Predictive factors and impact of full donor T-cell chimerism after reduced intensity conditioning allogeneic stem cell transplantation
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作者:
Mohty, Mohamad
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Inst Paoli Calmettes, UTTC, Marseille, France
Univ Mediterranee, Fac Med, Marseille, France
INSERM, UMR 599, Marseille, FranceInst Paoli Calmettes, UTTC, Marseille, France
Mohty, Mohamad
[1
,2
,3
]
Avinens, Odile
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机构:
CHU Montpellier, Hop St Eloi, Lab Immunol, Montpellier, FranceInst Paoli Calmettes, UTTC, Marseille, France
机构:
Inst Paoli Calmettes, UTTC, Marseille, France
Univ Mediterranee, Fac Med, Marseille, France
INSERM, UMR 599, Marseille, FranceInst Paoli Calmettes, UTTC, Marseille, France
Blaise, Didier
[1
,2
,3
]
Eliaou, Jean-Francois
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CHU Montpellier, Hop St Eloi, Lab Immunol, Montpellier, FranceInst Paoli Calmettes, UTTC, Marseille, France
Eliaou, Jean-Francois
[4
]
机构:
[1] Inst Paoli Calmettes, UTTC, Marseille, France
[2] Univ Mediterranee, Fac Med, Marseille, France
[3] INSERM, UMR 599, Marseille, France
[4] CHU Montpellier, Hop St Eloi, Lab Immunol, Montpellier, France
[5] Inst Paoli Calmettes, Dept Oncol Med, Marseille, France
This study investigated the kinetics of CD3+-T cell chimerism (TCC) in 102 patients receiving reduced intensity conditioning allogeneic stem cell transplantation (RIC-allo-SCT) from an HLA-identical sibling. Patients with full donor TCC at day 30 had a higher incidence of grade 2-4 acute GVHD compared to patients in mixed TCC (cumulative-incidence, 61% vs. 35%; p=0.01). The delayed establishment of full donor TCC in myeloid malignancies was associated with a higher incidence of relapse (40% vs. 0; p=0.002), suggesting that monitoring of the kinetics of TCC is mandatory after RIC-allo-SCT.