[Skip to Content]
[Skip to Content Landing]
Article
June 10, 1988

Effectiveness of a Regional Bone Marrow Donor Program

Author Affiliations

From the American Red Cross Blood Services, St Paul (Drs McCullough and Scott and Ms Halagan and Strand); and the Departments of Laboratory Medicine and Pathology (Drs McCullough and Scott) and Medicine (Dr McGlave), University of Minnesota, Minneapolis.

From the American Red Cross Blood Services, St Paul (Drs McCullough and Scott and Ms Halagan and Strand); and the Departments of Laboratory Medicine and Pathology (Drs McCullough and Scott) and Medicine (Dr McGlave), University of Minnesota, Minneapolis.

JAMA. 1988;259(22):3286-3289. doi:10.1001/jama.1988.03720220032021
Abstract

Because many potential bone marrow transplant patients lack HLA-matched siblings, there is growing interest in carrying out transplantations using matched, unrelated volunteer donors. We developed a local registry of 2147 informed donors who consented to be listed in the Bone Marrow Donor Registry. This registry was used to carry out 420 donor searches for 351 patients. The initial computer search involved matching for HLA-A and HLA-B locus antigens only because most donors had not been typed for HLA-DR antigens. Depending on the degree of HLA-A and HLA-B antigen mismatching allowed, suitably matched (HLA-DR—identical, mixed lymphocyte culture nonreactive) donors were located for 6% to 16% of patients. This resulted in 13 bone marrow transplants. This study shows that a small, local bone marrow donor registry can locate donors for a few patients; however, a large network involving an expanded number of donors will be necessary to allow an extensive evaluation of unrelated bone marrow transplantation.

(JAMA 1988;259:3286-3289)

×