Table 5.
Hematopoietic stem cell transplantation in IPEX patients.
Baud et al. (2001) | Wildin et al. (2002) | Mazzolari et al. (2005) | Lucas et al. (2007) | Rao et al. (2007) | Zhan et al. (2008) | Seidel et al. (2009) | Dorsey et al. (2009) | Burroughs et al. (2010) | Kasow et al. (2011) | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age at onset | 1 month | 3 months | 2 months | 4 months | <1 year | na | 2 months§ | na | na | 4 months | neonatal | neonatal | 2 months | na | 1.5 months |
Age at BMT | 6 months | 13 years | 9 years | 9 months | 6 years | 7 years | 1 years 5 months | 4 years | 6 months | 5 months | 11 months | 7 months | 9 months | 16 years | 7 months |
Mutation | c.1113 T>G |
c.1040 G>A |
c.748_750 delAAG | Promoter region | Exon 10 | Intron 9 | c.303_304 delTT | c.1271 G>A |
c.1226 A>G |
c.1139 C>T |
c.3 G>A |
c.***878 A>G |
c.210 + 2 delT | c.816 + 7 G>C |
c.1150 G>A |
Conditioning | ATG, Bu, Cx | Cx, TBI, ATG | Flu, Bu, Cx, ATG | Flu, Bu, ATG | ALM, Flu, Melph | ALM, Flu, Cx | ALM, Flu, Melph | ALM, Flu, Melph | Flu, TBI | ALM, Flu, Thio, Melph | |||||
CD34+ source | BM | BM | BM | BM | CB | BM | BM | BM | BM | mPB | mPB | BM | mPB | BM | BM |
Donor | MRD | MRD | MUD | MRD | MUD, 5/6° | MUD, 8/8° | MUD, 7/8° | MSD, 8/8° | MUD, 8/8° | MUD | MUD, 10/10° | MUD, 10/10° | MUD | MRD | MUD***, 10/10° |
Chimerism (%) | 100 → 30 | 100 → 50 | 100 → 70 | 70 (Treg 100) | 98 | na | na | na | na | 100 | 90 Treg, 10 WBC | 100 | 100 | 100 | 100 → 30 |
Remission | Yes* | Yes | Yes** | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
GvHD | na | No | No | No | Gut 2° | Gut 2° | No | No | No | Skin-gut, 2–3° | Skin 2° | Skin 2° | Skin 2° | Gut 2° | No |
Outcome | Exitus | Exitus | Exitus | Alive | Alive | Alive | Alive | Alive | Alive | Alive | Alive | Alive | Alive | Alive | Alive |
na, not available; ATG, anti-thymoglobulin; Bu, busulfan; Cx, cyclophosphamide; TBI, total body irradiation; Flu, fludarabine; ALM, alemtuzumab; Melph, melphalan; Thio, thiotepa; BM, bone marrow; CB, cord blood; mPB, mobilized peripheral blood; MRD, matched related donor; MUD, matched unrelated donor; GvHD, graft-versus-host disease.
§The same case is reported also in Moudgil et al. (2007); °degree of HLA-match; *transient remission; **partial remission; ***T and B depleted.