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在一名异基因骨髓移植后复发的慢性粒细胞白血病患者中,通过分次剂量递增的供体白细胞输注诱导分子缓解,且未发生移植物抗宿主病。

Molecular remission induced by fractionated dose-escalating donor leukocyte infusion without graft-versus-host disease in a patient with chronic myelogenous leukemia relapsed after allogeneic bone marrow transplantation.

作者信息

Inai K, Wano Y, Yamamoto S, Ikebata Y, Iwasaki H, Tsutani H, Naiki H, Ueda T

机构信息

First Department of Intemal Medicine, Fukui Medical University, School of Medicine, Japan.

出版信息

Anticancer Res. 1999 Nov-Dec;19(6C):5631-4.

Abstract

A 39-year-old male with CML who relapsed 5 years and 8 months after allogeneic bone marrow transplantation achieved complete molecular remission following fractionated dose-escalating donor leukocyte infusions. Acute or chronic graft-versus-host disease (GVHD) did not occur and the patient remained asymptomatic throughout treatment. Since no prophylaxis against GVHD was administered, this case indicated that the graft-versus-leukemia effect is entirely separate from GVHD in certain conditions.

摘要

一名39岁的慢性粒细胞白血病男性患者,在异基因骨髓移植后5年零8个月复发,在接受分次剂量递增的供体白细胞输注后实现了完全分子缓解。未发生急性或慢性移植物抗宿主病(GVHD),且患者在整个治疗过程中均无症状。由于未进行预防GVHD的治疗,该病例表明在某些情况下,移植物抗白血病效应与GVHD完全无关。

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