Abstract
We report a 5-year-old boy with juvenile myelomonocytic leukemia (JMML) which relapsed after an allogeneic bone marrow transplant who was successfully treated with interferon-α (IFN-α). One year after starting the therapy, he remains clinically well and in complete remission while continuing treatment with IFN-α and bestatin. Although the precise mechanism by which remission was induced is uncertain, a GVL effect combined with a direct antileukemia effect of IFN-α may be responsible. Further assessment of the role of IFN-α in relapsed JMLL patients is warranted. Bone Marrow Transplantation (2000) 26, 681–683.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Browett PJ, Nelson J, Tiwari S et al. Graft-versus-host disease following interferon therapy for relapsed chronic myeloid leukaemia post-allogeneic bone marrow transplantation Bone Marrow Transplant 1994 14: 641–644
Steegmann JL, Casado LF, Tomás JF et al. Interferon alpha for chronic myeloid leukemia relapsing after allogeneic bone marrow transplantation Bone Marrow Transplant 1999 23: 483–488
Baron S, Tyring SK, Fleischmann WR Jr et al. The interferons. Mechanisms of action and clinical applications J Am Med Assoc 1991 266: 1375–1383
Mutz ID, Zoubek A . Transient response to alpha-interferon in juvenile chronic myelomonocytic leukemia Pediatr Hematol Oncol 1988 5: 71–75
Aricò M, Nespoli L, Caselli D et al. Juvenile chronic myeloid leukaemia and alpha-interferon Eur J Pediatr 1989 148: 379–380
Maybee D, Dubowy R, Krischer J et al. Unusual toxicity of high dose alpha interferon (aIFN) in the treatment of juvenile myelogenous leukemia (JCML) Proc Am Soc Clin Oncol 1992 1: 950a
Aricò M, Bossi G, Schiro R et al. Juvenile chronic myelogenous leukemia: report of the Italian Registry Haematologica 1993 78: 264–269
Hazani A, Barak Y, Berant M, Bar-Maor A . Congenital juvenile chronic myelogenous leukemia: therapeutic trial with interferon alpha-2 Med Pediatr Oncol 1993 21: 73–76
Toraldo R, Vetrano F, Pistoia V et al. Interferon alfa therapy in an infant with juvenile chronic myelogenous leukemia Pediatr Hematol Oncol 1995 12: 189–194
Lutz P, Zix-Kieffer I, Souillet G et al. Juvenile myelomonocytic leukemia: analyses of treatment results in the EORTC Children's Leukemia Cooperative Group (CLCG) Bone Marrow Transplant 1996 18: 1111–1116
Rassam SMB, Katz F, Chessells JM, Morgan G . Successful allogeneic bone marrow transplantation in juvenile CML: conditioning or graft-versus-leukaemia effect? Bone Marrow Transplant 1993 11: 247–250
Veys P, Saunders F, Calderwood S et al. The role of graft-versus-leukaemia in bone marrow transplantation for juvenile chronic myeloid leukaemia Blood 1994 84: (Suppl.1) 337a
MacMillan ML, Davies SM, Orchard PJ et al. Haemopoietic cell transplantaion in children with juvenile myelomonocytic leukaemia Br J Haematol 1998 103: 552–558
Miyamoto T, Akashi K, Hayashi S et al. Serum concentration of the soluble interleukin-2 receptor for monitoring acute graft-versus-host disease Bone Marrow Transplant 1996 17: 185–190
Grimm J, Zeller W, Zander AR . Soluble interleukin-2 receptor serum levels after allogeneic bone marrow transplantation as a marker for GVHD Bone Marrow Transplant 1998 21: 29–32
Sekine K, Fujii H, Abe F . Induction of apoptosis by bestatin (ubenimex) in human leukemic cell lines Leukemia 1999 13: 729–734
Iwahashi M, Tanimura H, Yamaue H et al. In vitro augmentation of cytotoxic activity of peripheral blood lymphocytes and spleen cells of cancer patients by ubenimex Anticancer Res 1994 14: 1557–1562
Ino K, Bierman PJ, Varney ML et al. Monocyte activation by an oral immunomodulator (bestatin) in lymphoma patients following autologous bone marrow transplantation Cancer Immunol Immunother 1996 43: 206–212
Bierman PJ, Abe F, Buyukberber S et al. Partial review of immunotherapeutic pharmacology in stem cell transplantation In Vivo 2000 14: 221–236
Hiraoka A, Shibata H, Masaoka T . Immunopotentiation with Ubenimex for prevention of leukemia relapse after allogeneic BMT Transplant Proc 1992 24: 3047–3048
Abe F, Hayashi M, Horinishi H et al. Enhancement of graft-versus-host reaction and delayed cutaneous hypersensitivity in mice by ubenimex J Antibiot 1986 39: 1172–1177
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohta, H., Kawai, M., Sawada, A. et al. Juvenile myelomonocytic leukemia relapsing after allogeneic bone marrow transplantation successfully treated with interferon-alpha. Bone Marrow Transplant 26, 681–683 (2000). https://doi.org/10.1038/sj.bmt.1702584
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.bmt.1702584
Keywords
This article is cited by
-
Donor leukocyte infusion after hematopoietic stem cell transplantation in patients with juvenile myelomonocytic leukemia
Leukemia (2005)
-
Successful treatment of JMML relapsed after unrelated allogeneic transplant with cytoreduction followed by DLI and interferon-alpha: evidence for a graft-versus-leukemia effect in non-monosomy-7 JMML
Bone Marrow Transplantation (2004)