Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2004-4-27
pubmed:abstractText
Chimerism analysis of hematopoietic cells has emerged as an essential tool in nonmyeloablative hematopoietic stem cell transplantation. We have investigated the development of donor chimerism in granulocytes and CD4(+) and CD8(+) T cells in blood and bone marrow of 24 patients with hematologic malignancies who received HLA-identical sibling peripheral blood stem cell grafts after conditioning with fludarabine and 2 Gy of total body irradiation. The T-cell chimerism of blood and bone marrow was tightly correlated. Complete donor chimerism was reached earlier in the granulocytes than in the T cells. Mixed T-cell chimerism was common at the time of onset of acute graft-versus-host disease (aGVHD), and both CD4(+) and CD8(+) donor T-cell chimerism increased with the occurrence of aGVHD grades II to IV (P =.0002 and P =.019, respectively). The rate of disappearance of recipient CD8(+) T cells was faster in patients with aGVHD grades II to IV than in patients without clinically significant aGVHD (P =.016). This observation indicates a role of graft-versus-lymphohematopoietic tissue reactions in creating complete donor T-cell chimerism. A donor CD8(+) T-cell count above the median on day +14 increased the risk of subsequent development of aGVHD grades II to IV (P =.003).
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1083-8791
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
337-46
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15111933-Acute Disease, pubmed-meshheading:15111933-Adult, pubmed-meshheading:15111933-Aged, pubmed-meshheading:15111933-CD8-Positive T-Lymphocytes, pubmed-meshheading:15111933-Female, pubmed-meshheading:15111933-Graft vs Host Disease, pubmed-meshheading:15111933-Graft vs Host Reaction, pubmed-meshheading:15111933-Hematologic Neoplasms, pubmed-meshheading:15111933-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:15111933-Histocompatibility Testing, pubmed-meshheading:15111933-Humans, pubmed-meshheading:15111933-Immunosuppressive Agents, pubmed-meshheading:15111933-Leukocyte Count, pubmed-meshheading:15111933-Lymphocyte Transfusion, pubmed-meshheading:15111933-Male, pubmed-meshheading:15111933-Middle Aged, pubmed-meshheading:15111933-Prognosis, pubmed-meshheading:15111933-Time Factors, pubmed-meshheading:15111933-Tissue Donors, pubmed-meshheading:15111933-Transplantation, Homologous, pubmed-meshheading:15111933-Transplantation, Isogeneic, pubmed-meshheading:15111933-Transplantation Chimera
pubmed:year
2004
pubmed:articleTitle
Chimerism studies in HLA-identical nonmyeloablative hematopoietic stem cell transplantation point to the donor CD8(+) T-cell count on day + 14 as a predictor of acute graft-versus-host disease.
pubmed:affiliation
Department of Hematology, Rigshospitalet, Copenhagen, Denmark. slykkep@rh.dk
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't