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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-10-26
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pubmed:abstractText |
Thirty-eight patients with haematological malignancies were treated with bone marrow transplantation using histocompatible immunotoxin T cell-depleted marrow siblings. All patients received conventional postgraft immunosuppression (methotrexate and/or cyclosporin A). Donor bone marrow was treated ex vivo with T101 Fab fragment coupled to ricin A-chain (T101 Fab-RTA) at a concentration of 10(-8) M of A-chain in association with NH4Cl (2 x 10(-2) M) in pH adjusted (7.8) incubation medium. A median cytoreduction of 99.5% (91-99.5) was obtained. The median of follow-up was 300 days. Only three patients developed grade II acute graft-versus-host disease (GVHD) (actuarial rate of acute GVHD: 9.1%). No chronic GVHD occurred. All patients but one engrafted. Six out of the 37 patients developed a documented bone marrow rejection (actuarial rate of graft failure: 18%). Ten patients relapsed (actuarial rate of relapse: 36.9%). These findings demonstrate that treatment of donor marrow with T101 Fab-RTA in association with NH4Cl at critical pH value can achieve a high level of mature T cell depletion and greatly reduce the incidence of bone marrow rejection and relapse after T cell-depleted allogeneic bone marrow transplantation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
367-71
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:2789084-Adolescent,
pubmed-meshheading:2789084-Adult,
pubmed-meshheading:2789084-Bone Marrow,
pubmed-meshheading:2789084-Cell Survival,
pubmed-meshheading:2789084-Child,
pubmed-meshheading:2789084-Child, Preschool,
pubmed-meshheading:2789084-Female,
pubmed-meshheading:2789084-Graft vs Host Disease,
pubmed-meshheading:2789084-Humans,
pubmed-meshheading:2789084-Immunoglobulin Fab Fragments,
pubmed-meshheading:2789084-Immunotoxins,
pubmed-meshheading:2789084-Male,
pubmed-meshheading:2789084-Ricin
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pubmed:year |
1989
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pubmed:articleTitle |
Donor bone marrow treatment with T101 Fab fragment-ricin A-chain immunotoxin prevents graft-versus-host disease.
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pubmed:affiliation |
Sanofi Recherche, Montpellier, France.
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pubmed:publicationType |
Journal Article
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