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Robert
Krance, MD
| Professor
Department of Pediatrics
Section of Hematology-Oncology,
Baylor College of Medicine |
Director
Department of Pediatrics
Section of Hematology-Oncology,
Baylor College of Medicine |
| Director
Managed Care,
Texas Children's Cancer Center and Baylor College of Medicine
Stem Cell Transplant Program |
Contact Information:
rakrance@texaschildrenshospital.org
832-824-4661
Education:
B.S., Loyola University, Chicago, Illinois
M.D., Loyola University Medical School, Maywood, Illinois
Resident in Pediatrics, Rush Presbyterian St. Luke Medical Center, Chicago,
Illinois
Fellow, Pediatric Hematology-Oncology, St. Jude Children's Research
Hospital, Memphis, Tennessee
Research
Interests:
Bridging the laboratory and clinic, Dr. Krance coordinates
the activities of the pediatric bone marrow transplant programs. A major
activity of this program focuses on the application of gene transfer
to define discrete clinical endpoints in the application of bone marrow
and stem cell transplantation. Using gene marking, it has been possible
to follow individual cell populations. This application has demonstrated
the capacity of harvested marrow to contribute to leukemia relapse and
conversely to promote long term hematopoietic repopulation.
Dr Krance is also interested in the use of stem cell transplantation
for the therapy of autoimmune disorders and is the principal investigator
on a protocol for patients with multiple sclerosis.
Selected Publications:
Krance R, Heslop H, Mahmoud H, Ribeiro R, Douglass E, Hurwitz
C, Santana V, Kun L, Horowitz MM, Brenner M. Anti-pan T-lymphocyte ricin
A chain immunotoxin (H65-RTA) and methylprednisolone for acute graft-vs-host
disease prophylaxis following allogeneic bone marrow transplantation
from HLA-identical sibling donors. Bone Marrow Transplant 11:33-36,
1993.
Brenner MK, Rill DR, Moen RC, Krance RA, Mirro J Jr, Anderson WF, Ihle
JN. Gene marking to trace origin of relapse after autologous bone
marrow transplantation. Lancet 341:85-86, 1993.
Mahmoud HH, Hurwitz CA, Roberts WM, Santana VM, Ribeiro RC, Krance RA.Tretinoin
toxicity in children with acute promyelocytic leukemia. Lancet 342:1394-1395,
1993.
Brenner MK, Rill DR, Holladay MS, Heslop HE, Moen RC, Buschle M, Krance RA,
Santana V, Anderson WF, Ihle JN. Gene marking to determine whether autologous
marrow infusion restores long-term hemopoiesis in cancer patients. Lancet
342:1134-1137, 1993.
Koehler M, Hurwitz CA, Krance RA, Coustan-Smith E, Williams LL, Santana
V, Ribeiro RC, Brenner MK, Heslop HE. Xomazyme-CD5 immunotoxin
in conjunction with partial T-cell depletion for prevention of
graft rejection and graft versus host disease after bone marrow transplantation
from matched unrelated donors. Bone Marrow Transplantation 13:571-575,
1994.
Santana VM, Hurwitz CA, Blakley RL, Crom WR, Luo X, Krance RA. Complete hematologic
remissions induced by 2-Chlorodeoyadenosine in children with newly diagnosed
acute myeloid leukemia. Blood 84:1237-1242, 1994.
Rill DR, Santana VM, Roberts WM, Nilson T, Bowman LC, Krance RA, Heslop
HE, Moen RC, Ihle JN, Brenner MK. Direct demonstration that autologous
bone marrow transplantation for solid tumors can return a multiplicity
of tumorigenic cells. Blood 84:380-383, 1994.
Rooney CM, Smith CA, Ng CY, Loftin S, Li C, Krance RA, Brenner MK, Heslop HE.
Use of gene-modified virus-specific T lymphocytes to control Epstein-Barr-virus-related
lymphoproliferation. Lancet 345:9-13, 1995.
Phipps S, Brenner MK, Heslop HE, Krance RA, Jayawardene D, Mulhern R.
Psychological effects of bone marrow transplantation on children and
adolescents: Preliminary report of a longitudinal study. Bone Marrow
Transplant 15:829-835, 1995.
Heslop HE, Bensim E, Brenner MK, Krance RA, Stricklin LM, Rochester
RA, Billings R. Response of steroid-resistant graft-versus-host disease
to lymphoblast antibody CBL1. Lancet 346:805-806, 1995.
Heslop HE, Ng CYC, Li C, Smith CA, Loftin SK, Krance RA, Brenner MK,
Rooney CM. Long term restoration of immunity against Epstein-Barr virus
infection by adoptive transfer of gene-modified virus-specific T-lymphocytes.
Nature Medicine 2:551-555, 1996.
Winer-Muram HT, Gurney JW, Bozeman PM, Krance RA. Pulmonary complications after
bone marrow transplantation. Radio1 Clin North Am 34:97-117, 1996.
Hongeng S, Krance RA, Bowman LC, Srivastava DK, Cunningham JM, Horwitz
EM, et al. Outcomes of transplantation with matched-sibling and
unrelated-donor bone marrow in children with leukaemia. Lancet 350:767-771,
1997.
Krance RA, Brenner MK. BMT beats autoimmune disease. Nat. Med. 4:153-155,
1998.
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