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Autologous Bone Marrow Transplantation - Blog Science Connections

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Chemoimmunoseparation of T Lymphoma Cells<br />

From Human <strong>Bone</strong> <strong>Marrow</strong><br />

Robert Bast, Jr., Bruce Montgomery, Azeem Haleem,<br />

Joanne Kurtzberg, Ann Rhinehardt-Clark,<br />

Sundaram Ramakrishnan, Greg Olsen,<br />

Carol Smith, David Leslie, William Peters,<br />

and Lou Houston<br />

One requirement for effective autologous bone marrow transplantation ( ABMT)<br />

in leukemia and lymphoma is the complete and selective elimination of<br />

malignant cells from remission bone marrow. In early studies we optimized<br />

removal of nonlymphocytic leukemic cells from rat bone marrow using<br />

polyclonal antibodies and complement (1). Availability of monoclonal antibodies<br />

reactive with determinants expressed by leukemias and lymphomas in<br />

the B-cell lineage facilitated attempts to eliminate tumor cells that tests showed<br />

positive for the common acute lymphoblastic leukemic antigen (CALLA) from<br />

human bone marrow (2). Limiting dilution techniques were utilized to estimate<br />

clonogenic Burkitt's lymphoma cells that remained following treatment with<br />

monoclonal antibodies and rabbit complement (3). The use of multiple<br />

monoclonal antibodies proved superior to treatment with single antibodies (3).<br />

Using optimal combinations of two monoclonals, about 3.5 logs of malignant<br />

clonogenic cells could be removed without affecting growth of granulocytemacrophage<br />

colony-forming units (CFCIs-GM), erythroid burst-forming units<br />

347

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