Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors

Haploidentical stem cell transplantation provides a plausible alternative for the patients when a fully matched donor is unavailable. Historically, the decision of considering haploidentical transplant has remained elusive; however, with the recent advances, the consideration of haploidentical graft...

Full description

Saved in:
Bibliographic Details
Main Authors: Hafiz Muhammad Aslam, Shumaila Muhammad Iqbal, Hira Shaikh, Faizan A. Faizee, Ambreen A. Merchant, Marwan Shaheen, Shahrukh K. Hashmi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/2573657
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832557011229736960
author Hafiz Muhammad Aslam
Shumaila Muhammad Iqbal
Hira Shaikh
Faizan A. Faizee
Ambreen A. Merchant
Marwan Shaheen
Shahrukh K. Hashmi
author_facet Hafiz Muhammad Aslam
Shumaila Muhammad Iqbal
Hira Shaikh
Faizan A. Faizee
Ambreen A. Merchant
Marwan Shaheen
Shahrukh K. Hashmi
author_sort Hafiz Muhammad Aslam
collection DOAJ
description Haploidentical stem cell transplantation provides a plausible alternative for the patients when a fully matched donor is unavailable. Historically, the decision of considering haploidentical transplant has remained elusive; however, with the recent advances, the consideration of haploidentical grafts as a treatment option has become more apparent for both allografting for diseases and engraftment failure. We are reporting here an anecdotal case of a successful haploidentical engraftment in a patient with the prior graft failure of an HLA-matched related donor. Since the patient was severely alloimmunized, desensitization protocol was utilized before the haploidentical transplant, and the patient after 8 months of her second allogeneic transplantation is doing great with successful engraftment, no relapse, and no graft-versus-host disease (GVHD). Numerous reports pertinent to haploidentical graft have shown favorable outcomes in the graft placement, a decline in the rate of GVHD, and an improvement in the morbidity and mortality in affected individuals. Based on the current reports, haploidentical transplantation might be more feasible and has meaningful implications in the situations where matched donors are infrequent.
format Article
id doaj-art-38a0066cf8ac4bbcb610f76dcde06917
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-38a0066cf8ac4bbcb610f76dcde069172025-02-03T05:43:44ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/25736572573657Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related DonorsHafiz Muhammad Aslam0Shumaila Muhammad Iqbal1Hira Shaikh2Faizan A. Faizee3Ambreen A. Merchant4Marwan Shaheen5Shahrukh K. Hashmi6Department of Internal Medicine, Seton Hall University (St Francis) Program, Trenton, USADepartment of Internal Medicine, University at Buffalo (Catholic Health System-Sisters of Charity) Program, Buffalo, USADepartment of Internal Medicine, Allegheny Health Network, Pennsylvania, USADow Medical College, Dow University of Health Sciences, Karachi, PakistanDow Medical College, Dow University of Health Sciences, Karachi, PakistanKing Faisal University Hospital and Research Center, Riyadh, Saudi ArabiaDepartment of Medicine, Division of Hematology, Mayo Clinic, Rochester, MN 55905, USAHaploidentical stem cell transplantation provides a plausible alternative for the patients when a fully matched donor is unavailable. Historically, the decision of considering haploidentical transplant has remained elusive; however, with the recent advances, the consideration of haploidentical grafts as a treatment option has become more apparent for both allografting for diseases and engraftment failure. We are reporting here an anecdotal case of a successful haploidentical engraftment in a patient with the prior graft failure of an HLA-matched related donor. Since the patient was severely alloimmunized, desensitization protocol was utilized before the haploidentical transplant, and the patient after 8 months of her second allogeneic transplantation is doing great with successful engraftment, no relapse, and no graft-versus-host disease (GVHD). Numerous reports pertinent to haploidentical graft have shown favorable outcomes in the graft placement, a decline in the rate of GVHD, and an improvement in the morbidity and mortality in affected individuals. Based on the current reports, haploidentical transplantation might be more feasible and has meaningful implications in the situations where matched donors are infrequent.http://dx.doi.org/10.1155/2018/2573657
spellingShingle Hafiz Muhammad Aslam
Shumaila Muhammad Iqbal
Hira Shaikh
Faizan A. Faizee
Ambreen A. Merchant
Marwan Shaheen
Shahrukh K. Hashmi
Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
Case Reports in Medicine
title Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
title_full Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
title_fullStr Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
title_full_unstemmed Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
title_short Haploidentical Stem Cell Transplantation: A Gateway to Infrequent Availability of HLA-Matched Related Donors
title_sort haploidentical stem cell transplantation a gateway to infrequent availability of hla matched related donors
url http://dx.doi.org/10.1155/2018/2573657
work_keys_str_mv AT hafizmuhammadaslam haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT shumailamuhammadiqbal haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT hirashaikh haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT faizanafaizee haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT ambreenamerchant haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT marwanshaheen haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors
AT shahrukhkhashmi haploidenticalstemcelltransplantationagatewaytoinfrequentavailabilityofhlamatchedrelateddonors