Bone Marrow Donor Eligibility | Texas DSHS (2024)

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If you’re between the ages of 18 and 40, committed to donating to any patient in need, and meet the medical guidelines, you can register to be a bone marrow donor.

Patients especially need you if you’re between the ages of 18 and 35. Research shows that cells from younger donors lead to more successful transplants. Doctors request donors in the 18 to 35 age group nearly 75 percent of the time.

Are you under the age of 18? Sign up for theUnder 18 Pre-Registry . You’ll receive a reminder to join the registry when you’re eligible.

The Need for Ethnically Diverse Donors

Saving lives through a bone marrow transplant requires matching human leukocyte antigen (HLA) types. HLAs are proteins, or markers, found on most cells in your body. Since these HLA markers are inherited, patients in need of a transplant are more likely to find a match with donors who share their ethnic background.

Because of the lack of diversity on the registry, not every patient has the same chance of finding a compatible donor. The numbers below represent the likelihood patients have of finding a match based on their ethnic background:

  • Asian or Pacific Islander: 47 percent
  • Black or African American: 29 percent
  • Hispanic or Latino: 48 percent
  • Native American: 60 percent
  • White: 79 percent

Bone Marrow Donor Eligibility | Texas DSHS (1)
Patients of mixed ethnicity also have a significantly lower chance of finding a match.

To increase diversity on the registry, we need more people with ethnically diverse backgrounds to join it.

How Donors and Patients Are Matched

Matching donors and patients is much more complex than matching blood types. Doctors match donors to patients based on their human leukocyte antigen (HLA) tissue type. HLA are proteins, or markers, found on most cells in your body. Your immune system uses these markers to recognize which cells belong in your body and which do not. A close HLA match between donor and patient is the most important matching factor.

HLA Typing

People have many HLA markers. Half are inherited from their mother and half from their father. This means that each brother and sister who shares the same parents as a patient has a 25 percent chance of being a close HLA match. Extended family members are not likely to be close HLA matches. About 70 percent of patients who need a transplant won’t have a fully matched donor in their family.

Research has found that a donor must match a minimum of six HLA markers. Many times, a closer match is required. The best match is found through detailed testing. Because some HLA types are less common than others, some patients may face a greater challenge in finding a matching donor. Some HLA types are found more often in certain racial and ethnic groups.

A close match between a donor’s and a patient’s HLA markers is essential for a successful transplant outcome. HLA matching promotes the growth and development of new healthy blood cells (called engraftment) and reduces the risk of a post-transplant complication called graft-versus-host disease (GVHD).

Bone Marrow Donor Eligibility | Texas DSHS (2)

Factors in Matching

There are two important factors in matching marrow donors to patients: ancestry and age.

Ancestry: Your HLA—your tissue typing—is inherited. This is why patients are most likely to match someone of the same ethnic background. Adding more members who increase the ethnic diversity of the registry increases the variety of tissue types available. This helps more patients find the match they need.

Age: Potential donors are listed on the registry until their 61st birthday. However, doctors request donors in the 18 to 35 age group nearly 75 percent of the time. Research shows that younger donors provide the greatest chance for transplant success.

Likelihood of Being a Match

Every person who joins the registry gives patients hope, and new patient searches begin every day. If you have a relatively common tissue type, you might be one of many who could match a searching patient. If you have an uncommon tissue type, you may never match a patient, or you might be the only 1 out of more than 39 million potential donors worldwide who can be someone’s cure.

Because our bodies replace lost bone marrow after donation, you could, in theory, be called to donate again. However, being a match for more than one patient is rare.

  • About Bone Marrow Transplants
  • Bone Marrow Donation
  • Register to Be a Bone Marrow Donor
  • Bone Marrow Donor Eligibility
  • Bone Marrow Resources

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Bone Marrow Donor Eligibility | Texas DSHS (2024)

FAQs

Bone Marrow Donor Eligibility | Texas DSHS? ›

If you're between the ages of 18 and 40, committed to donating to any patient in need, and meet the medical guidelines, you can register to be a bone marrow donor. Patients especially need you if you're between the ages of 18 and 35.

What disqualifies you from being a bone marrow donor? ›

Medical conditions that disqualify potential donors include: HIV/AIDs. Severe arthritis such as rheumatoid arthritis. Autoimmune diseases that affect your whole body.

Can you donate bone marrow after 40? ›

Doctors are concerned that marrow from a 70-year-old donor transplanted into a 20-year-old patient may fail over time. Due to these factors, the World Marrow Donor Association requires donor registries to have an upper age limit not to exceed 60 years.

Is there a weight requirement for bone marrow donation? ›

There are medical guidelines for bone marrow donations that have been established by the National Marrow Donor Program (NMDP) to protect the safety of the donor and provide the best possible outcome for the patient. The height and weight guidelines for donors allow for a Body Mass Index (BMI) of up to approximately 40.

How much money do you get for donating bone marrow? ›

Donors never pay for donating, and are never paid to donate.

Why can't people over 35 donate bone marrow? ›

There is a small increase in the risk of complications from donations in older donors. There is also a slightly increased risk of blood disorders in older people. In addition, studies have shown that patients who receive donated cells from younger donors have a better chance for long-term survival.

How painful is donating bone marrow? ›

Marrow donation is done under general or spinal anesthesia so the donor experiences no pain during the collection procedure. Pain medication is commonly prescribed after marrow donation. Discomfort and side effects vary from person to person.

What are the disadvantages of donating bone marrow? ›

Common side effects of marrow donation reported 2 days after donation: Back or hip pain 84%, Fatigue 61%, Throat pain 32%, Muscle pain 24%, Insomnia 15%, Headache 14%, Dizziness 10%, Loss of appetite 10%, Nausea 9%. Learn more about what happens after you donate.

How long does it take to recover from bone marrow donation? ›

Most marrow donors experience some pain, fatigue, and stiffness following the donation. Their marrow returns to normal levels within a few weeks. Many donors return to their normal routine in a few days, and most feel fully recovered within 21 days.

Who is the most likely match for bone marrow? ›

People have many HLA markers. Half are inherited from their mother and half from their father. This means that each brother and sister who shares the same parents as a patient has a 25 percent chance of being a close HLA match. Extended family members are not likely to be close HLA matches.

How many times can I donate bone marrow? ›

Both bone marrow and stem cells regenerate. So, it is possible for an individual to donate multiple times. It is recommended that ideally, one donor can donate up to 3 times.

How rare is it to find a bone marrow donor? ›

If you don't have a match in your family, your doctor will search the NMDP Registry to find a matched unrelated donor or cord blood unit. Depending on your ethnic background, the chance of finding a match is between 29% and 79%.

How much does it cost to get bone marrow? ›

Depending on the needs of the patient, a transplant can range from $80,000 to up to $400,000 before health insurance.

Who is not a candidate for bone marrow transplant? ›

You are usually not a candidate for a BMT if you're over the age of 75 or have one of the following: Uncontrolled infection. Severe non-correctable cardiac, vascular, or lung disease. Disabling psychosis.

Who is most likely to be a bone marrow match? ›

People have many HLA markers. Half are inherited from their mother and half from their father. This means that each brother and sister who shares the same parents as a patient has a 25 percent chance of being a close HLA match. Extended family members are not likely to be close HLA matches.

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