Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Case Report
  • Published:

Successful bone marrow transplantation from an unrelated donor in a patient with adult T cell leukemia

Abstract

We report a 51-year-old male with adult T cell leukemia (ATL) who received a BMT from an HLA-identical unrelated donor. The ATL proved refractory to chemotherapy, and he underwent BMT conditioned with CY/TBI. Complications of encephalitis of unknown origin were successfully treated with steroid therapy and the patient has been in CR for 16 months after BMT. Human T cell leukemia virus type 1 proviral DNA loads were reduced to undetectable levels in PBMC sampled 12 months after BMT. This encouraging result suggests that BMT from an unrelated donor should be considered for ATL even if the disease is refractory to chemotherapy.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Pawson R, Mufti GJ, Pagliuca A . Management of adult T-cell leukaemia/lymphoma Br J Haematol 1998 100: 453 458

    Article  CAS  Google Scholar 

  2. Tsukasaki K, Maeda T, Arimura K et al. Poor outcome of autologous stem cell transplantation for adult T cell leukemia/lymphoma: a case report and review of the literature Bone Marrow Transplant 1999 23: 87 89

    Article  CAS  Google Scholar 

  3. Borg A, Yin JA, Johnson PR et al. Successful treatment of HTLV-1-associated acute adult T-cell leukaemia lymphoma by allogeneic bone marrow transplantation Br J Haematol 1996 94: 713 715

    Article  CAS  Google Scholar 

  4. Tajima K, Amakawa R, Uehira K et al. Adult T-cell leukemia successfully treated with allogeneic bone marrow transplantation Int J Hematol 2000 71: 290 293

    CAS  PubMed  Google Scholar 

  5. Utsunomiya A, Miyazaki Y, Takatsuka Y et al. Improved outcome of adult T cell leukemia/lymphoma with allogeneic hematopoietic stem cell transplantation Bone Marrow Transplant 2001 27: 15 20

    Article  CAS  Google Scholar 

  6. Shimoyama M . Diagnostic criteria and classification of clinical subtypes of adult T-cell leukaemia–lymphoma. A report from the Lymphoma Study Group (1984–87) Br J Haematol 1991 79: 428 437

    Article  CAS  Google Scholar 

  7. Yamada Y, Tomonaga M, Fukuda H et al. A new G-CSF-supported combination chemotherapy, LSG15, for adult T-cell leukaemia-lymphoma: Japan Clinical Oncology Group Study 9303 Br J Haematol 2001 113: 375 382

    Article  CAS  Google Scholar 

  8. Momita S, Ikeda S, Amagasaki T et al. Survey of anti-human T-cell leukemia virus type I antibody in family members of patients with adult T-cell leukemia Jpn J Cancer Res 1990 81: 884 889

    Article  CAS  Google Scholar 

  9. Chen YC, Wang CH, Su IJ et al. Infection of human T-cell leukemia virus type I and development of human T-cell leukemia lymphoma in patients with hematologic neoplasms: a possible linkage to blood transfusion Blood 1989 74: 388 394

    CAS  Google Scholar 

  10. Lymphoma Study Group. Major prognostic factors of patients with adult T-cell leukemia-lymphoma: a cooperative study Leuk Res 1991 15: 81 90

  11. Ljungman P, Lawler M, Asjo B et al. Infection of donor lymphocytes with human T lymphotrophic virus type 1 (HTLV-I) following allogeneic bone marrow transplantation for HTLV-I positive adult T-cell leukaemia Br J Haematol 1994 88: 403 405

    Article  CAS  Google Scholar 

  12. Nagai M, Jacobson S . Immunopathogenesis of human T cell lymphotropic virus type I-associated myelopathy Curr Opin Neurol 2001 14: 381 386

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ogata, M., Ogata, Y., Imamura, T. et al. Successful bone marrow transplantation from an unrelated donor in a patient with adult T cell leukemia. Bone Marrow Transplant 30, 699–701 (2002). https://doi.org/10.1038/sj.bmt.1703702

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.bmt.1703702

Keywords

This article is cited by

Search

Quick links