Review Article

Combined Bone Marrow and Kidney Transplantation for the Induction of Specific Tolerance

Table 1


CenterMGH MGH MGH StanfordNorthwestern

Transplant typeHLA-matched related donor KdBMT for HMHaploidentical donor KdBMT for HMHaploidentical donor KdBMT for ESRD without malignancyHLA-matched and haploidentical related and unrelated donor KdBMT for ESRD without malignancyHaploidentical/mismatched related and unrelated donor KdBMT for ESRD without malignancy

Chimerism goalFDCFDCTransient mixedSustained mixedFDC

ResultsRemoval of IS in 5 of 10 patients (50%)
Sustained antitumor responses in 30%
3 of 4 patients in remission, two likely tolerant4 of 10 (40%) with sustained toleranceRemoval of IS in 44% (HLA-matched)
0% sustained tolerance (haploidentical or unrelated donor)
Removal of IS in 5 of 8 (63%) patients

KdBMT: kidney and bone marrow transplant; HM: hematologic malignancy; FDC: full donor chimerism; IS: immunosuppression.