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General Indications and Logic for Haploidentical SCT

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Book cover Haploidentical Stem Cell Transplantation

Part of the book series: Stem Cell Biology and Regenerative Medicine ((STEMCELL))

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Abstract

Haploidentical donors are increasingly used in patients in need of an allogeneic hematopoietic stem cell transplantation (allo-SCT) without a readily available human leucocyte antigen identical sibling or unrelated donor. Indeed, advances in graft engineering and pharmacologic prophylaxis of GVHD have markedly improved patients’ outcome. This chapter will review the most advanced approaches to haploidentical allo-SCT: T-cell depletion with ‘megadose’ of CD34+ cells; in-vivo T cell depletion with antithymocyte globulin (ATG), granulocyte colony-stimulating factor (G-CSF) primed graft and intensive post-transplant immunosuppression; and high-dose post transplant cyclophosphamide.

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Correspondence to Mohamad Mohty .

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Malard, F., Mohty, M. (2017). General Indications and Logic for Haploidentical SCT. In: Demirer, T. (eds) Haploidentical Stem Cell Transplantation. Stem Cell Biology and Regenerative Medicine. Humana Press, Cham. https://doi.org/10.1007/978-3-319-65319-8_1

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