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Autologous Bone Marrow Transplantation - Blog Science Connections

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606 Panel Discussion: Session VIII<br />

DR. FREI: Gary, we haven't done it.<br />

DR. M. BERAN: Dr. Frei, we know that when cells become Adriamycin<br />

resistant, they frequently display much slower growth kinetics. What about<br />

the growth kinetics of alkylating agent-resistant cells?<br />

DR. FREI: That's a very good question. Very often,! would say that about<br />

80% of the time that we have an alkylating agent-resistant line, it grows a little<br />

bit slower—the doubling time may be 30 hours as compared with 24 or<br />

26—than the parent line. It's hard to believe that it would happen in vivo<br />

because if that were to happen, you would never select it for growth. I mean<br />

the more rapidly growing cells would almost always predominate. So I'm not<br />

quite sure what that means. Occasionally, we get a line that has cytogenetic<br />

changes that has substantially slower growth kinetics. When that happens,<br />

you've obviously got to be careful in interpreting your IC 50<br />

data.<br />

DR. G. DINI: I was really impressed by the results proposed by Dr.<br />

Hartmann in neuroblastoma patients treated with two ablative regimens. How<br />

many patients were treated? What was the time interval between the two<br />

transplants?<br />

DR. O. HARTMANN: In this study, the time interval is variable.<br />

DR. DINI: The bone marrow was never purged?<br />

DR. HARTMANN: Yes, about half of the patients had bone marrow purged<br />

by Asta Z. The hematologic recovery was very close to that with nonpurged<br />

bone marrow transplantation.<br />

DR. K. ANTMAN: I think we'll end this session here. Thank you.

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