The curative effect of allogeneic bone marrow transplantation (BMT) for acute and chronic leukemia is attributed to the intensive conditioning chemotherapy with or without radiotherapy, as well as an immune-mediated graft versus leukemia (GVL) effect. A different pattern of relapse has been observed
Bone marrow cell dose and kinetics of recovery following allogeneic marrow transplantation in man
โ Scribed by Niederwieser, D. ;Gratwohl, A. ;Oberholzer, M. ;Osterwalder, B. ;Nissen, C. ;Speck, B.
- Publisher
- Springer-Verlag
- Year
- 1983
- Weight
- 314 KB
- Volume
- 47
- Category
- Article
- ISSN
- 1432-0584
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โฆ Synopsis
In 50 patients transplanted for acute or chronic leukemia we studied the correlation between the number of infused bone marrow cells/kg recipient body weight and the time needed for engraftment. Engraftment was arbitrarily defined as the first day of 1 X 10(9) leukocytes/l and of 20 X 10(9) reticulocytes/l after the posttransplantation nadir. There is a negative non-linear correlation between the duration of leukopenia following marrow transplantation and the amount of transfused nucleated cells (p = 0.01). Since the incidence of infectious or hemorrhagic complications depends directly on the duration of aplasia it is justifiable to give a maximal cell dose.
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