Chemotherapy does not nullify the ability of donor lymphocyte infusions to mediate graft-versus-host reactions

被引:4
作者
Fuchs, EJ [1 ]
Seber, A [1 ]
Altomonte, V [1 ]
Braine, HG [1 ]
Humphrey, RL [1 ]
Jones, RJ [1 ]
Noga, SJ [1 ]
Schepers, K [1 ]
Wright, SK [1 ]
Vogelsang, GB [1 ]
机构
[1] Johns Hopkins Univ, Sch Med,Bone Marrow Transplantat Program, Johns Hopkins Oncol Ctr, Div Hematol Malignancies, Baltimore, MD 21205 USA
关键词
multiple myeloma; bone marrow transplantation; leukocyte transfusions; chemotherapy; graft-versus-myeloma; graft-versus-host disease;
D O I
10.1038/sj.bmt.1701323
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Two patients with multiple myeloma in relapse after allogeneic BMT received donor lymphocyte infusions (DLI) but later required chemotherapy for treatment of myeloma-related complications. In both patients, recovery from chemotherapy-induced aplasia was accompanied by manifestations of graft-versus-host reactions. The first patient developed grade II acute GVHD and a complete remission which has lasted >22 months. The second patient developed grade III acute GVHD but died with co-existing GVHD and extensive extramedullary myeloma, These results demonstrate that chemotherapy does not nullify the ability of donor lymphocytes to mediate graft-versus-host reactions.
引用
收藏
页码:303 / 305
页数:3
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