Abstract
Although allogeneic stem cell transplantation can cure patients with hematologic malignancies and nonmalignant disorders, limiting factors such as lack of suitable donors and graft-versus-host disease (GVHD) toxicity have led to the exploration of umbilical cord blood (UCB) as an alternative source of hematopoietic stem cells. The unique immunologic properties of UCB likely contribute to a decreased risk of GVHD. Thus, UCB represents a highly convenient hematopoietic stem cell (HSC) source that may significantly expand the HSC donor pool. Cord blood stem cells appear to confer significant advantages over adult stem cells, including ease of procurement, less of a requirement for human leukocyte antigen (HLA) matching, and fever side effects after use in transplant. Because of these characteristics, UCB is now the fastest growing source of stem cells for hematopoietic cell transplantation.
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References
Gluckman E, Rocha V. History of the clinical use of umbilical cord blood hematopoietic cells. Cytotherapy. 2005;7:219-227.
Kurtzberg J, Laughlin M, Graham M, et al. Placental blood as a source of hematopoietic stem cells for transplantation into unrelated recipients. N Engl J Med. 1996;335:373.
Wagner JE, Kernan NA, Steinbuch M, Broxmeyer HE, Gluckman E. Allogeneic sibling umbilical-cord-blood transplantation in children with malignant and non-malignant disease. Lancet. 1995;346:214-219.
Gluckman E, Rocha V, Boyer-Chammard A, et al. Outcome of cord-blood transplantation from related and unrelated donors: Eurocord Transplant Group and the European Blood and Marrow Transplantation Group. N Engl J Med. 1997;337:373-381.
Rocha V, Wagner J, Boyer Chammard A, et al. Comparison of graft-versus-host disease in children transplanted with HLA identical sibling umbilical cord blood versus HLA identical sibling bone marrow transplant. N Engl J Med. 2000;342:1840.
Laughlin M, Barker J, Bambach B, et al. Hematopoietic engraftment and survival in adult recipients of unrelated donor umbilical cord blood. N Engl J Med. 2001;344:1815.
Schmidt AH, Biesinger L, Baier D, Harf P, Rutt C. Aging of registered stem cell donors: implications for donor recruitment. Bone Marrow Transplant. 2008;41:605-612.
Chow R, Nademanee A, Rosenthal J, et al. Analysis of hematopoietic cell transplants using plasma-depleted cord blood products that are not red blood cell reduced. Biol Blood Marrow Transplant. 2007;13:1346-1357.
Tse W, Laughlin MJ. Umbilical cord blood transplantation: a new alternative option. Hematol Am Soc Hematol Educ Prog. 2005;377–83.
Rocha V, Gluckman E. Clinical use of umbilical cord blood hematopoietic stem cells. Biol Blood Marrow Transplant. 2006;12(1 Suppl 1):34-41.
Rubinstein P. Why cord blood? Hum Immunol. 2006;67:398-404.
Gluckman E, Rocha V. Donor selection for unrelated cord blood transplants. Curr Opin Immunol. 2006;18:565-570.
Rubinstein P, Carrier C, Scaradavou A, et al. Outcomes among 562 recipients of placental-blood transplants from unrelated donors. N Engl J Med. 1997;337:373-381.
Rocha V, Cornish J, Sievers EL, et al. Comparison of outcomes of unrelated bone marrow and umbilical cord blood transplantation in children with acute leukemia. Blood. 2001;97:2962-2971.
Bornstein R, Flores AI, Montalbán MA, del Rey MJ, de la Serna J, Gilsanz F. A modified cord blood collection method achieves sufficient cell levels for transplantation in most adult patients. Stem Cells. 2005;23:324-334.
Majhail NS, Brunstein CG, Wagner JE. Double umbilical cord blood transplantation. Curr Opin Immunol. 2006;18:571-575.
Fernandez M, Regidor C, Cabreera R, et al. Unrelated umbilical cord blood transplants in adults: early recovery of neutrophils by supportive co-transplantation of a low number of highly purified peripheral blood CD34+ cells from an HLA-haploidentical donor. Exp Hematol. 2003;31:535-544.
Chow R, Wang B, Rosenthal J, et al. A novel method to reduce rates of extensive chronic GVHD (cGvHD) without increased relapse for cord blood transplant. Biol Blood Marrow Transplant. 2008;14S:11.
Jaing TH, Hung IJ, Yang CP, Chen SH, Sun CF, Chow R. Rapid and complete donor chimerism after unrelated mismatched cord blood transplantation in 5 children with beta-thalassemia major. Biol Blood Marrow Transplant. 2005;11:349-353.
Jaing TH, Yang CP, Hung IJ, Chen SH, Sun CF, Chow R. Transplantation of unrelated donor umbilical cord blood utilizing double-unit grafts for five teenagers with transfusion-dependent thalassemia. Bone Marrow Transplant. 2007;40:307-311.
Locatelli F, Rocha V, Reed W, et al. Related umbilical cord blood transplantation in patients with thalassemia and sickle cell disease. Blood 2003;101:2137-2143.
Kabbara N, Locatelli F, Rocha V, et al. A multicentric comparative analysis of outcomes of HLA-identical related cord blood and bone marrow transplantation in patients with beta-thalassemia or sickle cell disease. Biol Blood Marrow Transplant. 2008;14S:3.
Chow R, Bhat R, Petz L, et al. Unrelated HLA-mismatched cord blood transplantation for transfusion-dependent thalassemia and sickle cell disease – is the benefit risk ratio there yet? VAK. 2007;2:57-66.
Brunstein CG, Baker KS, Wagner JE. Umbilical cord blood transplantation for myeloid malignancies. Curr Opin Hematol. 2007;14:162-169.
Haspel RL, Ballen KK. Double cord blood transplants: filling a niche? Stem Cell Rev. 2006;2:81-86.
Mayani H, Lansdorp PM. Biology of human umbilical cord blood-derived hematopoietic stem/progenitor cells. Stem Cells. 1998;16:153-165.
Barker JN, Wagner JE. Umbilical cord blood transplantation: current practice and future innovations. Crit Rev Oncol Hematol. 2003;48:35-43.
Wadlow RC, Porter DL. Umbilical cord blood transplantation: where do we stand? Biol Blood Marrow Transplant. 2002;8:637-647.
Gluckman E. Current status of umbilical cord blood hematopoietic stem cell transplantation. Exp Hematol. 2000;28:1197-1205.
Bender J, Unverzagt K, Walker D, et al. Phenotypic analysis and characterization of CD34+ cells from normal human bone marrow, cord blood, peripheral blood, and mobilized peripheral blood from patients undergoing autologous stem cell transplantation. Clin Immunol Immunopathol. 1994;70:10-18.
Wagner JE, Barker JN, DeFor TE, et al. 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. 2002;100:1611-1618.
Barker JN, Davies SM, DeFor T, Ramsay NK, Weisdorf DJ, Wagner JE. Survival after transplantation of unrelated donor umbilical cord blood is comparable to that of human leukocyte antigen-matched unrelated donor bone marrow: results of a matched-pair analysis. Blood. 2001;97:2957-2961.
Laughlin MJ, Eapen M, Rubinstein P, et al. Outcomes after transplantation of cord blood or bone marrow from unrelated donors in adults with leukemia. N Engl J Med. 2004;351:2265-2275.
Rocha V, Labopin M, Sanz G, Acute Leukemia Working Party of European Blood and Marrow Transplant Group, et al. Eurocord-netcord registry transplants of umbilical-cord blood or bone marrow from unrelated donors in adults with acute leukemia. N Engl J Med. 2004;35:2276-2285.
Rocha V, Wagner JE, Sobocinski KA, et al. Graft-versus-host disease in children who have received a cord blood or bone marrow transplant from an HLA-identical sibling. N Engl J Med. 2000;342:1846-1854.
Locatelli F, Rocha V, Chastang C, et al. Factors associated with outcome after cord blood transplantation in children with acute leukemia: Eurocord-Cord Blood Transplant Group. Blood. 1999;93:3662-3671.
Michel G, Rocha V, Chevret S, et al. Unrelated cord blood transplantation for childhood acute myeloid leukemia: a Eurocord Group analysis. Blood. 2003;102:4290-4297.
Staba SL, Escolar ML, Poe M, et al. Cord-blood transplants from unrelated donors in patients with Hurler’s syndrome. N Engl J Med. 2004;350:1960-1969.
Kobayashi R, Ariga T, Nonoyama S, et al. Outcome in patients with Wiskott-Aldrich syndrome following stem cell transplantation: an analysis of 57 patients in Japan. Br J Haematol. 2006;135:362-366.
Jiang XF, Sheng BJ. Clinical study of unrelated umbilical cord blood transplantation in 32 children patients. Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2006;14:829-831.
Rubinstein P, Stevens CE. Placental blood for bone marrow replacement: the New York Blood Center’s program and clinical results. Baillières Best Pract Res Clin Haematol. 2000;13:565-584.
Dalle JJH, Duval MM, Moghrabi AA, et al. Results of an unrelated transplant search strategy using partially HLA-mismatched cord blood as an immediate alternative to HLA-matched bone marrow. Bone Marrow Transplant. 2004;33:605-611.
Ballen KK, Haley NR, Kurtzberg J, et al. Outcomes of 122 diverse adult and pediatric cord blood transplant recipients from a large cord blood bank. Transfusion. 2006;46:2063-2070.
Cohen Y, Nagler A. Umbilical cord blood transplantation: how, when and for whom? Blood Rev. 2004;18:167-179.
Ballen K, Broxmeyer HE, McCullough J, et al. Current status of cord blood banking and transplantation in the United States and Europe. Biol Blood Marrow Transplant. 2001;7:635-645.
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Jaing, TH., Chow, R. (2011). Cord Blood: A Massive Waste of a Life-Saving Resource, a Perspective on Its Current and Potential Uses. In: Bhattacharya, N., Stubblefield, P. (eds) Regenerative Medicine Using Pregnancy-Specific Biological Substances. Springer, London. https://doi.org/10.1007/978-1-84882-718-9_7
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DOI: https://doi.org/10.1007/978-1-84882-718-9_7
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