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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2006-6-7
pubmed:abstractText
The current study evaluates the role of quantitative measurement of peripheral lymphocyte subsets, especially CD4+ helper T-cell recovery, in predicting transplant outcomes including overall survival (OS) and non-relapse mortality (NRM) after allogeneic stem cell transplantation. A total of 69 allogeneic recipients were included with following diagnoses: acute myeloid leukemia 42, acute lymphoblastic leukemia 5, chronic myeloid leukemia 15, non-Hodgkin's lymphoma 5 and high-risk myelodysplastic syndrome 2. The peripheral lymphocyte subset counts (CD3+ T cells, CD3+4+ helper T cells, CD3+8+ cytotoxic T cells, CD19+ B cells, and CD56+ natural killer cells) were measured at 3, 6 and 12 months. The CD4+ helper T-cell reconstitution at 3 months was strongly correlated with OS (P<0.0001), NRM (P=0.0007), and opportunistic infections (P=0.0108) at the cutoff value of 200 x 10(6)/l CD4(+) helper T cells. Rapid CD4+ helper T-cell recovery was also associated with a higher CD4+ helper T-cell transplant dose (P=0.006) and donor type (P<0.001). An early CD4+ helper T-cell recovery at 3 months correlated with a subsequent faster helper T-cell recovery until 12 months, yet not with B-cell recovery. In a multivariate analysis, rapid recovery of CD4+ helper T cells at 3 months was a favorable prognostic factor together with higher CD34+ cell transplant dose in terms of OS (P=0.001) and NRM (P=0.005).
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1119-28
pubmed:meshHeading
pubmed-meshheading:16699530-Adolescent, pubmed-meshheading:16699530-Adult, pubmed-meshheading:16699530-Antigens, CD, pubmed-meshheading:16699530-B-Lymphocytes, pubmed-meshheading:16699530-Blood Donors, pubmed-meshheading:16699530-CD4-Positive T-Lymphocytes, pubmed-meshheading:16699530-Disease-Free Survival, pubmed-meshheading:16699530-Female, pubmed-meshheading:16699530-Hematologic Neoplasms, pubmed-meshheading:16699530-Humans, pubmed-meshheading:16699530-Lymphocyte Count, pubmed-meshheading:16699530-Lymphocyte Transfusion, pubmed-meshheading:16699530-Male, pubmed-meshheading:16699530-Middle Aged, pubmed-meshheading:16699530-Opportunistic Infections, pubmed-meshheading:16699530-Recovery of Function, pubmed-meshheading:16699530-Stem Cell Transplantation, pubmed-meshheading:16699530-Time Factors, pubmed-meshheading:16699530-Transplantation, Homologous, pubmed-meshheading:16699530-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Rapid helper T-cell recovery above 200 x 10 6/l at 3 months correlates to successful transplant outcomes after allogeneic stem cell transplantation.
pubmed:affiliation
Department of Hematology/Oncology, Kyungpook National University Hospital, 50 Samduk 2-ga, Jung-Gu, Daegu 700-721, Korea.
pubmed:publicationType
Journal Article