31. Induction of Mixed vs Full Chimerism to Potentiate GVL Effects After Bone-Marrow Transplantation
| Abstract |
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Graft-vs-host (GVH) alloresponses mediated by delayed donor lymphocyte infusions (DLI) can occur in the absence of GVHD (graft-vs-host
disease). These GVH responses are confined to the lymphohematopoietic system and mediate graft-vs-leukemia (GVL) reactions
without causing GVHD. Although interaction of donor T-cells with host-derived antigen-presenting cells (APC) is central to
the development of GVHD, we were able to show that this T-cell/APC interaction is also critical for the induction of GVL,
which can occur in the absence of GVHD if donor T-cell administration is delayed to a time point after bone-marrow transplant
(BMT) when conditioning-induced inflammation has subsided. Induction of mixed hematopoietic chimerism using the method described
below allows analysis of these interactions between host APC and donor T-cells.
Affiliation(s): (3) Division of Hematology/Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA
(4) Bone Marrow Transplantation Section, Transplantation Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA
(4) Bone Marrow Transplantation Section, Transplantation Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA
Book Title: Adoptive Immunotherapy: Methods and Protocols
Series: Methods in Molecular Medicine | Volume: 109 | Pub. Date: Nov-30-2004 | Page Range: 469-474 | DOI: 10.1385/1-59259-862-5:469
Subject: Immunology
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