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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2007-5-2
pubmed:abstractText
Here we investigated the influence of parameters known before hematopoietic stem cell transplantation (HSCT) as well as the relevance of graft-versus-host disease (GvHD) and cytomegalovirus (CMV) reactivation on post transplant lymphocyte reconstitution in 148 patients treated in our institution between 1996 and 2003. Median patient age was 42 (19-68) years, HSCT followed standard high dose (n=91) or reduced-intensity conditioning regimens (n=57) with bone marrow (BM, n=67) or peripheral blood stem cells (PBSC, n=81) from related (n=71) or unrelated (n=77) donors. In the first months, we observed a partially faster reconstitution of CD3+4+, CD3+8+ and CD4+45RA+ T cells in patients following peripheral blood stem cell transplantation when compared to bone marrow transplantation. Prolonged CD3+4+ and CD4+45RA+ lymphopenia was noted after unrelated donor HSCT and GvHD prophylaxis containing anti-T-lymphocyte globulin. Lymphocyte subset counts in patients older than the median age were comparable to those in patients transplanted at a younger age and not influenced by the conditioning regimen. CD3+8+ T cell reconstitution was strongly correlated with CMV reactivation, but not significantly affected by CMV serostatus before HSCT. Incidence or extent of GvHD did not significantly influence lymphocyte reconstitution. Therefore, the source of graft is the most predictive parameter in early lymphocyte reconstitution, but the differences in lymphocyte recovery completely resolved within the first year after HSCT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
39
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
613-22
pubmed:meshHeading
pubmed-meshheading:17384658-Adult, pubmed-meshheading:17384658-Aged, pubmed-meshheading:17384658-Cytomegalovirus Infections, pubmed-meshheading:17384658-Female, pubmed-meshheading:17384658-Graft vs Host Disease, pubmed-meshheading:17384658-Hematologic Diseases, pubmed-meshheading:17384658-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:17384658-Humans, pubmed-meshheading:17384658-Killer Cells, Natural, pubmed-meshheading:17384658-Lymphocyte Count, pubmed-meshheading:17384658-Lymphocyte Subsets, pubmed-meshheading:17384658-Male, pubmed-meshheading:17384658-Middle Aged, pubmed-meshheading:17384658-Multivariate Analysis, pubmed-meshheading:17384658-Recurrence, pubmed-meshheading:17384658-Retrospective Studies, pubmed-meshheading:17384658-Time Factors, pubmed-meshheading:17384658-Transplantation, Homologous, pubmed-meshheading:17384658-Transplantation Conditioning
pubmed:year
2007
pubmed:articleTitle
Lymphocyte reconstitution following allogeneic hematopoietic stem cell transplantation: a retrospective study including 148 patients.
pubmed:affiliation
Department of Hematology/Oncology, University of Freiburg, Hugstetterstrasse 55, Freiburg 79106, Germany.
pubmed:publicationType
Journal Article