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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1997-1-16
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pubmed:abstractText |
Residual leukemia was evaluated in autologous bone marrow grafts harvested in first (n = 11) or second (n = 3) complete remission from 14 patients with BCR-ABL-positive acute lymphoblastic leukemia after treatment according to the German multicenter ALL protocols. The intervals from diagnosis to BM harvest were median 159 (range 78-463) and from preceding chemotherapy to BM harvest median 39 (range 26-69) days, respectively. A limiting log(10)-dilution RT-PCR was used to semiquantify BCR-ABL-positive cells. All autografts appeared to be significantly contaminated with residual leukemic cells. The BCR-ABL-specific titers ranged from 1:10(3) to 1:10(6) (median 1:10(4)) above the limit of detection. This was the rationale to purge the grafts using two cycles of IgM anti-CD10, CD19, and AB4 MoAbs-coated immunomagnetic beads (IMB). Purging depleted median 3 (range 2-4) logs of residual leukemia, resulting in a median 1:10(1) (range 1:10(0) to 1:10(3)) postpurge BCR-ABL-specific titer. The second purging cycle accounted for 1 log of depletion. The mean +/- s.e.m. post-purge recoveries of MNC and CFU-GM were 59 +/- 4%, and 61 +/- 9%, respectively. We conclude that all BCR-ABL-positive ALL patients achieving CR by cytological criteria have critically high levels of residual leukemia in their bone marrow, which can be reduced by median 3 log using immunomagnetic bead purging.
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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 |
Sep
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
541-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8879615-Adolescent,
pubmed-meshheading:8879615-Adult,
pubmed-meshheading:8879615-Bone Marrow Purging,
pubmed-meshheading:8879615-Bone Marrow Transplantation,
pubmed-meshheading:8879615-Child,
pubmed-meshheading:8879615-Female,
pubmed-meshheading:8879615-Fusion Proteins, bcr-abl,
pubmed-meshheading:8879615-Humans,
pubmed-meshheading:8879615-Immunomagnetic Separation,
pubmed-meshheading:8879615-Male,
pubmed-meshheading:8879615-Middle Aged,
pubmed-meshheading:8879615-Neoplasm, Residual,
pubmed-meshheading:8879615-Polymerase Chain Reaction,
pubmed-meshheading:8879615-Precursor Cell Lymphoblastic Leukemia-Lymphoma
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pubmed:year |
1996
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pubmed:articleTitle |
Residual leukemia and immunomagnetic bead purging in patients with BCR-ABL-positive acute lymphoblastic leukemia.
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pubmed:affiliation |
Department of Hematology, Johann Wolfgang Goethe-University, Frankfurt/Main, Germany.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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