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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1995-12-12
pubmed:abstractText
Chemotherapy induces high remission rates in high-grade lymphoma. However relapse remains a major problem. One approach to this is myeloablative chemotherapy with transplantation of autologous bone marrow or peripheral blood progenitor cells (PBPC). Immunological mechanisms have been suggested to play a role in the prevention of relapse after transplantation. We investigated the recovery of cellular immune functions after high-dose chemotherapy and PBPC transplantation in 5 patients with high grade non-Hodgkin's lymphoma. All patients showed rapid reconstitution of natural killer (NK) and inducible lymphokine-activated killer (LAK)-activity 10-14 days after transplantation. Four of 5 patients showed higher levels of LAK-generation in the post-transplant period compared with levels prior to myeloablative treatment. Absolute lymphocyte counts in peripheral blood reached 1.0 x 10(9)/l between days 10 and 13 with a predominance of CD8+ cells and an inversion of the CD4/CD8 ratio. Four of 5 patients had a transient increase in CD56+ and CD16+ cell counts post-transplant. No change in the proportion of CD25+ cells was noted. These results show that PBPC transplantation leads to a rapid recovery of cellular immune functions after myeloablative chemotherapy and provides evidence for an increased presence of LAK precursor cells early in the post-transplant period which can be activated by IL-2 to exert high levels of cytotoxicity.
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
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
901-6
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:7581089-Adolescent, pubmed-meshheading:7581089-Adult, pubmed-meshheading:7581089-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:7581089-Bleomycin, pubmed-meshheading:7581089-Bone Marrow Diseases, pubmed-meshheading:7581089-Busulfan, pubmed-meshheading:7581089-Carmustine, pubmed-meshheading:7581089-Combined Modality Therapy, pubmed-meshheading:7581089-Cyclophosphamide, pubmed-meshheading:7581089-Cytarabine, pubmed-meshheading:7581089-Doxorubicin, pubmed-meshheading:7581089-Etoposide, pubmed-meshheading:7581089-Female, pubmed-meshheading:7581089-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:7581089-Humans, pubmed-meshheading:7581089-Killer Cells, Lymphokine-Activated, pubmed-meshheading:7581089-Killer Cells, Natural, pubmed-meshheading:7581089-Leukapheresis, pubmed-meshheading:7581089-Lymphocyte Count, pubmed-meshheading:7581089-Lymphocyte Subsets, pubmed-meshheading:7581089-Lymphoma, B-Cell, pubmed-meshheading:7581089-Lymphoma, Non-Hodgkin, pubmed-meshheading:7581089-Male, pubmed-meshheading:7581089-Melphalan, pubmed-meshheading:7581089-Mesna, pubmed-meshheading:7581089-Middle Aged, pubmed-meshheading:7581089-Podophyllotoxin, pubmed-meshheading:7581089-Precursor Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:7581089-Time Factors, pubmed-meshheading:7581089-Treatment Outcome, pubmed-meshheading:7581089-Vincristine
pubmed:year
1995
pubmed:articleTitle
Time-course of the recovery of cellular immune function after high-dose chemotherapy and peripheral blood progenitor cell transplantation for high-grade non-Hodgkin's lymphoma.
pubmed:affiliation
CRC Department of Immunology, Paterson Institute for Cancer Research, Manchester, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't