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Combined Use of Auto-Grafting and Non-Myeloablative Allografting for the Treatment of Hematologic Malignancies and Metastatic Breast Cancer

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Non-Myeloablative Allogeneic Transplantation

Part of the book series: Cancer Treatment and Research ((CTAR,volume 110))

Abstract

Conventional allografting has relied on a combination of myeloablative and immunosuppressive therapies, which results in substantial morbidity and mortality. To circumvent the problems inherent to the toxicity and treatment related deaths associated with allografting, it has been recently assessed that it is possible to achieve engraftment of donor hematopoietic stem cells (HSC) after immunosuppressive therapy combined or not with myelosuppressive but nonmyeloablative therapy.1-5The basic observation which serves as the rationale for non-myeloablative hematopoietic stem cell transplantation (NST) originates from the documented therapeutic potential of adoptive transfer of alloreactive donor lymphocytes to eradicate resistant malignant host cells escaping maximally tolerated doses of chemoradiotherapy. This is an observation that has provided an option for cure of patients with a large variety of hematologic malignancies,6-8especially chronic myeloid leukemia (CML).7-14

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Carella, A.M., Beltrami, G., Lerma, E., Cavaliere, M., Corsetti, M.T. (2002). Combined Use of Auto-Grafting and Non-Myeloablative Allografting for the Treatment of Hematologic Malignancies and Metastatic Breast Cancer. In: Bashey, A., Ball, E.D. (eds) Non-Myeloablative Allogeneic Transplantation. Cancer Treatment and Research, vol 110. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0919-6_5

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  • DOI: https://doi.org/10.1007/978-1-4615-0919-6_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5304-1

  • Online ISBN: 978-1-4615-0919-6

  • eBook Packages: Springer Book Archive

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