HLA-haploidentical stem cell transplantation for chronic granulomatous disease: an EBMT-IEWP retrospective study

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Quentin Riller - , Hôpital Necker - Enfants Malade (Autor:in)
  • Mathias Hauri - , Universität Zürich (Autor:in)
  • Su Han Lum - , Newcastle University (Autor:in)
  • Jeroen Knippenberg - , European Society for Blood and Marrow Transplantation Paris (Autor:in)
  • Tiarlan Sirait - , European Society for Blood and Marrow Transplantation Paris (Autor:in)
  • Alexandra Laberko - , Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology (Autor:in)
  • Khalid Halahleh - , King Hussein Cancer Center (Autor:in)
  • Hasan Hashem - , King Hussein Cancer Center (Autor:in)
  • Musa Karakukcu - , Erciyes University (Autor:in)
  • Henrik Sengeloev - , Righospitalet (Autor:in)
  • Fulvio Porta - , University of Brescia (Autor:in)
  • Bénédicte Bruno - , Centre Hospitalier Universitaire (CHU) de Lille (Autor:in)
  • Marco Zecca - , IRCCS Fondazione Policlinico San Matteo - Pavia (Autor:in)
  • Serap Aksoylar - , Ege University (Autor:in)
  • Vincent Barlogis - , Aix-Marseille Université (Autor:in)
  • Catharina Schuetz - , Klinik und Poliklinik für Kinder- und Jugendmedizin, Deutsches Zentrum für Kinder- und Jugendgesundheit (DZKJ) - Standort Leipzig/Dresden (Autor:in)
  • Jochen Buechner - , University of Oslo (Autor:in)
  • Maura Faraci - , IRCCS Istituto Giannina Gaslini - Genova (Autor:in)
  • Claudia Wehr - , Universitätsklinikum Freiburg (Autor:in)
  • Wolfgang Holter - , Medizinische Universität Wien (Autor:in)
  • Karin Mellgren - , Queen Silvia Children's Hospital, University of Gothenburg (Autor:in)
  • Franco Locatelli - , Università Cattolica del Sacro Cuore (Autor:in)
  • Antonio Perez Martinez - , Hospital Universitario La Paz (Autor:in)
  • Felipe Suarez - , Hôpital Necker - Enfants Malade (Autor:in)
  • Despina Moshous - , Hôpital Necker - Enfants Malade (Autor:in)
  • Andrew R. Gennery - , Newcastle University (Autor:in)
  • Dmitry Balashov - , Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology (Autor:in)
  • Michael H. Albert - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Mary Slatter - , Newcastle University (Autor:in)
  • Tayfun Güngör - , Universität Zürich (Autor:in)
  • Bénédicte Neven - , Hôpital Necker - Enfants Malade (Autor:in)

Abstract

Chronic granulomatous disease (CGD) is an inborn error of immunity characterized by defective NAD phosphate oxidase function, leading to impaired microbial killing, recurrent infections, and granulomatous inflammation. Allogeneic hematopoietic stem cell transplantation (HSCT) is a curative treatment for CGD, particularly effective when a fully HLA-matched donor is available. However, the place of HLA-haploidentical HSCT remains less established. This retrospective multicenter study analyzed outcomes of 64 patients with CGD (53 males; 46 with X-linked CGD) who underwent a first HSCT with HLA-haploidentical family donors, with either in vitro T-cell receptor (TCR)αβ/CD19 depletion or in vivo depletion using posttransplant cyclophosphamide (PTCY). The mean age at transplant was 5.8 years (range, 0-33). Patients exhibited a high disease burden before HSCT, with 45% experiencing infections in the 6 months before HSCT and 67% exhibiting inflammation. Outcomes in the entire cohort showed a 3-year overall survival, event-free survival (EFS), and grade 3 to 4 graft-versus-host disease (GVHD)–free EFS of 75.9%, 70.2%, and 56.1%, respectively, and were not affected by the type of depletion or age. The cumulative incidence (CI) of primary graft failure (PGF) was 20.6%. The CI of grade 2 to 4 acute GVHD was higher in the PTCY group (P =.04), whereas the CI of grade 3 to 4 GVHD was not. These results indicate that HLA-haploidentical HSCT is a feasible transplant option for patients with CGD lacking HLA-matched donors. Further refinement of transplant protocols is necessary to mitigate graft failure and acute GVHD, ultimately improving access and outcomes for this life-saving therapy.

Details

OriginalspracheEnglisch
Seiten (von - bis)2518-2527
Seitenumfang10
FachzeitschriftBlood
Jahrgang145
Ausgabenummer21
PublikationsstatusVeröffentlicht - 22 Mai 2025
Peer-Review-StatusJa

Externe IDs

PubMed 40090009
ORCID /0009-0003-6519-0482/work/196687565

Schlagworte