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This therapeutic intervention is a combination therapy protocol for the treatment of severe aplastic anemia (SAA). It involves the administration of standard immunosuppressive therapy (IST) consisting of antithymocyte globulin (ATG) and cyclosporine A (CsA), supplemented by a single unit of HLA-matched umbilical cord blood transfusion. The antithymocyte globulin and cyclosporine work to suppress the T-cell-mediated autoimmune destruction of the bone marrow, while the cord blood transfusion provides transient hematopoietic support. The cord blood delivers early hematopoietic progenitor cells that can temporarily survive and proliferate, secreting hematopoietic stimulating factors that help patients overcome agranulocytosis and shorten the time to hematopoietic reconstitution. This protocol is being investigated by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine in Phase 4 clinical trials.
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