five adult malignant hematopoietic disorders underwent allo-HSCT were enrolled in this retrospective study, including 124 haploidentical donor (HRD), 140 unrelated donor (MUD) and 181 HLA-matched sibling donor (MSD) transplants. Twelve patients developed AHDs, including 6 autoimmune hemolytic anemia and 6 Evans syndrome. Evans syndrome all occurred in HRD transplants. The 3-year cumulative incidence of AHDs was 4.0 ± 1.3%, and HRD had higher incidence than MUD (8.7 ± 3.0% vs 1.8 ± 1.2%, P = 0.012) and MSD (8.7 ± 3.0% vs 3.5 ± 2.6%, P = 0.004 ). The steroids combined with Cyclosporine A were acted as the first line treatment, and the response rate was 73%. No patients experienced recurrence at a median follow up of 313 days after stopping treatment. HRD transplants (vs MUD: HR, 5.87; CI, 1.24 to 27.73; p = 0.026 and vs MSD: HR, 7.70; CI, 1.63 to 36.44; P = 0.010) and concurrent chronic graft versus host disease (HR, 3.76; CI, 1.18 to 11.92; P = 0.025) were risk factors for AHDs.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.18632/oncotarget.15710
- http://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15710&path%5B%5D=50235
- OA Status
- diamond
- Cited By
- 16
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2590194097
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2590194097Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.18632/oncotarget.15710Digital Object Identifier
- Title
-
Autoimmune hematological diseases following haploidentical donor hematopoietic stem cell transplant compared with matched sibling and unrelated donorWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-02-24Full publication date if available
- Authors
-
Weiran Lv, Zhiping Fan, Fen Huang, Na Xu, Li Xuan, Guopan Yu, Qianli Jiang, Hongsheng Zhou, Ren Lin, Xin Zhang, Jing Sun, Qifa LiuList of authors in order
- Landing page
-
https://doi.org/10.18632/oncotarget.15710Publisher landing page
- PDF URL
-
https://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15710&path%5B%5D=50235Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
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https://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=download&path%5B%5D=15710&path%5B%5D=50235Direct OA link when available
- Concepts
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Medicine, Cumulative incidence, Hematopoietic stem cell transplantation, Hematology, Transplantation, Incidence (geometry), Internal medicine, Evans syndrome, Stem cell, Immunology, Gastroenterology, Autoimmune hemolytic anemia, Anemia, Biology, Physics, Optics, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
16Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 1, 2023: 1, 2022: 3, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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28Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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