Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2010-12-23
pubmed:abstractText
Modern intensive chemotherapy for childhood haematological malignancies has led to high cure rates, but has detrimental effects on the immune system. There is little knowledge concerning long-term recovery of the adaptive immune system. Here we studied the long-term reconstitution of the adaptive immune system in 31 children treated for haematological malignancies between July 2000 and October 2006. We performed detailed phenotypical and functional analyses of the various B and T cell subpopulations until 5 years after chemotherapy. We show that recovery of newly-developed transitional B cells and naive B and T cells occurred rapidly, within months, whereas recovery of the different memory B and T cell subpopulations was slower and incomplete, even after 5 years post-chemotherapy. The speed of B and T cell recovery was age-independent, despite a significant contribution of the thymus to T cell recovery. Plasmablast B cell levels remained above normal and immunoglobulin levels normalised within 1 week. Functional T cell responses were normal, even within the first year post-chemotherapy. This study shows that after intensive chemotherapy for haematological malignancies in children, numbers of several memory B and T cell subpopulations were decreased on the long term, while functional T cell responses were not compromised.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1365-2141
pubmed:author
pubmed:copyrightInfo
© 2010 Blackwell Publishing Ltd.
pubmed:issnType
Electronic
pubmed:volume
152
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
201-10
pubmed:meshHeading
pubmed-meshheading:21114483-Adaptive Immunity, pubmed-meshheading:21114483-Adolescent, pubmed-meshheading:21114483-Age Factors, pubmed-meshheading:21114483-Antineoplastic Agents, pubmed-meshheading:21114483-B-Lymphocyte Subsets, pubmed-meshheading:21114483-Cell Proliferation, pubmed-meshheading:21114483-Child, pubmed-meshheading:21114483-Child, Preschool, pubmed-meshheading:21114483-Female, pubmed-meshheading:21114483-Follow-Up Studies, pubmed-meshheading:21114483-Hematologic Neoplasms, pubmed-meshheading:21114483-Humans, pubmed-meshheading:21114483-Immunoglobulins, pubmed-meshheading:21114483-Immunophenotyping, pubmed-meshheading:21114483-Lymphocyte Activation, pubmed-meshheading:21114483-Lymphocyte Count, pubmed-meshheading:21114483-Male, pubmed-meshheading:21114483-T-Lymphocyte Subsets, pubmed-meshheading:21114483-Thymus Gland
pubmed:year
2011
pubmed:articleTitle
Immune reconstitution in children following chemotherapy for haematological malignancies: a long-term follow-up.
pubmed:affiliation
Department of Paediatric Haematology/Oncology, University Medical Center Utrecht, The Netherlands. c.m.vantilburg@umcutrecht.nl
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't