Haemopoietic stem cell transplantation for genetic disorders

Arch Dis Child. 2005 Dec;90(12):1259-63. doi: 10.1136/adc.2005.074278.

Abstract

Stem cell transplantation (SCT) is used to cure or greatly ameliorate a wide variety of genetic diseases, ranging from inherent defects of haemopoietic cell production or function to metabolic diseases mostly affecting solid organs. It ranks as one of the most remarkable therapeutic advances of the past 40 years. Despite rapid technological improvements, however, there are still many short term risks and potential long term toxicities. As a consequence, the rapid emergence of alternative therapies (including new drugs, enzyme and gene therapies), necessitate constant re-evaluation of the risk/benefit ratio for each disease and hence the appropriateness of SCT. This review describes the major aspects of the transplant process, indications for transplantation, outcome statistics, and areas where alternative therapies are becoming available.

Publication types

  • Review

MeSH terms

  • Genetic Diseases, Inborn / therapy*
  • Graft vs Host Disease / prevention & control
  • Hematologic Diseases / therapy*
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Hematopoietic Stem Cell Transplantation* / methods
  • Hematopoietic Stem Cell Transplantation* / standards
  • Humans
  • Immunologic Deficiency Syndromes / therapy
  • Metabolism, Inborn Errors / therapy
  • Tissue Donors
  • Transplantation Conditioning / methods