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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1993-3-25
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pubmed:abstractText |
We report the successful purging of leukemia cells bearing the Philadelphia chromosome and BCR/ABL transcripts by long-term marrow culture (LTC), and subsequent grafting of the purged marrow in a case of refractory acute lymphoblastic leukemia. The efficiency of the purge was evaluated by polymerase chain reaction (PCR) for BCR/ABL transcripts. In two LTCs initiated in the blastic stage, we demonstrated the selective effect of three culture media (serum dependent, serum-free (SF) supplemented or not with IL3 and GM-CSF) on the proliferative potential of normal hematopoietic (CFU-GM/BFU-E) and leukemic progenitors (CFU-ALL). BCR/ABL positive cells disappeared after 3 to 4 weeks of culture. The addition of IL3 and GM-CSF to the SF medium enhanced the growth of CFU-GM/BFU-E and shortened the purging period. We therefore carried out a LTC in the presence of IL3 and GM-CSF with marrow harvested in morphological remission. BCR/ABL positivity was detected at the outset, although no leukemia cells could be identified. The BCR/ABL was no longer found by PCR in the 7 and 14 day LTCs. The patient, consolidated by high dose polychemotherapy and total body irradiation, was infused with the 14 day LTC. This study indicates that PCR is a useful and sensitive technique for monitoring tumor cell reduction after LTC prior to autografting.
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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 |
Feb
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
169-73
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8435666-Bone Marrow Purging,
pubmed-meshheading:8435666-Bone Marrow Transplantation,
pubmed-meshheading:8435666-Culture Media, Serum-Free,
pubmed-meshheading:8435666-Fusion Proteins, bcr-abl,
pubmed-meshheading:8435666-Neoplasm Proteins,
pubmed-meshheading:8435666-Neoplastic Stem Cells,
pubmed-meshheading:8435666-Polymerase Chain Reaction,
pubmed-meshheading:8435666-Precursor B-Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:8435666-Precursor Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:8435666-Transplantation, Autologous
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pubmed:year |
1993
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pubmed:articleTitle |
Polymerase chain reaction: a method for monitoring tumor cell purge by long-term culture in BCR/ABL positive acute lymphoblastic leukemia.
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pubmed:affiliation |
Formation associée Claude Bernard sur les greffes de cellules souches hématopoïetiques, CHU Saint Antonie, Paris, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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