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In Memoriam: E. Donnall Thomas

机译:E. Donnall Thomas到处

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摘要

On behalf of our colleagues and the readers of this journal, we note the recent passing of E. Donnall Thomas, MD, whose pioneering vision and perseverance fathered the field of hematopoietic cell transplantation across a time span of 40 years, from its conception and early embryonic stages in the 1950s, prenatal gestation in the 1960s, infancy and early childhood in the 1970s, adolescence in the 1980s, and maturation into early adulthood during the 1990s. Milestones included the identification of marrow as a source of transplantable hematopoietic stem cells in humans; the use of total body irradiation to eliminate malignant cells in the recipient and to prevent rejection; the application of histo-compatibility typing to identify suitable related donors; the use of immunosuppressive medications to minimize the risks of rejection and graft-versus-host disease; the implementation of measures to prevent and control deadly bacterial, viral, and fungal infections; and expansion of the donor pool through the use of HLA-matched unrelated volunteers.
机译:我们代表本杂志的同事和读者,注意到E. Donnall Thomas博士最近逝世,他的开创性视野和毅力使造血细胞移植领域从最初的概念到早期,一直持续了40年。 1950年代的胚胎发育阶段,1960年代的产前妊娠,1970年代的婴儿和幼儿期,1980年代的青春期以及1990年代的成熟期。里程碑包括将骨髓鉴定为人类可移植造血干细胞的来源。使用全身辐射消除受体中的恶性细胞并防止排斥;应用组织相容性分型来确定合适的相关供体;使用免疫抑制剂来最大程度地减少排斥反应和移植物抗宿主病的风险;实施预防和控制致命的细菌,病毒和真菌感染的措施;以及通过使用HLA匹配的无亲缘关系的志愿者来扩大捐助者群体。

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