CLINICAL CHALLENGE- Part 1

 
 
You are selecting an unrelated donor for a 40-year-old man with AML in second complete remission with high-risk cytogenetics.  He is CMV seronegative with blood type A-.  He has no siblings.  The search coordinators have identified the following options:
 

Option

Age/Six

HLA Matching

CMV Status

Blood Type

 

 

 

 

 

Donor 1

50F

9/10 allele mismatch at HLA-A

CMV-

A+

 

 

 

 

 

Donor 2

30M

9/10 allele mismatch at HLA-C

CMV+

O+

 

 

 

 

 

Donor 3

30M

9/10 antigen mismatch at HLA-DQ

CMV+

A+

 Which donor would you select?
 


(A report on the votes will be presented next month, along with one expert’s commentary.)