Epstein–Barr virus–associated post-transplant lymphoproliferative disorder among long-term survivors of adults after single cord blood transplantation without antithymocyte globulin
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Epstein–Barr virus (EBV)–associated post-transplant lymphoproliferative disorder (PTLD) is one of the significant cause of morbidity and mortality among patients after allogeneic hematopoietic cell transplantation (HCT). More than 80% of case usually developed EBV-PTLD within the first year following HCT prior to reconstitution of EBV-reactive adaptive immune response [1, 2]. Cord blood transplantation (CBT) and use of antithymocyte globulin (ATG) was well-known risk factor for development of EBV-PTLD [2, 3]. However, little is known about the long-term incidence of EBV-PTLD after CBT without ATG. Therefore, we retrospectively examined the incidence and outcomes for adults developed EBV-PTLD after CBT without ATG.
Between August 1998 and July 2018, 278 consecutive adult patients who received single-unit CBT as the first allogeneic HCT at our institution were included in this retrospective study. The median age at CBT was 44 years (range, 16 to 69 years). The most common...
The authors thank all of the physicians and staff at the hospital and the cord blood banks in Japan for their help in this study.
M.I. collected data, and wrote the paper. T.K. conceived the project, designed the research, collected data, analyzed data and wrote the paper. S.K. and M.O. collected data. All the other authors participated in the treatment of the patients, acquired the clinical data, and contributed to writing the paper. All authors approved the final version.
Compliance with ethical standards
Written informed consent was acquired from all patients and healthy subjects. The Institutional Review Board of the Institute of Medical Science, University of Tokyo approved this study (30-111-B20190423).
Conflict of interest
The authors declare that they have no conflict of interest.
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