title: Cotransplantation of haploidentical mesenchymal stem cells to enhance engraftment of hematopoietic stem cells and to reduce the risk of graft failure in two children with severe aplastic anemia.
abstract: MSC have been suggested to be the precursor cells in the bone marrow stroma that provide a scaffold and promote hematopoiesis. They have therefore been suggested to enhance engraftment after autologous and allogeneic HSC transplantation. In patients undergoing transplantation, MSC infusion was shown to be safe and to enhance engraftment of HSC, as well as to reduce the incidence of both acute and chronic GVHD. We cotransplanted haploidentical AMSC with HLA-identical sibling-matched PBSC in two pediatric patients with refractory SAA after primary or secondary graft failure. At present, the two patients are more than two yr after cotransplantation without any treatment, transfusion-independent and in good condition. Thus, cotransplantation of MSC might enhance engraftment of HSC in patients regrafted for graft failure.
authors.affiliation: Henan Tumor Hospital, Henan Institute of Haematology, Zhengzhou, China.
authors.forename: Baijun
authors.initials: B
authors.lastname: Fang
authors.forename: Ning
authors.initials: N
authors.lastname: Li
authors.forename: Yongping
authors.initials: Y
authors.lastname: Song
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.forename: Robert Chunhua
authors.initials: RC
authors.lastname: Zhao
authors.forename: Yuanfang
authors.initials: Y
authors.lastname: Ma
mesh_terms: D000741:Anemia, Aplastic / Q000628:therapy*; D002648:Child; D005260:Female; D006085:Graft Survival; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D008297:Male; D045164:Mesenchymal Stem Cell Transplantation