HSCT may lower leukemia risk in ELANE neutropenia: a before-after study from the French Severe Congenital Neutropenia Registry.


Journal

Bone marrow transplantation
ISSN: 1476-5365
Titre abrégé: Bone Marrow Transplant
Pays: England
ID NLM: 8702459

Informations de publication

Date de publication:
08 2020
Historique:
received: 25 07 2019
accepted: 16 01 2020
revised: 28 11 2019
pubmed: 30 1 2020
medline: 22 6 2021
entrez: 30 1 2020
Statut: ppublish

Résumé

ELANE neutropenia is associated with myelodysplasia and acute leukemia (MDS-AL), and severe infections. Because the MDS-AL risk has also been shown to be associated with exposure to GCSF, since 2005, in France, patients receiving high daily GCSF doses (>15 μg/kg/day) are eligible for HSCT, in addition to classic indications (MDS-AL or GCSF refractoriness). We analyzed the effect of this policy. Among 144 prospectively followed ELANE-neutropenia patients enrolled in the French Severe Congenital Neutropenia Registry, we defined two groups according to period: "before 2005" for those born before 2005 and followed until 31/12/2004 (1588 person-years); and "after 2005" comprised of those born after 2005 or born before 2005 but followed after 2005 until 31/03/2019 (1327 person-years). Sixteen of our cohort patients underwent HSCT (14 long-term survivors) and six developed MDS-ALs. Six leukemic transformations occurred in the before-2005 group and none after 2005 (respective frequencies 3.8 × 10

Identifiants

pubmed: 31992846
doi: 10.1038/s41409-020-0800-1
pii: 10.1038/s41409-020-0800-1
pmc: PMC7091645
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1614-1622

Subventions

Organisme : NIAID NIH HHS
ID : R24 AI049393
Pays : United States

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Auteurs

Gioacchino Andrea Rotulo (GA)

Registre des Neutropénies Chroniques, Centre de Référence des Neutropénies Chroniques, Sorbonne Université, Inserm, Centre de Recherche Saint-Antoine, Hôpital Trousseau, APHP, Paris, F-75012, France.
IRCCS Giannina Gaslini and Università degli Studi di Genova, Genoa, Italy.

Blandine Beaupain (B)

Registre des Neutropénies Chroniques, Centre de Référence des Neutropénies Chroniques, Sorbonne Université, Inserm, Centre de Recherche Saint-Antoine, Hôpital Trousseau, APHP, Paris, F-75012, France.

Fanny Rialland (F)

CHU de Nantes, Nantes, France.

Catherine Paillard (C)

University of Strasbourg, Strasbourg, France.

Ouahiba Nachit (O)

Registre des Neutropénies Chroniques, Centre de Référence des Neutropénies Chroniques, Sorbonne Université, Inserm, Centre de Recherche Saint-Antoine, Hôpital Trousseau, APHP, Paris, F-75012, France.

Claire Galambrun (C)

CHU La Timone, Marseille, France.

Virginie Gandemer (V)

Department of Pediatric Hematology/Oncology, University Hospital of Rennes, Rennes, France.

Yves Bertrand (Y)

Institut d'Hémato-Oncologie Pédiatrie IHOPE, Lyon, France.

Benedicte Neven (B)

Necker Children's Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Eric Dore (E)

CHU Clermont-Ferrand, Centre Régional de Cancérologie et Thérapie Cellulaire Pédiatrique, Clermont-Ferrand, France.

Despina Moshous (D)

Unité d'Immunologie Hématologie Pédiatrique, Necker Children's Hospital, Paris, France.

Bruno Filhon (B)

Départment de Pédiatrie, Hémato-Oncologie, CHU de Bordeaux, Bordeaux, France.

Nathalie Aladjdi (N)

Départment de Pédiatrie, Hémato-Oncologie, CHU de Rouen, Rouen, France.

Flore Sicre de Fontbrune (F)

Department d'Hématologie, Service de Transplantation Médullaire, Hôpital Saint-Louis, Paris, France.

Regis Peffault de la Tour (RP)

Department d'Hématologie, Service de Transplantation Médullaire, Hôpital Saint-Louis, Paris, France.

Marie Ouachee (M)

Institut d'Hémato-Oncologie Pédiatrie IHOPE, Lyon, France.

Christine Bellanne-Chantelot (C)

Département de Génétique, APHP, Hôpital Pitié-Salpêtrière, Sorbonne Université, Paris, France.

Jean-Hugues Dalle (JH)

Pediatric Hematology Department, Robert-Debré Hospital, Paris, France.

Jean Donadieu (J)

Registre des Neutropénies Chroniques, Centre de Référence des Neutropénies Chroniques, Sorbonne Université, Inserm, Centre de Recherche Saint-Antoine, Hôpital Trousseau, APHP, Paris, F-75012, France. jean.donadieu@trs.aphp.fr.

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