Past, present, and future efforts to enhance the efficacy of cord blood hematopoietic cell transplantation [version 1; peer review: 3 approved]

Xinxin Huang, Bin Guo, Maegan Capitano, Hal E. Broxmeyer

Research output: Contribution to journalReview article

Abstract

Cord blood (CB) has been used as a viable source of hematopoietic stem cells (HSCs) and hematopoietic progenitor cells (HPCs) in over 35,000 clinical hematopoietic cell transplantation (HCT) efforts to treat the same variety of malignant and non-malignant disorders treated by bone marrow (BM) and mobilized peripheral blood (mPB) using HLA-matched or partially HLA-disparate related or unrelated donor cells for adult and children recipients. This review documents the beginning of this clinical effort that started in the 1980's, the pros and cons of CB HCT compared to BM and mPB HCT, and recent experimental and clinical efforts to enhance the efficacy of CB HCT. These efforts include means for increasing HSC numbers in single CB collections, expanding functional HSCs ex vivo, and improving CB HSC homing and engraftment, all with the goal of clinical translation. Concluding remarks highlight the need for phase I/II clinical trials to test the experimental procedures that are described, either alone or in combination.

Original languageEnglish (US)
Article number1833
JournalF1000Research
Volume8
DOIs
StatePublished - Oct 31 2019

    Fingerprint

Keywords

  • Collection/Processing of Cord Blood
  • Cord Blood
  • Ex-vivo Expansion
  • Hematopoietic Cell Transplantation
  • Hematopoietic Progenitor Cells
  • Hematopoietic Stem Cells
  • Homing
  • Influence of Oxygen Tension
  • Regulation of Hematopoiesis

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)
  • Pharmacology, Toxicology and Pharmaceutics(all)

Cite this