Coexistence of donor and host T lymphocytes following HLA-different bone marrow transplantation into a patient with cellular immunodeficiency and nonfunctional CD4+ T cells

We report the outcome of a non-T-cell-depleted bone marrow transplant from an HLA partially incompatible, MLR-positive, parental donor in a patient with an unusual form of immunodeficiency characterized by a lack of CD8 T cells and a failure of the CD4 cells to display functional activity in vitro....

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Veröffentlicht in:Transplantation 1991-09, Vol.52 (3), p.491-496
Hauptverfasser: KNOBLOCH, C, GOLDMANN, S. F, HARPPRECHT, J, FRIEDRICH, W
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container_end_page 496
container_issue 3
container_start_page 491
container_title Transplantation
container_volume 52
creator KNOBLOCH, C
GOLDMANN, S. F
HARPPRECHT, J
FRIEDRICH, W
description We report the outcome of a non-T-cell-depleted bone marrow transplant from an HLA partially incompatible, MLR-positive, parental donor in a patient with an unusual form of immunodeficiency characterized by a lack of CD8 T cells and a failure of the CD4 cells to display functional activity in vitro. Without conditioning, and following a mild and transient GVHD, donor T cells persist in trace amounts in the host, where they coexist with the nonfunctional host T cells and cooperate with host APC in antigen recognition, thereby leading to a reconstitution of T cell functions in vitro and in vivo and development of a stable, so far unprecedented, human T-T split chimera across MHC barriers.
doi_str_mv 10.1097/00007890-199109000-00020
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antigens, Differentiation, T-Lymphocyte - analysis
B-Lymphocytes - physiology
Biological and medical sciences
Bone Marrow Transplantation
Bone marrow, stem cells transplantation. Graft versus host reaction
CD4 Antigens - analysis
CD8 Antigens
Female
HLA-A Antigens - immunology
Humans
Immunologic Deficiency Syndromes - immunology
Infant
Interleukin-2 - pharmacology
Lymphocyte Culture Test, Mixed
Medical sciences
T-Lymphocytes - physiology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Coexistence of donor and host T lymphocytes following HLA-different bone marrow transplantation into a patient with cellular immunodeficiency and nonfunctional CD4+ T cells
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