Partial chimerism after T-cell-depleted allogeneic bone marrow transplantation in leukemic HLA-matched patients: a cytogenetic documentation

Blood. 1988 Jul;72(1):89-93.

Abstract

We evaluated serially by cytogenetics the blood and marrow chimerism of 38 leukemic recipients of HLA-matched bone marrow transplants (BMT) who were prepared by high doses of alkylating agents and fractionated total-body irradiation (2.2 Gy X 5). Donor or host mitoses were identified by examination of sex chromosomes in 32 patients or by evaluation of the polymorphism of other chromosomes after specific banding in six patients. Twenty-four patients were recipients of untreated BMT, and 14 were recipients of T-cell-depleted BMT. In the 24 patients who received untreated BMT, all showed successful engraftment, and only three had a transient mixed chimera. In the 14 recipients of T-cell-depleted BMTs, four rejected their grafts, and seven had mixed chimeras; these mixed chimeras were more frequent in blood lymphocytes than in marrow cells and could be detected up to 26 months after BMT. This high frequency of partial chimerism after T-cell-depleted BMT by comparison with a control group suggests that the donor's T cells play an important role in the eradication of host residual hematopoiesis after allogeneic BMT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Bone Marrow / pathology
  • Bone Marrow Transplantation*
  • Child
  • Child, Preschool
  • Chimera*
  • Chromosome Banding
  • Cytogenetics*
  • Follow-Up Studies
  • Graft vs Host Disease / etiology
  • Graft vs Host Disease / genetics
  • Graft vs Host Disease / prevention & control
  • HLA Antigens / genetics
  • Histocompatibility Testing
  • Humans
  • Leukemia / blood
  • Leukemia / genetics*
  • Leukemia / pathology
  • Lymphocyte Depletion*
  • T-Lymphocytes*
  • Transplantation, Homologous / adverse effects
  • Transplantation, Homologous / methods

Substances

  • HLA Antigens