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West Ashley Library
9 a.m. - 7 p.m.
Phone: (843) 766-6635
Folly Beach Library
Closed
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 8 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. - 8 p.m.
Phone: (843) 849-6161
McClellanville Library
9 a.m. - 6 p.m.
Phone: (843) 887-3699
Keith Summey North Charleston Library
9 a.m. - 8 p.m.
Phone: (843) 744-2489
John's Island Library
9 a.m. - 8 p.m.
Phone: (843) 559-1945
Hurd/St. Andrews Library
9 a.m. - 8 p.m.
Phone: (843) 766-2546
Miss Jane's Building (Edisto Library Temporary Location)
2 p.m. – 6 p.m.
Phone: (843) 869-2355
Dorchester Road Library
9 a.m. - 8 p.m.
Phone: (843) 552-6466
John L. Dart Library
9 a.m. - 7 p.m.
Phone: (843) 722-7550
Baxter-Patrick James Island
9 a.m. - 8 p.m.
Phone: (843) 795-6679
Main Library
9 a.m. - 8 p.m.
Phone: (843) 805-6930
Bees Ferry West Ashley Library
9 a.m. - 8 p.m.
Phone: (843) 805-6892
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9 a.m. - 5 p.m.
Phone: (843) 805-6909
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Non‐myeloablative matched sibling stem cell transplantation with the optional reinforced stem cell infusion for patients with hemoglobinopathies.
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- Author(s): Shin, Seung‐Hwan (AUTHOR); Park, Sung‐Soo (AUTHOR); Park, Silvia (AUTHOR); Jeon, Young‐Woo (AUTHOR); Yoon, Jae‐Ho (AUTHOR); Yahng, Seung‐Ah (AUTHOR); Cho, Byung‐Sik (AUTHOR); Kim, Yoo‐Jin (AUTHOR); Lee, Seok (AUTHOR); Kim, Hee‐Je (AUTHOR); Min, Chang‐Ki (AUTHOR); Cho, Seok‐Goo (AUTHOR); Kim, Dong‐Wook (AUTHOR); Lee, Jong‐Wook (AUTHOR); Eom, Ki‐Seong (AUTHOR)
- Source:
European Journal of Haematology. Oct2020, Vol. 105 Issue 4, p387-398. 12p. - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: The NIH protocol for non‐myeloablative (NMA) conditioning allogeneic stem cell transplantation (alloSCT) with alemtuzumab and low‐dose total body irradiation corrected the abnormal sickle cell disease (SCD) phenotype without the risk of graft‐versus‐host disease. However, alloSCT using NMA conditioning had been rarely applied to β‐thalassemia major (β‐TM) patients. Methods: To avoid prolonged immunosuppression, we developed a two‐stage strategy. Mixed donor chimerism was initially achieved using the protocol developed by the NIH protocol. Thereafter, we facilitated donor chimerism using the optional reinforced stem cell (SC) infusion in cases requiring protracted immunosuppression or experiencing impending graft failure. Results: In this study, β‐TM (n = 9) and SCD (n = 4) patients were equally effectively treated with eradicating the abnormal hemoglobin phenotype. Five patients, including four β‐TM, achieved stable mixed chimerism without receiving optional reinforced SC infusion. All patients that received optional reinforced infusion achieved complete (n = 4) or mixed chimerism (n = 1). The overall survival rate and event‐free survival at 4 years were 91.7% (95% CI; 53.9‐98.8) in both groups, with a thalassemia‐free survival rate in β‐TM patients of 87.5% (95% CI; 38.7‐98.1). Conclusion: This study is the first to report successful NMA conditioning alloSCT to achieve stable mixed chimerism correcting the abnormal hemoglobin phenotype in adult β‐TM patients. [ABSTRACT FROM AUTHOR]
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