Abstract
Pediatric myeloid malignancies include diagnoses such as acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), chronic myelogenous leukemia (CML), and juvenile myelomonocytic leukemia (JMML). While rare, they have been associated with poor outcomes and often require hematopoietic cell transplantation (HCT) for cure. In the effort to expand the donor pool and offer HCT to more patients, cord blood is being used more frequently in recent history. The role of cord blood HCT for each of these pediatric myeloid malignancies is reviewed as well as the advantages and disadvantages relative to other donor sources.
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Anasetti C (2015) Use of alternative donors for allogeneic stem cell transplantation. Hematology Am Soc Hematol Educ Program 2015:220–224
Appelbaum FR, Thomas ED (2009) Thomas’ hematopoietic cell transplantation stem cell transplantation. In: Frederick RA (ed) 4th edn. Wiley-Blackwell, Chichester/Hoboken, pp xxx, 1718 p., 32 p. of plates ill. (some col.) 29 cm. + 1 CD-ROM
Ballen KK (2015) Is there a best graft source of transplantation in acute myeloid leukemia? Best Pract Res Clin Haematol 28:147–154
Ballen KK, Lazarus H (2016) Cord blood transplant for acute myeloid leukaemia. Br J Haematol 173:25–36
Barker JN, Byam CE, Kernan NA et al (2010) Availability of cord blood extends allogeneic hematopoietic stem cell transplant access to racial and ethnic minorities. Biol Blood Marrow Transplant 16:1541–1548
Brunstein CG, McKenna DH, DeFor TE et al (2013) Complement fragment 3a priming of umbilical cord blood progenitors: safety profile. Biol Blood Marrow Transplant 19:1474–1479
Brunstein CG, Miller JS, McKenna DH et al (2016) Umbilical cord blood-derived T regulatory cells to prevent GvHD: kinetics, toxicity profile, and clinical effect. Blood 127:1044–1051
Cairo MS, Tarek N, Lee DA et al (2016) Cellular engineering and therapy in combination with cord blood allografting in pediatric recipients. Bone Marrow Transplant 51:27–33
Carrancio S, Romo C, Ramos T et al (2013) Effects of MSC coadministration and route of delivery on cord blood hematopoietic stem cell engraftment. Cell Transplant 22:1171–1183
Cutler C, Kim HT, Sun L et al (2011) Donor-specific anti-HLA antibodies predict outcome in double umbilical cord blood transplantation. Blood 118:6691–6697
Cutler C, Multani P, Robbins D et al (2013) Prostaglandin-modulated umbilical cord blood hematopoietic stem cell transplantation. Blood 122:3074–3081
Delaney C, Heimfeld S, Brashem-Stein C et al (2010) Notch-mediated expansion of human cord blood progenitor cells capable of rapid myeloid reconstitution. Nat Med 16:232–236
Eapen M, Rubinstein P, Zhang MJ et al (2007) Outcomes of transplantation of unrelated donor umbilical cord blood and bone marrow in children with acute leukaemia: a comparison study. Lancet 369:1947–1954
Farag SS, Srivastava S, Messina-Graham S et al (2013) In vivo DPP-4 inhibition to enhance engraftment of single-unit cord blood transplants in adults with hematological malignancies. Stem Cells Dev 22:1007–1015
Hanley PJ, Cruz CR, Savoldo B et al (2009) Functionally active virus-specific T-cells that target CMV, adenovirus, and EBV can be expanded from naive T-cell populations in cord blood and will target a range of viral epitopes. Blood 114:1958–1967
Horwitz ME, Chao NJ, Rizzieri DA et al (2014) Umbilical cord blood expansion with nicotinamide provides long-term multilineage engraftment. J Clin Invest 124:3121–3128
Kurtzberg J, Prasad VK, Carter SL et al (2008) Results of the cord blood transplantation study (COBLT): clinical outcomes of unrelated donor umbilical cord blood transplantation in pediatric patients with hematologic malignancies. Blood 112:4318–4327
de Lima M, McNiece I, Robinson SN et al (2012) Cord-blood engraftment with ex vivo mesenchymal-cell coculture. N Engl J Med 367:2305–2315
Locatelli F, Crotta A, Ruggeri A et al (2013) Analysis of risk factors influencing outcomes after cord blood transplantation in children with juvenile myelomonocytic leukemia: a EUROCORD, EBMT, EWOG-MDS, CIBMTR study. Blood 122:2135–2141
Locatelli F, Masetti R, Rondelli R et al (2015) Outcome of children with high-risk acute myeloid leukemia given autologous or allogeneic hematopoietic cell transplantation in the aieop AML-2002/01 study. Bone Marrow Transplant 50:181–188
Madureira AB, Eapen M, Locatelli F et al (2011) Analysis of risk factors influencing outcome in children with myelodysplastic syndrome after unrelated cord blood transplantation. Leukemia 25:449–454
Michel G, Rocha V, Chevret S et al (2003) Unrelated cord blood transplantation for childhood acute myeloid leukemia: a Eurocord group analysis. Blood 102:4290–4297
Micklethwaite KP, Savoldo B, Hanley PJ et al (2010) Derivation of human T lymphocytes from cord blood and peripheral blood with antiviral and antileukemic specificity from a single culture as protection against infection and relapse after stem cell transplantation. Blood 115:2695–2703
Nagamura-Inoue T, Kai S, Azuma H et al (2008) Unrelated cord blood transplantation in CML: Japan cord blood Bank network analysis. Bone Marrow Transplant 42:241–251
Parikh SH, Mendizabal A, Martin PL et al (2009) Unrelated donor umbilical cord blood transplantation in pediatric myelodysplastic syndrome: a single-center experience. Biol Blood Marrow Transplant 15:948–955
Popat U, Mehta RS, Rezvani K et al (2015) Enforced fucosylation of cord blood hematopoietic cells accelerates neutrophil and platelet engraftment after transplantation. Blood 125:2885–2892
Robinson SN, Simmons PJ, Thomas MW et al (2012) Ex vivo fucosylation improves human cord blood engraftment in NOD-SCID IL-2Rγ(null) mice. Exp Hematol 40:445–456
Rocha V, Kabbara N, Ionescu I et al (2009) Pediatric related and unrelated cord blood transplantation for malignant diseases. Bone Marrow Transplant 44:653–659
Simula MP, Marktel S, Fozza C et al (2007) Response to donor lymphocyte infusions for chronic myeloid leukemia is dose-dependent: the importance of escalating the cell dose to maximize therapeutic efficacy. Leukemia 21:943–948
Smith AR, Christiansen EC, Wagner JE et al (2013) Early hematopoietic stem cell transplant is associated with favorable outcomes in children with MDS. Pediatr Blood Cancer 60:705–710
Thompson PA, Rezvani K, Hosing CM et al (2015) Umbilical cord blood graft engineering: challenges and opportunities. Bone Marrow Transplant 50(Suppl 2):S55–S62
Vardiman JW, Thiele J, Arber DA et al (2009) The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes. Blood 114:937–951
Venepalli N, Rezvani K, Mielke S et al (2010) Role of Allo-SCT for CML in 2010. Bone Marrow Transplant 45:1579–1586
Wagner JE, Eapen M, Carter S et al (2014) One-unit versus two-unit cord-blood transplantation for hematologic cancers. N Engl J Med 371:1685–1694
Wagner JE, Brunstein CG, Boitano AE et al (2016) Phase I/II trial of stemregenin-1 expanded umbilical cord blood hematopoietic stem cells supports testing as a stand-alone graft. Cell Stem Cell 18:144–155
Ward E, DeSantis C, Robbins A et al (2014) Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64:83–103
Zheng C, Tang B, Yao W et al (2013) Comparison of unrelated cord blood transplantation and HLA-matched sibling hematopoietic stem cell transplantation for patients with chronic myeloid leukemia in advanced stage. Biol Blood Marrow Transplant 19:1708–1712
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Dietz, A.C., Verneris, M.R. (2017). Cord Blood Transplants for Myeloid Malignancies in Children. In: Horwitz, M., Chao, N. (eds) Cord Blood Transplantations. Advances and Controversies in Hematopoietic Transplantation and Cell Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-53628-6_8
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DOI: https://doi.org/10.1007/978-3-319-53628-6_8
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