Abstract
We report a case of a 13-year-old boy who was transplanted for relapse of acute myeloid leukemia (AML). A detailed study of hematopoietic chimerism was performed using polymerase chain reaction (PCR) of variable number of tandem repeats (VNTR) at very short time intervals. We used discontinuation of post-transplant immunosuppression and donor lymphocyte infusions (DLI) in order to prevent leukemia relapse that was indicated by a progressive increase in autologous hematopoiesis. Despite the fact that the boy relapsed 10 months after BMT, we could see a significant influence of adoptive immunotherapy on the mixed chimerism status during the post-transplant period. Bone Marrow Transplantation (2000) 25, 453–456.
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References
Helg C, Starobinski M, Jeannet M et al. Donor lymphocyte infusion for the treatment of relapse after allogeneic hematopoietic stem cell transplantation Leuk Lymphoma 1998 29: 301–313
Kolb HJ, Schattenberg A, Goldman JM et al. Graft-versus-leukemia effect of donor lymphocyte transfusions in marrow grafted patients Blood 1995 86: 2041–2050
Collins RH Jr, Shpilberg O, Drobyski WR et al. Donor leukocyte infusions in 140 patients with relapsed malignancy after allogeneic bone marrow transplantation J Clin Oncol 1997 15: 433–444
McCann SR, Lawler M . Mixed chimerism; detection and significance following BMT Bone Marrow Transplant 1993 11: 91–94
Oberkircher AR, Strout MP, Herzig GP et al. Description of an efficient and highly informative method for the evaluation of hematopoietic chimerism following allogeneic bone marrow transplantation Bone Marrow Transplant 1995 16: 695–702
Bader P, Beck J, Frey A et al. Serial and quantitative analysis of mixed hematopoietic chimerism by PCR in patients with acute leukemias allows the prediction of relapse after allogeneic BMT Bone Marrow Transplant 1998 21: 487–495
Miller SA, Dykes DD, Polesky HF . A simple salting out procedure for extracting DNA from human nucleated cells Nucleic Acids Res 1988 85: 1215
Kasai K, Nakamura Y, White R . Amplification of a variable number of tandem repeats (VNTR) locus (pMCT118) by the polymerase chain reaction (PCR) and its application to forensic science J Forensic Sci 1990 35: 1196–1200
Horn GT, Richards B, Klinger W . Amplification of a highly polymorphic VNTR segment by the polymerase chain reaction Nucleic Acids Res 1989 17: 2140
Ramírez M, Díaz MA, García-Sánchez et al. Chimerism after allogeneic hematopoietic cell transplantation in childhood acute lymphoblastic leukemia Bone Marrow Transplant 1996 18: 1161–1165
Bader P, Beck J, Schlegel PG et al. Additional immunotherapy on the basis of increasing mixed hematopoietic chimerism after allogeneic BMT in children with acute leukemia: is there an option to prevent relapse Bone Marrow Transplant 1997 20: 79–81
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Formánková, R., Honzátková, L., Sieglová, Z. et al. Detailed monitoring of hematopoietic chimerism in a child treated by adoptive immunotherapy for high risk of relapse after BMT for acute myeloid leukemia. Bone Marrow Transplant 25, 453–456 (2000). https://doi.org/10.1038/sj.bmt.1702146
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DOI: https://doi.org/10.1038/sj.bmt.1702146
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