Hino M, Yamane T, Ohta K, Tatsumi N
Department of Clinical Hematology, Osaka City University Medical School.
Rinsho Byori. 1999 May;Suppl 110:92-8.
Allogeneic peripheral blood stem cell transplantation (PBSCT) has been increasingly used as an alternative to allogeneic bone marrow transplantation. Allo-PBSCT can provide rapid engraftment of neutrophils and platelets. Although the recipients of allogeneic PBSCT are infused 10-fold T cells compared with BMT, there is no evidence for a significant difference between PBSCT and BMT with regard to incidence and severity of acute graft-versus-host disease (GVHD). On the other hand, several reports have indicated a high risk for developing chronic GVHD after allogeneic PBSCT as opposed to BMT.
异基因外周血干细胞移植(PBSCT)已越来越多地被用作异基因骨髓移植的替代方法。异基因PBSCT可使中性粒细胞和血小板快速植入。尽管与骨髓移植相比,异基因PBSCT的受者输注的T细胞数量多10倍,但在急性移植物抗宿主病(GVHD)的发生率和严重程度方面,没有证据表明PBSCT和骨髓移植之间存在显著差异。另一方面,有几份报告指出,与骨髓移植相比,异基因PBSCT后发生慢性GVHD的风险较高。