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性别不匹配的异基因骨髓移植(BMT)后复发的慢性粒细胞白血病(CML)患者接受供体淋巴细胞输注(DLI)后的造血功能不全:通过非同位素原位杂交(ISH)预测供体型造血功能的恢复。

Aplasia after donor lymphocyte infusion (DLI) for CML in relapse after sex-mismatched BMT: recovery of donor-type haemopoiesis predicted by non-isotopic in situ hybridization (ISH).

作者信息

Garicochea B, van Rhee F, Spencer A, Chase A, Lin F, Cross N C, Goldman J M

机构信息

LRF Centre for Adult Leukaemia, London.

出版信息

Br J Haematol. 1994 Oct;88(2):400-2. doi: 10.1111/j.1365-2141.1994.tb05039.x.

DOI:10.1111/j.1365-2141.1994.tb05039.x
PMID:7803290
Abstract

We report a patient with CML in relapse after a sex-mismatch bone marrow transplant who was treated with donor lymphocyte infusions and developed severe marrow aplasia 3 months later. As cytogenetic analysis at this point was not possible because of the very low number of marrow cells available, we used in situ hybridization (ISH) for sex chromosomes and the BCR/ABL gene together with quantitative PCR to monitor the patient's response. The results suggest that recovering haemopoiesis was derived from donor cells and contributed to the decision not to transfuse donor marrow cells on a second occasion.

摘要

我们报告了一名慢性粒细胞白血病(CML)患者,其在性别不匹配的骨髓移植后复发,接受了供体淋巴细胞输注治疗,3个月后出现严重骨髓再生障碍。由于当时可获得的骨髓细胞数量极少,无法进行细胞遗传学分析,我们使用性染色体原位杂交(ISH)和BCR/ABL基因检测以及定量PCR来监测患者的反应。结果表明,造血功能的恢复源自供体细胞,这一结果促使我们决定不再二次输注供体骨髓细胞。

相似文献

1
Aplasia after donor lymphocyte infusion (DLI) for CML in relapse after sex-mismatched BMT: recovery of donor-type haemopoiesis predicted by non-isotopic in situ hybridization (ISH).性别不匹配的异基因骨髓移植(BMT)后复发的慢性粒细胞白血病(CML)患者接受供体淋巴细胞输注(DLI)后的造血功能不全:通过非同位素原位杂交(ISH)预测供体型造血功能的恢复。
Br J Haematol. 1994 Oct;88(2):400-2. doi: 10.1111/j.1365-2141.1994.tb05039.x.
2
Donor leukocyte infusion for leukemic relapse after allogeneic marrow transplantation: lack of residual donor hematopoiesis predicts aplasia.异基因骨髓移植后白血病复发时输注供体白细胞:缺乏残留供体造血功能预示着再生障碍。
Blood. 1997 May 1;89(9):3113-7.
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Donor leukocyte infusions for chronic myeloid leukemia relapsed after allogeneic bone marrow transplantation.供体白细胞输注用于异基因骨髓移植后复发的慢性髓性白血病。
J Clin Oncol. 1993 Mar;11(3):513-9. doi: 10.1200/JCO.1993.11.3.513.
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Molecular basis for therapeutic decisions in chronic myeloid leukemia patients after allogeneic bone marrow transplantation.异基因骨髓移植后慢性髓性白血病患者治疗决策的分子基础。
Haematologica. 2000 Oct;85(10):1072-82.
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Comparative outcomes of T-cell-depleted and non-T-cell-depleted allogeneic bone marrow transplantation for chronic myelogenous leukemia: impact of donor lymphocyte infusion.慢性粒细胞白血病患者进行T细胞去除型和非T细胞去除型异基因骨髓移植的比较结果:供体淋巴细胞输注的影响
J Clin Oncol. 1999 Feb;17(2):561-8. doi: 10.1200/JCO.1999.17.2.561.
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Donor lymphocyte infusions (DLI) in patients with chronic myeloid leukemia following allogeneic bone marrow transplantation.异基因骨髓移植后慢性髓性白血病患者的供体淋巴细胞输注(DLI)
Bone Marrow Transplant. 1997 May;19(9):927-32. doi: 10.1038/sj.bmt.1700762.
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Monitoring of lineage-specific chimaerism allows early prediction of response following donor lymphocyte infusions for relapsed chronic myeloid leukaemia.监测谱系特异性嵌合现象有助于对复发慢性髓性白血病患者输注供体淋巴细胞后的反应进行早期预测。
Bone Marrow Transplant. 1998 Apr;21(7):711-9. doi: 10.1038/sj.bmt.1701154.
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Red blood cell phenotyping is a sensitive technique for monitoring chronic myeloid leukaemia patients after T-cell-depleted bone marrow transplantation and after donor leucocyte infusion.红细胞表型分析是一种用于监测慢性粒细胞白血病患者在进行T细胞去除的骨髓移植后以及供体白细胞输注后的敏感技术。
Br J Haematol. 2000 Jan;108(1):116-25. doi: 10.1046/j.1365-2141.2000.01803.x.
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The graft versus leukemia (GVL) effect after allogeneic bone marrow transplantation for chronic myelogenous leukemia (CML).异基因骨髓移植治疗慢性粒细胞白血病(CML)后的移植物抗白血病(GVL)效应。
Leuk Lymphoma. 1993;11 Suppl 1:221-6. doi: 10.3109/10428199309047890.
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Fatal graft-versus-host disease following HLA-mismatched donor lymphocyte infusion.
Bone Marrow Transplant. 2001 Sep;28(6):623-5. doi: 10.1038/sj.bmt.1703195.

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