Ann Hematol. 2023;102(3):629-639.
Comparison of the effect of DLI according to cell sources in relapsed AML after allogeneic stem cell transplantation.
제1저자 박우찬, 변자민 · 교신저자 고영일, 윤성수
소속 (7)
- Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.
- Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea.
- Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea. go01@snu.ac.kr.
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea. go01@snu.ac.kr.
- Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea. ssysmc@snu.ac.kr.
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea. ssysmc@snu.ac.kr.
Abstract
For relapsed acute myeloid leukemia (AML) patients who received allogeneic hematopoietic stem cell transplantation, donor lymphocyte infusion (DLI) is an effective therapy. However, the cell source of DLI remains a topic of debate. In this study, we aimed to compare the efficacy and safety of G-CSF mobilized cells (G-DLI) with conventionally collected DLI (C-DLI). A total of 81 patients (50 C-DLI vs. 31 G-DLI) were assessed for clinical outcomes. There were no statistically significant differences in the baseline characteristics between the two groups including AML risk, donor types, interval from relapse to DLI, and infused CD3+ cell count. Although not statistically significant, complete remission (CR) and chimerism conversion rates were higher in G-DLI than in C-DLI: 51.6% vs. 28.0%, P = 0.057 and 42.3% vs. 28.2%, P = 0.363, respectively. There was no difference in acute graft-versus-host disease (GVHD) incidence and severity of acute GVHD between the two groups. The median overall survival (OS) of the G-DLI and C-DLI groups was 139 days and 106 days, respectively (P = 0.58). In conclusion, G-DLI appears to be a safe and an equally efficacious substitute for C-DLI, which is more readily available.
© 2023. The Author(s).
Keywords
Acute myeloid leukemiaDonor lymphocyte infusionG-CSFRelapseSalvage
Figures
그림 출처: PubMed Central 공개 논문 (PMC9977844)
Conflict of interest statement
The authors declare no competing financial interests.
그 밖의 정보
- 출판 형태
- Comparative Study, Journal Article
- 저널
- Annals of hematology · eISSN 1432-0584
- 전자 출판
- 2023-01-20
- MeSH
- Humans · Graft vs Host Disease* / etiology · Hematopoietic Stem Cell Transplantation* / adverse effects · Leukemia, Myeloid, Acute* / therapy · Lymphocyte Transfusion / adverse effects · Recurrence · Remission Induction · Transplantation, Homologous / adverse effects
- 참고문헌
- 28편