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Autologous Bone Marrow Transplantation - Blog Science Connections

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354 Burkitts Lymphoma Purging Assay<br />

each set of experiments the percentage of BL cells at day 10 within each<br />

sample, set up with serial BL cell dilutions, provides a calibration curve (Fig 1).<br />

Next, the effects of purging have been assessed in bone marrow samples<br />

contaminated with 1% BL cells and treated either by a complement-mediated<br />

cytolysis or immunomagnetic depletion. They were then grown in the same<br />

conditions as the untreated samples. At day 10 of the culture, the percentage of<br />

growing BL cells in the treated samples were compared with that in the<br />

untreated samples, and the number of residual BL cells that escaped treatment<br />

in each sample estimated (for example, see Fig 1). The estimates ranged from 1<br />

in 10 3 (4000 total BL cells) down to 1 in 4 x 10 6 (i.e., 1 BL cell). The efficacy of<br />

the purging procedure can thus be quantitated from 2 to 4.6 logs (decimal<br />

logarithms) removal, or "kill," representing the outgrowth of cells related to the<br />

initial number of BL cells in the unpurged samples.<br />

During the experiments, two additional findings emerged. First, when the<br />

samples contained more than 1 BL cell in 10 4<br />

and the kill was less than 2 logs,<br />

the final proportion of BL cells in cultures grown for 10 days reached 90-100%.<br />

Consequently, this assay is not primarily suitable for measuring purging<br />

methods of low efficiency without starting with more highly diluted BL cells. In<br />

contrast, the assay described here is capable of detecting very low proportions<br />

of residual BL cells after purging. Second, by keeping the samples for more<br />

than 3 weeks in culture, it was possible to confirm the total elimination of all<br />

growing BL cells by the purging method used (Table 2).<br />

% BL ceils A<br />

day 10 of<br />

the culture |<br />

100<br />

calibration curve<br />

without purging<br />

80<br />

60<br />

40<br />

20<br />

0 1 4 40 400<br />

Figure 1. Measurement of residual BL cells after purging.<br />

^<br />

Absolute number<br />

of BL celia in<br />

4.106 normal<br />

ceils at start

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