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Stem Cell Transplant Issues

Delayed lymphocyte infusion in children given SCT

Abstract

The use of DLI can change chimerism and prevent rejection and relapse. However, the prerequisite for a successful use of this powerful and potentially harmful tool is a minimal burden with resting leukemia or in the case of nonmalignant disease autologous cells. Therefore, a monitoring of the hematopoietic chimerism and of the post-transplant MRD is recommended with a narrow (best: weekly) time schedule. Also, using low and increasing numbers of DLI, a GvHD can be avoided or even minimized.

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Correspondence to T Klingebiel.

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Neither of the authors declared any financial interests.

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Klingebiel, T., Bader, P. & on behalf of the EBMT Paediatric Working Party. Delayed lymphocyte infusion in children given SCT. Bone Marrow Transplant 41 (Suppl 2), S23–S26 (2008). https://doi.org/10.1038/bmt.2008.49

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