Extensive chronic GVHD is associated with donor blood CD34+ cell count after G-CSF mobilization in non-myeloablative allogeneic PBSC transplantation View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-12

AUTHORS

N Dhédin, T Prébet, R Peffault De Latour, S Katsahian, M Kuentz, N Piard, D Réa, F Norol, J P Jouet, J A Ribeil, R Tabrizi, B Rio, B Lioure, P Tiberghien, J H Bourhis, A Sirvent, P Bordigoni, D Blaise, M Michallet, J P Vernant

ABSTRACT

The correlation between the incidence of GVHD and the number of infused CD34(+) cells remains controversial for PBSC transplantation after a reduced-intensity-conditioning (RIC) regimen. We evaluated 99 patients transplanted with an HLA-identical sibling after the same RIC (2-Gy-TBI/fludarabine). Donor and recipient characteristics, donor's blood G-CSF-mobilized CD34(+) cell count, and number of infused CD34(+) and CD3(+) cells were analyzed as risk factors for acute and chronic GVHD There was a trend for an increased incidence of extensive chronic GVHD in the quartile of patients receiving more than 10 × 10(6) CD34(+) cells/kg (P = 0.05). Interestingly, the number of donor's blood CD34(+) cells at day 5 of G-CSF mobilization was closely associated with the incidence of extensive chronic GVHD, that is, 48% (95% CI: 28-68) at 24-months in the quartile of patients whose donors had the highest CD34(+) cell counts versus 24.3% (95% CI: 14-34) in the other patients (P = 0.007). In multivariate analysis, the only factor correlating with extensive chronic GVHD (cGVHD) was the donor's blood CD34(+) cell count after G-CSF (HR 2.49; 95% CI: 1.16-5.35, P = 0.019). This study shows that the incidence of cGVHD is more strongly associated with the donor's ability to mobilize CD34(+) cells than with the number of infused CD34(+) cells. More... »

PAGES

1564

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/bmt.2012.75

DOI

http://dx.doi.org/10.1038/bmt.2012.75

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1006774435

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22609881


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