title: Allogeneic hematopoietic stem cell transplantation for inherited bone marrow failure syndromes.
abstract: Inherited bone marrow failure (IBMF) syndromes are a heterogeneous group of rare hematological disorders characterized by the impairment of hematopoiesis, which harbor specific clinical presentations and pathogenic mechanisms. Some of these syndromes may progress through clonal evolution, myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). Most prominent are failures of DNA repair such as Fanconi Anemia and much rarer failure of ribosomal apparatus, e.g., Diamond Blackfan Anemia or of telomere elongation such as dyskeratosis congenita. In these congenital disorders, hematopoietic stem cell transplantation (HSCT) is often a consideration. However, HSCT will not correct the underlying disease and possible co-existing extra-medullary (multi)-organ defects, but will improve BMF. Indications as well as transplantation characteristics are most of the time controversial in this setting because of the rarity of reported cases. The present paper proposes a short overview of current practices.
authors.affiliation: Service d'Hémato-immunologie, Hôpital Robert-Debré, AP-HP et Université Paris 7-Paris Diderot, Paris, France. jhugues.dalle@gmail.com.
authors.forename: Jean-Hugues
authors.initials: JH
authors.lastname: Dalle
authors.affiliation: Service d'Hématologie Greffe, Hôpital Saint-Louis, AP-HP et Université Paris 7-Paris Diderot, Paris, France.
authors.forename: Régis
authors.initials: R
authors.lastname: Peffault de Latour
mesh_terms: D000741:Anemia, Aplastic / Q000150:complications / Q000473:pathology / Q000628:therapy*; D029503:Anemia, Diamond-Blackfan / Q000150:complications / Q000473:pathology / Q000628:therapy; D001853:Bone Marrow / Q000473:pathology*; D001855:Bone Marrow Diseases / Q000150:complications / Q000473:pathology / Q000628:therapy*; D000080983:Bone Marrow Failure Disorders; D000080984:Congenital Bone Marrow Failure Syndromes; D019871:Dyskeratosis Congenita / Q000150:complications / Q000473:pathology / Q000628:therapy; D010188:Exocrine Pancreatic Insufficiency / Q000150:complications / Q000473:pathology / Q000628:therapy; D005199:Fanconi Anemia / Q000150:complications / Q000473:pathology / Q000628:therapy; D018380:Hematopoietic Stem Cell Transplantation / Q000379:methods*; D006457:Hemoglobinuria, Paroxysmal / Q000150:complications / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008068:Lipomatosis / Q000150:complications / Q000473:pathology / Q000628:therapy; D009503:Neutropenia / Q000150:complications / Q000151:congenital / Q000473:pathology / Q000628:therapy; D000081003:Shwachman-Diamond Syndrome; D013921:Thrombocytopenia / Q000150:complications / Q000473:pathology / Q000628:therapy
keywords: Inherited bone marrow failure disorders; Pediatrics; Stem cell transplantation