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Last updated: 11/24/2009
The decision to prescribe a bone marrow transplant is based on the patient's age, general physical condition, diagnosis and stage of the disease. A person's age or state of health may prohibit use of a bone marrow transplant. The typical cut-off age...
for a transplant ranges from 40 to 55 years; however, a person's general health is usually the more important factor. Before undergoing a bone marrow transplant, the bone marrow transplant team will ensure that the patient understands the potential benefits and risks of the procedure.
The first successful bone marrow transplant took place in 1968 at the University of Minnesota. The recipient was a child with severe combined immunodeficiency disease and the donor was a sibling. In 1973, the first unrelated bone marrow transplant was performed at Memorial Sloan-Kettering Cancer Center in New York City on a five-year-old patient with severe combined immunodeficiency disease. In 1984, Congress passed the National Organ Transplant Act which included language to evaluate unrelated marrow transplantation and determine if a national donor registry was feasible. The National Bone Marrow Donor Registry (NBMDR), now called the National Marrow Donor Program (NMDP), was established in 1986.
The NMDP Network has more than four million volunteer donors and has Donor Centers and Transplant Centers in 14 countries. About 40% of the transplants facilitated by the NMDP involve either a U.S. patient receiving bone marrow and/or stem cells from an international donor, or an international patient receiving bone marrow/stem cells from a U.S. donor.
The NMDP coordinates more than 130 stem cell transplants each month. Approximately 12,000 total bone marrow/stem cell transplants have been performed since the organization was founded.
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This video shows the constant battle between the two main cell types in bone, osteoblasts and osteoclasts. Osteoblasts builds bone while osteoclasts dissolve bone for renovation and remodeling. The video explains how these cells influence the strength of bone throughout life.
Bone marrow consists of red blood cells, white blood cells, and platelets (A). In a bone marrow transplant, bone marrow is harvested from the donor's pelvic bone at the iliac crest (B). The marrow is filtered (C) before being introduced into a large vein in the recipient's chest via a catheter (D). (Illustration by GGS Inc.)
Other Information
Bone marrow transplantation involves extracting bone marrow containing normal stem cells from a healthy donor, and transferring it to a recipient whose body cannot manufacture proper quantities of normal blood cells. The goal of the transplant is to rebuild the recipient's blood cells and immune system and hopefully cure the underlying ailment.
From http://www.answers.com/topic/bone-marrow-transplantation
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