Table 1 Patient characteristics and transplantation procedure.

From: Hematopoietic stem cell transplantation in children and adolescents with GATA2-related myelodysplastic syndrome

Item

Specification

At diagnosis/prior to HSCT

 

N

%

Patients

  

65

100

Gender

Male

 

34

52

 

Female

 

31

48

Age at diagnosis of MDS

Years, median(range)

12.8 (4.4–18.6)

  

GATA2 Type of mutation

Truncating

 

43

66

 

Missense

 

14

22

 

Non-Coding Intron 4

 

4

6

 

Synonymous

 

3

5

 

Whole gene deletion

 

1

2

MDS subtype at diagnosis

RCC

 

36

55

 

MDS-EB

 

22

34

 

MDS-EBt/ MDR-AML

 

6 /1

11

Karyotype

Monosomy 7

 

44

68

 

Der (1;7)

 

4

6

 

Trisomy 8

 

4

6

 

Normala

 

12

19

 

Other

 

1

1

Non-Hematological features

Any

 

40

71

 

Immunedeficiencyb

 

24

 
 

Lymphedema/ hydrocele

 

13

 
 

Deafness/hearing impairment

 

8

 
 

Urogenital malformations

 

10

 
 

Neurocognitive/ behavioral problems

 

10

 

Highest MDS subtype

    

 (prior to HSCT)

RCC

 

27

42

 

MDS-EB

 

23

35

 

MDS-EBt/ MDR-AML

 

10/5

23

 

At HSCT

 Age at HSCT

Years, median (range)

13.5 (4.6-19.9)

  

 Interval MDS to HSCT

Months, median (range)

5.6 (1.4 – 67)

  

 Therapy prior to 1st HSCT

No therapy

 

55

85

 

AML-type

 

5

8

 

other

 

5

8

 BM blasts at HSCT

< 5%

 

34

56

 

5–19%

 

19

31

 

≥ 20%

 

8

13

 

No data

 

4

 
 

HSCT procedure

   

 Donor

MSD

 

17

26

 

MUD (10/10)/(9/10)

 

24/6

46

 

UD (6/6)/(5/6)/(8/10)c/ incomplete typing

 

1/2/6/1

15

 

MMFD

 

8

12

 Stem cell source

BM

 

37

57

 

PBSC

 

19

29

 

PBSC (T-cell depleted)

 

8

12

 

CB

 

1

2

 Conditioning regimen

Busulfan- based

 

35

54

 

Treosulfan-based

 

21

32

 

TBI-based

 

5

8

 

Other

 

4

6

 GvHD prophylaxis

MSD (17)

CSA

7

 
 

CSA/MTX

7

 
 

ATG/CSA/MTX

3

 

(M)UD (40)

ATGd/CSA/MTXe

36

 
 

ATG/CSA

2

 
 

ATG/tacrolimus

1

 
 

CSA/MTX

1

 

MMFD (8)

ATG

6

 
 

ATG/MMF

1

 
 

Muromonab (OKT3)

1

 
  1. HSCT Hematopoietic stem cell transplantation, MDS Myelodysplastic syndrome, RCC Refractory cytopenia of childhood, MDS-EB MDS with excess blasts, MDS-EBt MDS with excess blasts in transformation, MDR-AML MDS-related acute myeloid leukemia, MSD matched sibling donor, MUD matched unrelated donor, UD unrelated donor, MMFD mismatched family donor, BM bone marrow, PBSC peripheral blood stem cells, CB cord blood; TBI total body irradiation, ATG/ALG anti-thymocyte/lymphocyte globuline, CSA cyclosporine, MTX methotrexate, MMF Mycophenolate mofetil.
  2. aIncluding two patients without sufficient metaphases and exclusion of monosomy 7 and trisomy 8 by fluorescence in situ hybridization (FISH).
  3. bDefined as frequent infections and/or laboratory evidence of immune deficiency.
  4. cIncluding one patient with an 8/10 HLA matched sibling donor.
  5. dIncluding one patient with alemtuzumab instead of ATG as serotherapy.
  6. eIncluding two patients with MMF instead of MTX.