Long-term bone-marrow damage in children treated for ALL: evidence from in vitro colony assays (GM-CFC and CFUF)

Br J Cancer. 1982 Dec;46(6):918-23. doi: 10.1038/bjc.1982.302.

Abstract

We have studied granulocyte-macrophage progenitor cells (GM-CFC) in serial bone marrow aspirates from 43 children who had been treated for acute lymphoblastic leukaemia (ALL). All patients were in full remission, not receiving anti-leukaemic therapy and 42 out of the 43 had normal peripheral blood counts. Thirty-seven patients have received standard amounts of chemotherapy and 6 have received additional therapy for relapses occurring in the first treatment-free interval. In the former group estimation of GM-CFC incidence did not provide evidence of long-term residual bone-marrow damage. In the latter, however, the mean incidence of GM-CFC was significantly reduced. This reduction was also apparent when the incidence of GM-CFC was related to the incidence of non-haemopoietic progenitor cells within the marrow (CFU-F).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Bone Marrow / pathology
  • Bone Marrow Diseases / chemically induced*
  • Bone Marrow Diseases / pathology
  • Child
  • Colony-Forming Units Assay
  • Follow-Up Studies
  • Hematopoietic Stem Cells / pathology
  • Hemoglobins / analysis
  • Humans
  • Leukemia, Lymphoid / blood
  • Leukemia, Lymphoid / drug therapy*
  • Leukemia, Lymphoid / pathology
  • Leukocyte Count
  • Neutrophils
  • Platelet Count

Substances

  • Antineoplastic Agents
  • Hemoglobins