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Post-Transplant Events

Impact of ABO incompatibility on outcome after allogeneic peripheral blood stem cell transplantation

Bone Marrow Transplantation volume 35, pages 489–495 (2005)Cite this article

Summary:

Few studies have addressed the incidence of graft-versus-host disease (GVHD) or survival after ABO-incompatible allogeneic peripheral blood stem cell transplantation (PBSCT). We analyzed the clinical outcome of ABO incompatibility after allogeneic PBSCT. A total of 89 consecutive adult patients with hematological diseases including 49 ABO-identical, 20 major, 15 minor, and five bidirectional ABO-incompatible transplants were enrolled from four medical centers in Korea. No significant difference in engraftment times, graft failure, or transfusion requirements between groups was noted. A clinical diagnosis of severe immune hemolysis or pure red cell aplasia was not made for any patient after transplantation. The incidence of acute or chronic GVHD did not statistically differ between groups. With a median follow-up duration of 13 months (range, 0.5–61 months), the 3-year overall survival estimates for the ABO-identical, major/bidirectional, and minor group were 44.6.0±9.0, 43.1±11.6, and 43.8±13.5%, respectively (P=0.8652), while the 3-year disease-free survival estimates were 33.8±7.6, 39.9±11.4, and 45.7±13.1%, respectively (P=0.8546). We observed that time to neutrophil, platelet, and red blood cell engraftment, transfusion requirements, incidence of acute or chronic GVHD, relapse, and survival were not influenced by ABO incompatibility after allogeneic PBSCT from HLA-matched sibling donors.

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Authors and Affiliations

  1. Department of Hematology/Oncology, Kyungpook National University Hospital, Daegu, Korea

    J G Kim, S K Sohn, D H Kim, J H Baek & K B Lee

  2. Department of Hematology/Oncology, The Catholic University of Korea, Seoul, Korea

    W S Min, C C Kim & J W Lee

  3. Department of Hematology/Oncology, Sungkyunkwan University, School of Medicine, Seoul, Korea

    M H Lee

  4. Department of Hematology/Oncology, Chonnam National University Hospital, Gwangju, Korea

    J-J Lee, I-J Chung & H-J Kim

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  1. J G Kim
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  2. S K Sohn
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Correspondence to S K Sohn.

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Kim, J., Sohn, S., Kim, D. et al. Impact of ABO incompatibility on outcome after allogeneic peripheral blood stem cell transplantation. Bone Marrow Transplant 35, 489–495 (2005). https://doi.org/10.1038/sj.bmt.1704816

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