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Autologous Bone Marrow Transplantation - Blog Science Connections

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Lymphoma: Purging and Detecting<br />

K. Anderson and G. Phillips, Chairmen<br />

DR. C. GORIN: Dr. Barlogie, did you try to purge marrow with J5 or with<br />

any other anticommon acute lymphoblastic leukemic antigen monoclonal<br />

antibody?<br />

DR. B. BARLOGIE: NO, we didn't.<br />

DR. A. GEE: 1 was interested in asking Bob Bast whether addition of a<br />

second monoclonal antibody rather than a chemotherapeutic agent increased<br />

the cell kill or whether your cells that were left behind were, for example, low<br />

density and sensitive in that way.<br />

DR. R. "BOB" BAST: The problem didn't seem to be killing the lymphoma<br />

cells so much, at least with the immunotoxin, as it was killing the<br />

normal marrow precursors. We could eliminate every last lymphoma cell that<br />

we could measure, provided that you can go high enough on the dosage. It<br />

may be with the second antibody that we might get additive effects against the<br />

lymphoma and not additive effects against the CFCIs-GM. We have looked for<br />

bystander effects with a B-lymphoma line, mixed with the T lymphoma and<br />

the immunotoxin. And we don't see bystander killing. So, presumably, there<br />

is something going on that is a bit more specific in terms of the marrow<br />

toxicity.<br />

371

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