Abstract
We report a case of autologous hematopoietic recovery with durable leukemic remission after BMT from a phenotypically HLA-identical donor in a 30-year-old male with CML. Graft loss was diagnosed from day 60 post-BMT by VNTR PCR. To assess for the presence of a minor donor-derived T cell population that could exert an anti-leukemic effect, we serially applied a sensitive process of chimerism analysis by fluorescent PCR on sorted T cells. No residual donor T cells could be detected. We also showed retrospectively that a very sensitive method of MRD analysis by real-time quantitative PCR could have permitted prediction of relapse in this case. Bone Marrow Transplantation (2001) 28, 717–720.
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
Fouillard L, Deconinck E, Tiberghien P et al. Prolonged remission and autologous recovery in two patients with chronic myelogenous leukemia after graft failure of allogeneic bone marrow transplantation Bone Marrow Transplant 1998 21: 943–946
Kapoor N, Keever CA, Hsu SH et al. Prolonged remission of accelerated phase Philadelphia chromosome negative chronic myeloid leukemia following autologous recovery of normal hematopoietic elements after busulfan/cyclophosphamide and allogeneic marrow transplantation Bone Marrow Transplant 1992 9: 143–145
Okamoto T, Kanamaru A, Wada H et al. Hematopoietic recovery from host progenitors with normal karyotype devoid of Philadelphia chromosome in a patient with CML after allogeneic BMT Bone Marrow Transplant 1993 12: 89–92
Serrano J, Roman J, Castillejo JA et al. Autologous reconstitution with BCR-ABL-negative haematopoiesis after T cell-depleted allogeneic BMT for CML Bone Marrow Transplant 1998 22: 599–601
Sill H, Rule SA, Joske DJ et al. Reconstitution with Philadelphia chromosome-negative recipient haematopoiesis early after allogeneic BMT for CML Bone Marrow Transplant 1996 17: 453–455
Wakui M, Okamoto S, Ishida A et al. Durable molecular remission in a patient with chronic myelogenous leukemia and host-derived hematopoiesis after allogeneic bone marrow transplantation Bone Marrow Transplant 1996 18: 801–804
Brunstein CG, Hirsch BA, Miller JS et al. Non-leukemic autologous reconstitution after allogeneic bone marrow transplantation for Ph-positive chronic myelogenous leukemia: extended remission preceding eventual relapse Bone Marrow Transplant 2000 26: 1173–1177
Scharf SJ, Smith AG, Hansen JA et al. Quantitative determination of bone marrow transplant engraftment using fluorescent polymerase chain reaction primers for human identity markers Blood 1995 85: 1954–1963
Maury S, Jouault H, Kuentz M et al. Chimerism analysis by lineage-specific fluorescent polymerase chain reaction in secondary graft failure after allogeneic stem cell transplantation Transplantation 2001 71: 374–380
Mensink E, van de Locht A, Schattenberg A et al. Quantitation of minimal residual disease in Philadelphia chromosome positive chronic myeloid leukaemia patients using real-time quantitative RT-PCR Br J Haematol 1998 102: 768–774
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Maury, S., Belhadj, K., Chami, I. et al. Autologous reconstitution combined with durable leukemic remission after allogeneic BMT for CML: absence of persistence of a donor-derived T cell effector population. Bone Marrow Transplant 28, 717–720 (2001). https://doi.org/10.1038/sj.bmt.1703218
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.bmt.1703218
Keywords
This article is cited by
-
Autologous reconstitution leading to sustained JAK2-V617F negativity post allogeneic hematopoietic stem cell transplant in JAK2-V617F positive myelofibrosis
Bone Marrow Transplantation (2015)
-
Evidence for anti-tumour effect of allogeneic haematopoietic SCT in cases without sustained donor engraftment
Bone Marrow Transplantation (2010)