Skip to main content

Selection of Cord Blood Unit(s) for Transplantation

  • Chapter
  • First Online:
Allogeneic Stem Cell Transplantation

Part of the book series: Contemporary Hematology ((CH))

  • 1424 Accesses

Abstract

Over the past decade, cord blood (CB) has been established as an alternative source of donor cells for allogeneic hematopoietic stem cell transplantation. The outcome of CB transplants, particularly in children, is similar to the unrelated donor transplants using bone marrow cell or mobilized peripheral blood progenitor cells [1-4]. Early experience in adult CB transplantation was hampered by poor engraftment and immune recovery [5-7]. Recent experiences with better risk patients, double CB unit transplants, and submyeloablative preparative regimens have been more encouraging [8-10].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Grewal SS, Barker JN, Davies SM, Wagner JE (2003) Unrelated donor hematopoietic cell transplantation: marrow or umbilical cord blood? Blood 101:4233-4244

    Article  PubMed  CAS  Google Scholar 

  2. Eapen M, Rubinstein P, Zhang MJ et al (2006) Comparable long-term survival after unrelated and HLA-matched sibling donor hematopoietic stem cell transplantations for acute leukemia in children younger than 18 months. J Clin Oncol 24:145-151

    Article  PubMed  Google Scholar 

  3. Bunin N, Carston M, Wall D et al (2002) Unrelated marrow transplantation for children with acute lymphoblastic leukemia in second remission. Blood 99:3151-3157

    Article  PubMed  CAS  Google Scholar 

  4. Hwang WY, Samuel M, Tan D, Koh LP, Lim W, Linn YC (2007) A meta-analysis of unrelated donor umbilical cord blood transplantation versus unrelated donor bone marrow transplantation in adult and pediatric patients. Biol Blood Marrow Transplant 13:444-453

    Article  PubMed  Google Scholar 

  5. Chao NJ, Liu CX, Rooney B et al (2002) Nonmyeloablative regimen preserves "niches" allowing for peripheral expansion of donor T-cells. Biol Blood Marrow Transplant 8:249-256

    Article  PubMed  Google Scholar 

  6. Cornetta K, Laughlin M, Carter S et al (2005) Umbilical cord blood transplantation in adults: results of the prospective cord blood transplantation (COBLT). Biol Blood Marrow Transplant 11:149-160

    Article  PubMed  Google Scholar 

  7. Laughlin MJ, Eapen M, Rubinstein P et al (2004) Outcomes after transplantation of cord blood or bone marrow from unrelated donors in adults with leukemia. N Engl J Med 351:2265-2275

    Article  PubMed  CAS  Google Scholar 

  8. Ballen KK, Spitzer TR, Yeap BY et al (2007) Double unrelated reduced-intensity umbilical cord blood transplantation in adults. Biol Blood Marrow Transplant 13:82-89

    Article  PubMed  CAS  Google Scholar 

  9. Brunstein CG, Barker JN, Weisdorf DJ et al (2007) Umbilical cord blood transplantation after nonmyeloablative conditioning: impact on transplantation outcomes in 110 adults with hematologic disease. Blood 110:3064-3070

    Article  PubMed  CAS  Google Scholar 

  10. Takahashi S, Iseki T, Ooi J et al (2004) Single-institute comparative analysis of unrelated bone marrow transplantation and cord blood transplantation for adult patients with hematologic malignancies. Blood 104:3813-3820

    Article  PubMed  CAS  Google Scholar 

  11. Kernan N, Carter S, Wagner J, Baxter-Lowe L, Wall D, Kapoor N (2006) Umbilical cord blood transplantation in pediatric patients: results of the prospective, multi-institutional cord blood transplantation study (COBLT). Biol Blood Marrow Transplant 12:14 (abst 33)

    Article  Google Scholar 

  12. Roncarolo MG, Bigler M, Martino S, Ciuti E, Tovo PA, Wagner J (1996) Immune functions of cord blood cells before and after transplantation. J Hematother 5:157-160

    Article  PubMed  CAS  Google Scholar 

  13. Han P, Hodge G (1999) Intracellular cytokine production and cytokine receptor interaction of cord mononuclear cells: relevance to cord blood transplantation. Br J Haematol 107:450-457

    Article  PubMed  CAS  Google Scholar 

  14. Rainsford E, Reen DJ (2002) Interleukin 10, produced in abundance by human newborn T cells, may be the regulator of increased tolerance associated with cord blood stem cell transplantation. Br J Haematol 116:702-709

    Article  PubMed  CAS  Google Scholar 

  15. Gardiner CM, Meara AO, Reen DJ (1998) Differential cytotoxicity of cord blood and bone marrow-derived natural killer cells. Blood 91:207-213

    PubMed  CAS  Google Scholar 

  16. Joshi SS, Tarantolo SR, Kuszynski CA, Kessinger A (2000) Antitumor therapeutic potential of activated human umbilical cord blood cells against leukemia and breast cancer. Clin Cancer Res 6:4351-4358

    PubMed  CAS  Google Scholar 

  17. El Marsafy S, Dosquet C, Coudert MC, Bensussan A, Carosella E, Gluckman E (2001) Study of cord blood natural killer cell suppressor activity. Eur J Haematol 66:215-220

    Article  PubMed  CAS  Google Scholar 

  18. Hodge S, Hodge G, Flower R, Han P (2001) Cord blood leucocyte expression of functionally significant molecules involved in the regulation of cellular immunity. Scand J Immunol 53:72-78

    Article  PubMed  CAS  Google Scholar 

  19. Nomura A, Takada H, Jin CH, Tanaka T, Ohga S, Hara T (2001) Functional analyses of cord blood natural killer cells and T cells: a distinctive interleukin-18 response. Exp Hematol 29:1169-1176

    Article  PubMed  CAS  Google Scholar 

  20. Gorin NC, Labopin M, Rocha V et al (2003) Marrow versus peripheral blood for geno-identical allogeneic stem cell transplantation in acute myelocytic leukemia: influence of dose and stem cell source shows better outcome with rich marrow. Blood 102:3043-3051

    Article  PubMed  CAS  Google Scholar 

  21. Sierra J, Storer B, Hanson J, Bjerke J, Martin P, Petersdorf E (1997) Transplantation of marrow cells from unrelated donor for the treatment of high-risk acute leukemia: the effect of leukemia burden, donor HLA matching, and marrow cell dose. Blood 89:4226-4235

    PubMed  CAS  Google Scholar 

  22. Hurley C, Baxter-Lowe L, Logan B, Karanes C, Anasetti C, Weisdorf D (2003) National Marrow Donor Program HLA-matching guidelines for unrelated marrow transplants. Biol Blood Marrow Transplant 9:610-615

    Article  PubMed  Google Scholar 

  23. Lee SJ, Klein J, Haagenson M et al (2007) High-resolution donor-recipient HLA matching contributes to the success of unrelated donor marrow transplantation. Blood 110:4576-4583

    Article  PubMed  CAS  Google Scholar 

  24. Peterdorf E, Kollman C, Hurley C, Dupont P, Nademannee A, Bogovich A (2001) Effect of HLA class II gene disparity on clinical outcome in unrelated donor hematopoietic cell transplantation for chronic myeloid leukemia: the US national marrow donor program experience. Blood 98:2922-2929

    Article  Google Scholar 

  25. Flomenberg N, Baxter-Lowe L, Confer D, Fernandez-Vina M, Filipovich A, Horowitz M (2004) Impact of HLA class I and class II high-resolution matching on outcomes of unrelated donor bone marrow transplantation: HLA-C mismatching is associated with a strong adverse effect on transplantation outcome. Blood 104:1923-1930

    Article  PubMed  CAS  Google Scholar 

  26. Serna DS, Lee SJ, Zhang MJ et al (2003) Trends in survival rates after allogeneic hematopoietic stem-cell transplantation for acute and chronic leukemia by ethnicity in the United States and Canada. J Clin Oncol 21:3754-3760

    Article  PubMed  Google Scholar 

  27. Sasazuki T, Juji T, Morishima Y, Kinukawa N, Kashiwabara H, Inoko H (1998) Effect of matching class I alleles on clinical outcome after transplantation of hematopoietic stem cells from an unrelated donor. N Engl J Med 339:1177-1185

    Article  PubMed  CAS  Google Scholar 

  28. Migliaccio AR, Adamson JW, Stevens CE, Dobrila NL, Carrier CM, Rubinstein P (2000) Cell dose and speed of engraftment in placental/umbilical cord blood transplantation: graft progenitor cell content is a better predictor than nucleated cell quantity. Blood 96:2717-2722

    PubMed  CAS  Google Scholar 

  29. Wall DA, Noffsinger JM, Mueckl KA et al (1997) Feasibility of an obstetrician-based cord blood collection network for unrelated donor umbilical cord blood banking. J Matern Fetal Med 6:320-323

    Article  PubMed  CAS  Google Scholar 

  30. Stevens CE, Gladstone J, Taylor PE et al (2002) Placental/umbilical cord blood for unrelated-donor bone marrow reconstitution: relevance of nucleated red blood cells. Blood 100:2662-2664

    Article  PubMed  CAS  Google Scholar 

  31. Goodwin HS, Grunzinger LM, Regan DM et al (2003) Long term cryostorage of UC blood units: ability of the integral segment to confirm both identity and hematopoietic potential. Cytotherapy 5:80-86

    Article  PubMed  CAS  Google Scholar 

  32. Gluckman E, Rocha V, Arcese W et al (2004) Factors associated with outcomes of unrelated cord blood transplant: guidelines for donor choice. Exp Hematol 32:397-407

    Article  PubMed  CAS  Google Scholar 

  33. Rubinstein P, Stevens CE (2000) Placental blood for bone marrow replacement: the New York Blood Center's program and clinical results. Baillieres Best Pract Res Clin Haematol 13:565-584

    Article  PubMed  CAS  Google Scholar 

  34. Wagner JE, Barker JN, DeFor TE et al (2002) Transplantation of unrelated donor umbilical cord blood in 102 patients with malignant and nonmalignant diseases: influence of CD34 cell dose and HLA disparity on treatment-related mortality and survival. Blood 100:1611-1618

    PubMed  CAS  Google Scholar 

  35. Barker J, Scaradavou A, Stevens C, Rubinstein P (2005) Analysis of 608 umbilical cord blood transplants: HLA-match is a critical determinant of transplant-related mortality in the post-engraftment period even in the absence of acute graft-versus-host disease. Blood 106:abst 303

    Google Scholar 

  36. Gluckman E, Rocha V (2006) Donor selection for unrelated cord blood transplants. Curr Opin Immunol 18:565-570

    Article  PubMed  CAS  Google Scholar 

  37. Kogler G, Enczmann J, Rocha V, Gluckman E, Wernet P (2005) High-resolution HLA typing by sequencing for HLA-A, -B, -C, -DR, -DQ in 122 unrelated cord blood/patient pair transplants hardly improves long-term clinical outcome. Bone Marrow Transplant 36:1033-1041

    Article  PubMed  CAS  Google Scholar 

  38. van Heeckeren WJ, Fanning LR, MH J et al. Influence of HLA disparity and graft lymphocytes on allogeneic engraftment and survival after umbilical cord blood transplants in adults. Leukemia (in press)

    Google Scholar 

  39. Moretta A, Locatelli F, Mingrat G et al (1999) Characterisation of CTL directed towards non-inherited maternal alloantigens in human cord blood. Bone Marrow Transplant 24:1161-1166

    Article  PubMed  CAS  Google Scholar 

  40. van Rood JJ (2000) Double role of HLA in organ transplantation. World J Surg 24:823-827

    Article  PubMed  Google Scholar 

  41. van Rood JJ, Roelen DL, Claas FH (2005) The effect of noninherited maternal antigens in allogeneic transplantation. Semin Hematol 42:104-111

    Article  PubMed  Google Scholar 

  42. van Rood JJ, Loberiza FR Jr, Zhang MJ et al (2002) Effect of tolerance to noninherited maternal antigens on the occurrence of graft-versus-host disease after bone marrow transplantation from a parent or an HLA-haploidentical sibling. Blood 99:1572-1577

    Article  PubMed  Google Scholar 

  43. Wagner JE, Kurtzberg J (1998) Allogeneic umbilical cord blood transplantation. In: Broxmeyer HE, Broxmeyer HE, Broxmeyer HE (eds) Cellular characteristics of cord blood and cord blood transplantation. AABB, Bethesda, MD, pp 113-145

    Google Scholar 

  44. Rocha V, Chastang C, Souillet G, Rocha V, Chastang C, Souillet G et al (1998) Related cord blood transplants: the Eurocord experience from 78 transplants. Eurocord transplant group. Bone Marrow Transplant 21(Suppl 3):S59-S62

    Google Scholar 

  45. Gluckman E, Rocha V, Ionescu I et al (2007) Results of unrelated cord blood transplant in fanconi anemia patients: risk factor analysis for engraftment and survival. Biol Blood Marrow Transplant 13:1073-1082

    Article  PubMed  Google Scholar 

  46. Tomonari A, Takahashi S, Ooi J et al (2007) Impact of ABO incompatibility on engraftment and transfusion requirement after unrelated cord blood transplantation: a single institute experience in Japan. Bone Marrow Transplant 40:523-528

    Article  PubMed  CAS  Google Scholar 

  47. Gluckman E (2006) Cord blood transplantation. Biol Blood Marrow Transplant 12:808-812

    Article  PubMed  Google Scholar 

  48. Barker JN, Weisdorf DJ, Defor TE et al (2005) Transplantation of 2 partially HLA-matched umbilical cord blood units to enhance engraftment in adults with hematologic malignancy. Blood 105:1343-1347

    Article  PubMed  CAS  Google Scholar 

  49. Majhail N, Brunstein C, Wagner J (2006) Double umbilical cord blood transplantation. Curr Opin Immunol 18:571-575

    Article  PubMed  CAS  Google Scholar 

  50. Lister J, Gryn JF, McQueen KL, Harris DT, Rossetti JM, Shadduck RK (2007) Multiple unit HLA-unmatched sex-mismatched umbilical cord blood transplantation for advanced hematological malignancy. Stem Cells Dev 16:177-186

    Article  PubMed  CAS  Google Scholar 

  51. Chan K, Grimley M, Taylor C, Wall D (2006) Primary graft failure after unrelated donor cord blood transplant: risk factors and management. Blood 108:abst 44

    Google Scholar 

  52. Shpall EJ, McNiece IK, De Lima M et al (2004) Transplantation of ex vivo expanded cord blood. Biol Blood Marrow Transplant 10:738

    Article  Google Scholar 

  53. Shpall EJ, Quinones R, Giller R et al (2002) Transplantation of ex vivo expanded cord blood. Biol Blood Marrow Transplant 8:368-376

    Article  PubMed  Google Scholar 

  54. Peled T, Landau E, Mandel J et al (2004) Linear polyamine copper chelator tetraethylenepentamine augments long-term ex vivo expansion of cord blood-derived CD34+ cells and increases their engraftment potential in NOD/SCID mice. Exp Hematol 32:547-555

    Article  PubMed  CAS  Google Scholar 

  55. Gibbons R (2005) Appendix G: statistical report. Cord blood: establishing a national hematopoietic stem cell bank program. National Academy of Sciences, Washington, DC

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Wall, D.A., Chan, K.W. (2010). Selection of Cord Blood Unit(s) for Transplantation. In: Lazarus, H.M., Laughlin, M.J. (eds) Allogeneic Stem Cell Transplantation. Contemporary Hematology. Humana Press. https://doi.org/10.1007/978-1-59745-478-0_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-478-0_21

  • Published:

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-934115-33-6

  • Online ISBN: 978-1-59745-478-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics