Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-2-24
pubmed:abstractText
Little information is available on long-term immune reconstitution after therapy with alemtuzumab in B-CLL patients. We present long-term follow-up data for blood lymphocyte subsets analysed by flow cytometry in previously untreated B-CLL patients who received alemtuzumab subcutaneously as first-line therapy. All lymphoid subsets were significantly (P<0.001) and profoundly reduced; the median end-of-treatment counts for CD4(+), CD8(+), CD3(-)56(+) (natural killer (NK)), CD3(+)56(+) (NK-T) and CD19(+)5(-) (normal B) cells were 43, 20, 4, 1 and 8 cells/microl, respectively. The median cell count of all subsets remained at <25% of the baseline values for >9 months post-treatment. CD4(+) and CD8(+) levels in blood had reached >100 cells/microl in >50% of the patients at 4 months after the end of treatment. One patient had a cytomegalovirus reactivation and one patient developed Pneumocystis carinii pneumonia during therapy. No opportunistic or other major infections were recorded during unmaintained, long-term follow-up. There was no correlation between the cumulative dose of alemtuzumab and the severity or length of immunosuppression. CD52(-) T-cell subsets occurred during the treatment and comprised >80% of all CD4(+) and CD8(+) cells in the blood at the end of therapy. These subpopulations declined gradually during unmaintained follow-up. The relationship between these observations and the safety/antitumour effects of alemtuzumab is discussed.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
484-90
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:14749699-Adult, pubmed-meshheading:14749699-Aged, pubmed-meshheading:14749699-Antibodies, Monoclonal, pubmed-meshheading:14749699-Antibodies, Monoclonal, Humanized, pubmed-meshheading:14749699-Antibodies, Neoplasm, pubmed-meshheading:14749699-Antigens, CD, pubmed-meshheading:14749699-Antineoplastic Agents, pubmed-meshheading:14749699-Case-Control Studies, pubmed-meshheading:14749699-Follow-Up Studies, pubmed-meshheading:14749699-Humans, pubmed-meshheading:14749699-Immunity, Cellular, pubmed-meshheading:14749699-Immunophenotyping, pubmed-meshheading:14749699-Injections, Subcutaneous, pubmed-meshheading:14749699-Killer Cells, Natural, pubmed-meshheading:14749699-Leukemia, Lymphocytic, Chronic, B-Cell, pubmed-meshheading:14749699-Middle Aged, pubmed-meshheading:14749699-Remission Induction, pubmed-meshheading:14749699-T-Lymphocytes, pubmed-meshheading:14749699-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Cellular immune reconstitution after subcutaneous alemtuzumab (anti-CD52 monoclonal antibody, CAMPATH-1H) treatment as first-line therapy for B-cell chronic lymphocytic leukaemia.
pubmed:affiliation
1Department of Haematology, Karolinska Hospital, Stockholm, Sweden.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't