Coexistence of donor and host T lymphocytes following HLA-different bone marrow transplantation into a patient with cellular immunodeficiency and nonfunctional CD4+ T cells

Transplantation. 1991 Sep;52(3):491-6. doi: 10.1097/00007890-199109000-00020.

Abstract

We report the outcome of a non-T-cell-depleted bone marrow transplant from an HLA partially incompatible, MLR-positive, parental donor in a patient with an unusual form of immunodeficiency characterized by a lack of CD8 T cells and a failure of the CD4 cells to display functional activity in vitro. Without conditioning, and following a mild and transient GVHD, donor T cells persist in trace amounts in the host, where they coexist with the nonfunctional host T cells and cooperate with host APC in antigen recognition, thereby leading to a reconstitution of T cell functions in vitro and in vivo and development of a stable, so far unprecedented, human T-T split chimera across MHC barriers.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, Differentiation, T-Lymphocyte / analysis
  • B-Lymphocytes / physiology
  • Bone Marrow Transplantation*
  • CD4 Antigens / analysis*
  • CD8 Antigens
  • Female
  • HLA-A Antigens / immunology*
  • Humans
  • Immunologic Deficiency Syndromes / immunology*
  • Infant
  • Interleukin-2 / pharmacology
  • Lymphocyte Culture Test, Mixed
  • T-Lymphocytes / physiology*

Substances

  • Antigens, Differentiation, T-Lymphocyte
  • CD4 Antigens
  • CD8 Antigens
  • HLA-A Antigens
  • Interleukin-2