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  • There have been no studies on patient outcome after allogeneic hematopoietic cell transplantation (HCT) in patients with X-linked inhibitor of apoptosis (XIAP) deficiency. To estimate the success of HCT, we conducted an international survey of transplantation outcomes. Data were reported for 19 patients. Seven patients received busulfan-containing myeloablative conditioning (MAC) regimens. Eleven patients underwent reduced intensity conditioning (RIC) regimens predominantly consisting of alemtuzumab, fludarabine, and melphalan. One patient received an intermediate-intensity regimen. Survival was poor in the MAC group, with only 1 patient surviving (14%). Most deaths were from transplantation-related toxicities, including venoocclusive disease and pulmonary hemorrhage. Of the 11 patients who received RIC, 6 are currently surviving at a median of 570 days after HCT (55%). Preparative regimen and HLH activity affected outcomes, and of RIC patients reported to be in remission from HLH, survival is 86% (P = .03). We conclude that MAC regimens should not be used for patients with XIAP deficiency. It is possible that the loss of XIAP and its antiapoptotic functions contributes to the high incidence of toxicities observed with MAC regimens. RIC regimens should be pursued with caution and, if possible, efforts should be made to ensure HLH remission before HCT in these patients. (Blood. 2013;121(6):877-883)
  • There have been no studies on patient outcome after allogeneic hematopoietic cell transplantation (HCT) in patients with X-linked inhibitor of apoptosis (XIAP) deficiency. To estimate the success of HCT, we conducted an international survey of transplantation outcomes. Data were reported for 19 patients. Seven patients received busulfan-containing myeloablative conditioning (MAC) regimens. Eleven patients underwent reduced intensity conditioning (RIC) regimens predominantly consisting of alemtuzumab, fludarabine, and melphalan. One patient received an intermediate-intensity regimen. Survival was poor in the MAC group, with only 1 patient surviving (14%). Most deaths were from transplantation-related toxicities, including venoocclusive disease and pulmonary hemorrhage. Of the 11 patients who received RIC, 6 are currently surviving at a median of 570 days after HCT (55%). Preparative regimen and HLH activity affected outcomes, and of RIC patients reported to be in remission from HLH, survival is 86% (P = .03). We conclude that MAC regimens should not be used for patients with XIAP deficiency. It is possible that the loss of XIAP and its antiapoptotic functions contributes to the high incidence of toxicities observed with MAC regimens. RIC regimens should be pursued with caution and, if possible, efforts should be made to ensure HLH remission before HCT in these patients. (Blood. 2013;121(6):877-883) (en)
Title
  • Allogeneic hematopoietic cell transplantation for XIAP deficiency: an international survey reveals poor outcomes
  • Allogeneic hematopoietic cell transplantation for XIAP deficiency: an international survey reveals poor outcomes (en)
skos:prefLabel
  • Allogeneic hematopoietic cell transplantation for XIAP deficiency: an international survey reveals poor outcomes
  • Allogeneic hematopoietic cell transplantation for XIAP deficiency: an international survey reveals poor outcomes (en)
skos:notation
  • RIV/00216208:11130/13:10209601!RIV14-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
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  • 6
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http://linked.open...aciTvurceVysledku
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http://linked.open...titaPredkladatele
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  • 60125
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/13:10209601
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • sap; mice; japan; survival; apoptosis; manifestations; disease; familial hemophagocytic lymphohistiocytosis; linked lymphoproliferative syndrome (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [D69D32E9F503]
http://linked.open...i/riv/nazevZdroje
  • Blood
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 121
http://linked.open...iv/tvurceVysledku
  • Sedláček, Petr
  • Veys, Paul
  • Amrolia, Persis J.
  • Barlogis, Vincent
  • Bleesing, Jack J.
  • Casper, James
  • Dimmock, David
  • Douglas, Dorothea N.
  • Filipovich, Alexandra H.
  • Fischer, Alain
  • Hamamoto, Kazuko
  • Jordan, Michael B.
  • Kanegane, Hirokazu
  • Kim, Mi-Ok
  • Kumar, Ashish R.
  • Latour, Sylvain
  • Lehmberg, Kai
  • Li, Dandan
  • Margolis, David A.
  • Marsh, Rebecca A.
  • Milanovich, Sam
  • Müller, Ingo
  • Rao, Kanchan
  • Satwani, Prakash
http://linked.open...ain/vavai/riv/wos
  • 000314868800008
issn
  • 0006-4971
number of pages
http://bibframe.org/vocab/doi
  • 10.1182/blood-2012-06-432500
http://localhost/t...ganizacniJednotka
  • 11130
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