Done with Immunosuppressants

Adult sickle-cell patients have safely stopped taking their immunosuppressant medication thanks to a new type of blood stem-cell transplant.

Written byJef Akst
| 2 min read

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WIKIMEDIA, OPENSTAX COLLEGEDespite the fact that they carried another’s stem cells in their blood, some participants of a clinical trial testing a modified blood stem-cell transplant for severe sickle cell disease have safely terminated their immunosuppressant medication that most stem-cell recipients take all their lives. The results of the study, conducted at the National Institutes of Health (NIH) Clinical Center in Bethesda, Maryland, were published this week (July 1) in JAMA.

“That the patients who discontinued this medication were able to do so safely points to the stability of the partial transplant regimen,” lead author Matthew Hsieh of the NIH’s National Institute of Diabetes and Digestive and Kidney Diseases said in a press release.

“Side effects caused by immunosuppressants can endanger patients already weakened by years of organ damage from sickle cell disease,” added coauthor John Tisdale of the National Heart, Lung, and Blood Institute. “Not having to permanently rely on this medication, along with use of the relatively less-toxic partial stem-cell transplant, means that even older patients and those with severe sickle cell disease may be able to reverse their condition.”

In addition to allowing half of the trial participants to stop taking immunosuppresants without ...

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  • Jef (an unusual nickname for Jennifer) got her master’s degree from Indiana University in April 2009 studying the mating behavior of seahorses. After four years of diving off the Gulf Coast of Tampa and performing behavioral experiments at the Tennessee Aquarium in Chattanooga, she left research to pursue a career in science writing. As The Scientist's managing editor, Jef edited features and oversaw the production of the TS Digest and quarterly print magazine. In 2022, her feature on uterus transplantation earned first place in the trade category of the Awards for Excellence in Health Care Journalism. She is a member of the National Association of Science Writers.

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