Pediatric Reports (Jun 2011)

T cell-depleted hla-haploidentical stem cell transplantation in thalassemia young patients

  • Pietro Sodani,
  • Antonella Isgrò,
  • Javid Gaziev,
  • Katia Paciaroni,
  • Marco Marziali,
  • Maria Domenica Simone,
  • Andrea Roveda,
  • Gioa De Angelis,
  • Cristiano Gallucci,
  • Fabio Torelli,
  • Giancarlo Isacchi,
  • Francesco Zinno,
  • Fabiola Landi,
  • Gaspare Adorno,
  • Alessandro Lanti,
  • Manuela Testi,
  • Marco Andreani,
  • Guido Lucarelli

DOI
https://doi.org/10.4081/pr.2011.s2.e12

Abstract

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The cure for thalassemia involves correcting the genetic defect in a hematopoietic stem cell that results in reduced or absent β-globin synthesis and an excess of α-globin dimers. Intracellular precipitation and accumulation of α- dimers results in ineffective erythropoiesis and hemolytic anemia. Replacing the abnormal thalassemic marrow with allogeneic normal or heterozygous stem cells carrying the functional gene restores appropriate β-globin chain synthesis.