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Autologous Bone Marrow Transplantation - Blog Science Connections

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T Lymphocyte CFCJ After ABMT 703<br />

notably CMV, are common after transplantation. They induce T8 +<br />

proliferation and T4/T8 ratio inversion (5,6). Nevertheless, 1L2 effects on T<br />

lymphocyte-colony formation were independent of CMV status, and thus viral<br />

infections cannot provide the sole explanation for the T lymphocyte<br />

abnormalities summarized previously. Conditioning chemotherapy with<br />

cyclophosphamide and melphalan used before transplantation can alter the<br />

lymphocytic microenvironment (7). Finally, transplanted T cells and their<br />

precursors may present quantitative or qualitative defects. It has been shown<br />

that after both allogeneic and autologous transplantation, T lymphocytes<br />

have a defect in IL2 production, but in liquid culture with mitogens (OKT3,<br />

PHA), T lymphocyte-proliferation capacity can be restored by exogenous IL2<br />

(8).<br />

This is consistent with our finding that, after ABMT, T lymphocyte<br />

colony-formation capacity was decreased but can be restored by adding rlL2.<br />

In light of these results, the clinical assessment of the effects 1L2 administration<br />

has on immunologic reconstitution in autografted patients would appear<br />

logical.<br />

REFERENCES<br />

1. Witherspoon RP, Lum LQ, Storb R. Semin Hematol 1984;21:2.<br />

2. Atkinson K, Hansen JA, Storb R, Goehle S, Goldstein G, Thomas ED. Blood 1982:59:1292.<br />

3. Friedrich W, O'Reilly RJ, Koziner B, Gebhard DFJr, Good RA, Evans RL. Blood 1982;59:696.<br />

4. Ashkenazi Y, Barth KC, Elfenbein GJ. Cancer Res 1985;45:6513.<br />

5. Verdonck LF, de Gast GC. Exp Hematol 1984;12(Suppl 15):83.<br />

6. de Gast GC, Verdonck LF, Middeldorp JM, The TH, Hekker A, van der Linden JA, Kreeft HAJG,<br />

Bast BJEG. Blood 1985;65:428.<br />

7. Sambowski WE, Robertson BA, Daynes RA. Blood 1985;66(Suppl l):262a.<br />

8. Welte K, Ciobanu N, Moore MAS, Gulati S, O'Reilly RJ. Blood 1984;64:380.

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