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Post-Transplant Events

Flow cytometry with anti HLA-antibodies: a simple but highly sensitive method for monitoring chimerism and minimal residual disease after HLA-mismatched stem cell transplantation

Bone Marrow Transplantation volume 39, pages 767–773 (2007)Cite this article

Abstract

Transplantation of HLA-mismatched stem cells may allow determination of chimerism status of single cells by differential expression of HLA molecules. Monoclonal antibodies against HLA antigens can be used to determine the HLA type of sub-populations by standard flow cytometry. Blood samples from 23 patients transplanted from HLA-mismatched family donors were monitored using HLA-specific antibodies. Suitable antibodies could be found for all donor recipient pairs by using differences in HLA Bw4 and Bw6 groups or other serological antigens. Pretransplant controls of donor and recipient were used to correct for variable fluorescence intensities of the antibodies and sub-populations. Owing to the high sensitivity, cell populations with a minimum frequency of 0.1% were detectable. Flow-cytometric analysis was confirmed by chimerism analysis of immunomagnetically isolated T cells by standard PCR technique. In addition to chimerism evaluation, HLA antibodies improved the detection of leukemic cells after transplantation with aberrant phenotype. In conclusion, flow cytometry using antibodies against HLA antigens is an interesting tool for determination of chimerism and minimal residual disease after HLA-mismatched transplantation. Information about the chimerism status is given on a single-cell level and allows fast and convenient analysis of sub-populations.

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Acknowledgements

We thank Olga Bartuli, Christiane Braun, Gabriele Hochwelker, Ulrike Junker, Stephanie Katz, Susanne Schneider and Anja Wolf for excellent technical assistance.

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Authors and Affiliations

  1. Department of Pediatric Oncology, University Children's Hospital Tuebingen, Tuebingen, Germany

    M Schumm, T Feuchtinger, M Pfeiffer, W Hoelle, M Ebinger, S Kuci, R Handgretinger & P Lang

  2. Department of Internal Medicine, University Hospital Tuebingen, Tuebingen, Germany

    W Bethge

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  1. M Schumm
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  2. T Feuchtinger
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Correspondence to M Schumm.

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Schumm, M., Feuchtinger, T., Pfeiffer, M. et al. Flow cytometry with anti HLA-antibodies: a simple but highly sensitive method for monitoring chimerism and minimal residual disease after HLA-mismatched stem cell transplantation. Bone Marrow Transplant 39, 767–773 (2007). https://doi.org/10.1038/sj.bmt.1705676

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