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Autologous Bone Marrow Transplantation - Blog Science Connections

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Effect of Interleukin 2 on T Lymphocyte Colony-<br />

Forming Units After <strong>Autologous</strong> <strong>Bone</strong><br />

<strong>Marrow</strong> <strong>Transplantation</strong><br />

Andre Bosly and Michel Symann<br />

Immunodeficiency with increased susceptibility to microbial, viral, and<br />

mycotic infections usually persists up to 1 year ( 1 ) and even longer after<br />

allogeneic bone marrow transplantation. Concomitant with this immunodeficiency<br />

is a prolonged imbalance of T lymphocytic subpopulations in favor of<br />

T suppressor/cytotoxic subsets (2), which may be related to chemoradiotherapy<br />

conditioning, to immunosuppressive treatment after transplantation,<br />

or to graft-versus-host disease (GVHD) (3).<br />

After autologous bone marrow transplantation (ABMT), the pattern of<br />

immunologic restoration is very close to that observed after allogeneic transplantation.<br />

However, ABMT is not associated with a histocompatibility problem,<br />

immunosuppressive treatment, or GVHD. Therefore, autologous<br />

transplantation appears to be a good model for studying lymphocyte<br />

repopulation after intensive chemotherapy.<br />

In this study we have investigated T lymphocyte-subset recovery and T<br />

lymphocyte-proliferation capacity in 20 patients following ABMT.<br />

PATIENTS AND METHODS<br />

Twenty patients were studied. Diagnoses were: 12 small cell lung cancer,<br />

4 lymphomas (3 non-Hodgkin's, 1 Hodgkin's disease), 2 germinal cell can-<br />

697

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