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Less Toxic Transplant Treatment for Sickle Cell

Technique avoids ill effects related to long-term use of anti-rejection drugs, study says

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Sickle cells have abnormal hemoglobin and are stiff and sticky, blocking blood flow in the limbs and organs, causing relentless pain and organ damage. Infection risk is also increased.

Current treatment for sickle cell disease includes medication for pain and a drug (hydroxyurea) that helps normalize hemoglobin. Patients may also need blood transfusions as the disease worsens.

For the study, Tisdale's team enrolled 30 patients, 16 to 65 years old, with severe sickle cell disease. Between 2004 and 2013, patients were given partial stem cell transplants with cells from a brother or sister.

Findings on the first 10 patients were reported in 2009, with nine of them successfully treated.

Of the remaining patients, 15 stopped taking anti-rejection medication one year after transplant and still had not had rejection or graft-versus-host disease during a median follow-up of roughly 3.4 years, the investigators found.

Overall, the partial transplant reversed the disease in 26 of 30 patients, the researchers said

The advantage of this procedure is that it gets people off drugs that weaken the immune system and cause side effects such as infection and joint swelling. Generally, transplants that don't use matched donors require patients to take these drugs for the rest of their lives, the researchers noted.

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