genomic instability and progressive BM failure. 1 Hematopoietic allogeneic SCT (HSCT) can
restore normal hematopoiesis, 2–4 but these patients have an increased risk of grades 2–4
acute GVHD (aGVHD). 5 At the cellular level, the hallmarks of FA are hypersensitivity to DNA-
cross-linking agents and defective DNA repair. 6 Unrepaired DNA damage can further
activate p53-dependent7 and p53-independent8 signaling pathways of apoptosis.