Murine and Math Models for the Level of Stable Mixed Chimerism to Cure β‐Thalassemia by Nonmyeloablative Bone Marrow Transplantation

C Roberts, L Kean, D Archer… - Annals of the New …, 2005 - Wiley Online Library
C Roberts, L Kean, D Archer, C Balkan, LL Hsu
Annals of the New York Academy of Sciences, 2005Wiley Online Library
Stable mixed chimeric stem cell transplantation in hemoglobinopathies exploits shorter
erythroid survival in hemolytic anemias, providing normal donor red blood cells with a
competitive survival advantage. This study examined the level of stable mixed chimerism
necessary for complete hematological cure of the thalassemic phenotype, using a
nonmyeloablative busulfan chemotherapeutic preparation. Thalassemic mice transplanted
from congenic wild‐type donors developed partial mixed chimerism. Hematologic cure …
Abstract: Stable mixed chimeric stem cell transplantation in hemoglobinopathies exploits shorter erythroid survival in hemolytic anemias, providing normal donor red blood cells with a competitive survival advantage. This study examined the level of stable mixed chimerism necessary for complete hematological cure of the thalassemic phenotype, using a nonmyeloablative busulfan chemotherapeutic preparation. Thalassemic mice transplanted from congenic wild‐type donors developed partial mixed chimerism. Hematologic cure required >80% donor red blood cells and only >13% donor white blood cells. Murine and human transplant results were compared with a math model for survival advantage of donor peripheral blood cells produced by steady‐state chimeric marrow.
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