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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8552
|
pubmed:dateCreated |
1987-8-24
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pubmed:abstractText |
71 leukaemic patients having HLA-matched bone-marrow transplants (BMT) were randomised to receive whole marrow (group A) or marrow depleted of T cells by treatment with monoclonal antibodies (anti CD4-CD5-CD8, group B; anti CD2-CD5-CD7, group C) plus complement. All patients received cyclophosphamide and total body irradiation before transplantation and cyclosporin after BMT. Marrow treatment removed 97% of T cells (median) in group B and 99% in group C. Although both serious and mild graft-versus-host disease (GVHD) were reduced in T-cell depleted patients, graft failure and relapse were increased. Graft failure was caused by GVHD and transplant complications in the controls and by rejection and relapse in the T-cell depleted groups; relapse-free survival did not differ between the groups. Without better control of host immunity and of the residual leukaemia T-cell depletion of the marrow, BMT should not be pursued in standard-risk patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
25
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pubmed:volume |
2
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
175-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2885638-Adolescent,
pubmed-meshheading:2885638-Adult,
pubmed-meshheading:2885638-Antibodies, Monoclonal,
pubmed-meshheading:2885638-Bone Marrow Transplantation,
pubmed-meshheading:2885638-Clinical Trials as Topic,
pubmed-meshheading:2885638-Complement System Proteins,
pubmed-meshheading:2885638-Cyclosporins,
pubmed-meshheading:2885638-Female,
pubmed-meshheading:2885638-Follow-Up Studies,
pubmed-meshheading:2885638-Graft vs Host Disease,
pubmed-meshheading:2885638-Humans,
pubmed-meshheading:2885638-Leukemia,
pubmed-meshheading:2885638-Male,
pubmed-meshheading:2885638-Prospective Studies,
pubmed-meshheading:2885638-Random Allocation,
pubmed-meshheading:2885638-Remission Induction,
pubmed-meshheading:2885638-Risk,
pubmed-meshheading:2885638-T-Lymphocytes
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pubmed:year |
1987
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pubmed:articleTitle |
Impact of T-cell depletion on outcome of allogeneic bone-marrow transplantation for standard-risk leukaemias.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
In Vitro,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|