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The National Marrow Donor Program

D Stroncek1, G Bartsch, H A Perkins

  • 1American Red Cross Blood Services, St. Paul, MN.

Transfusion
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

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The National Marrow Donor Program successfully addresses the shortage of HLA-identical sibling donors by facilitating unrelated-donor marrow transplants. This program significantly increases patient access to life-saving bone marrow donations.

Area of Science:

  • Hematology
  • Immunogenetics
  • Transplantation Medicine

Background:

  • The increasing success of marrow transplantation is hampered by the scarcity of HLA-identical sibling donors for a majority of patients.
  • Pilot studies demonstrated the feasibility of successful marrow transplantation between phenotypically HLA-identical, unrelated individuals.

Purpose of the Study:

  • To establish the National Marrow Donor Program (NMDP) to create a large registry of volunteer marrow donors.
  • To coordinate the complex processes of donor searches and donor-recipient matching for patients requiring bone marrow transplants.

Main Methods:

  • Development of a national registry of volunteer potential marrow donors, with HLA-A and -B antigen typing.
  • Initiation of donor searches for patients and facilitation of the matching process.

Related Experiment Videos

  • Establishment of a national network of donor and transplant centers for coordination and operation.
  • Main Results:

    • By November 1991, the NMDP registry included 457,205 potential donors.
    • Donor searches were initiated for 8,481 patients, with 99.8% finding at least one potential donor matched for three of four HLA-A and -B antigens.
    • Of 3,156 completed searches, 940 (29.8%) resulted in a transplant, with chronic myelogenous leukemia being the most common diagnosis (42.0%).

    Conclusions:

    • The NMDP effectively facilitates unrelated-donor marrow transplants, expanding donor availability for patients.
    • The program's infrastructure supports the ongoing identification of suitable donors and contributes to understanding the role of unrelated-donor transplants in treating various diseases.