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231223s2009 xx |||||o 00| ||eng c |
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|a 10.1016/j.clim.2008.09.018
|2 doi
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|a pubmed24n0617.xml
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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|a Schönberger, Stefan
|e verfasserin
|4 aut
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|a Saving the red baby
|b successful allogeneic cord blood transplantation in Omenn syndrome
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|c 2009
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
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|2 rdacarrier
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|a Date Completed 03.03.2009
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|a Date Revised 09.02.2009
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|a published: Print-Electronic
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|a Citation Status MEDLINE
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|a Haematopoietic stem cell transplantation is the treatment of choice for severe primary immunodeficiencies, but only has moderate prognosis in Omenn syndrome as it is complicated by highly activated Omenn T-cells resulting in delayed T-cell engraftment and a high rate of graft failure. A 6 1/2 months old patient with a previously unknown compound heterozygous defect within the RAG1 gene (R474C; R975W) underwent 8/10 HLA-matched cord blood transplantation after myeloablative conditioning. Immune reconstitution was impressive with T-, B- and NK-cells reaching the median of age-dependent reference values within twelve, four and two months respectively. With a continuous decrease of activated Omenn T-cells there was a steady increase of naive, probably thymus-derived T-cells. Polyclonal B-cell activation and hypergammaglobulinaemia disappeared with B-cell engraftment. This case emphasizes that, despite their naive status and HLA-barriers, cord blood T-cells were apparently able to achieve T-effector function resulting in the elimination of all activated Omenn T-cells
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|a Case Reports
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|a Journal Article
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|a Ott, Hagen
|e verfasserin
|4 aut
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|a Gudowius, Sonja
|e verfasserin
|4 aut
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|a Wüller, Stefan
|e verfasserin
|4 aut
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|a Baron, Jens Malte
|e verfasserin
|4 aut
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|a Merk, Hans-Friedrich
|e verfasserin
|4 aut
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|a Lassay, Lisa
|e verfasserin
|4 aut
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|a Megahed, Mosaad
|e verfasserin
|4 aut
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|a Feyen, Oliver
|e verfasserin
|4 aut
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|a Laws, Hans-Jürgen
|e verfasserin
|4 aut
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|a Dilloo, Dagmar
|e verfasserin
|4 aut
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|a Borkhardt, Arndt
|e verfasserin
|4 aut
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|a Niehues, Tim
|e verfasserin
|4 aut
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|i Enthalten in
|t Clinical immunology (Orlando, Fla.)
|d 1999
|g 130(2009), 3 vom: 15. März, Seite 259-63
|w (DE-627)NLM098196855
|x 1521-7035
|7 nnns
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|g volume:130
|g year:2009
|g number:3
|g day:15
|g month:03
|g pages:259-63
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|u http://dx.doi.org/10.1016/j.clim.2008.09.018
|3 Volltext
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