APLASIA AFTER DONOR LYMPHOCYTE INFUSION (DLI) FOR CML IN RELAPSE AFTER SEX-MISMATCHED BMT - RECOVERY OF DONOR-TYPE HEMATOPOIESIS PREDICTED BY NONISOTOPIC IN-SITU HYBRIDIZATION (ISH)
B. Garicochea et al., APLASIA AFTER DONOR LYMPHOCYTE INFUSION (DLI) FOR CML IN RELAPSE AFTER SEX-MISMATCHED BMT - RECOVERY OF DONOR-TYPE HEMATOPOIESIS PREDICTED BY NONISOTOPIC IN-SITU HYBRIDIZATION (ISH), British Journal of Haematology, 88(2), 1994, pp. 400-402
We report a patient with CML in relapse after a sex-mismatch bone marr
ow transplant who was treated with donor lymphocyte infusions and deve
loped severe marrow aplasia 3 months later. As cytogenetic analysis at
this point was not possible because of the very low number of marrow
cells available, we used in situ hybridization (ISH) for sex chromosom
es and the BCR/ABL gene together with quantitative PCR to monitor the
patient's response. The results suggest that recovering haemopoiesis w
as derived from donor cells and contributed to the decision not to tra
nsfuse donor marrow cells on a second occasion.