Successful Donor Cell Engraftment in a Recipient of Bone Marrow from a Cadaveric Donor

A 12-year-old male with acute lymphocytic leukemia received donor bone marrow from his histocompatible father whose marrow was harvested 40 minutes postmortem after he suffered a myocardial infarction. The marrow was stored in liquid nitrogen for 17 days prior to infusion into the recipient. Trypan...

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Veröffentlicht in:Blood 1986-06, Vol.67 (6), p.1655-1660
Hauptverfasser: Blazar, Bruce R., Lasky, Larry C., Perentesis, John P., Watson, Kathleen V., Steinberg, Stephen E., Filipovich, Alexandra H., Orr, Harry T., Ramsay, Norma K.C.
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container_end_page 1660
container_issue 6
container_start_page 1655
container_title Blood
container_volume 67
creator Blazar, Bruce R.
Lasky, Larry C.
Perentesis, John P.
Watson, Kathleen V.
Steinberg, Stephen E.
Filipovich, Alexandra H.
Orr, Harry T.
Ramsay, Norma K.C.
description A 12-year-old male with acute lymphocytic leukemia received donor bone marrow from his histocompatible father whose marrow was harvested 40 minutes postmortem after he suffered a myocardial infarction. The marrow was stored in liquid nitrogen for 17 days prior to infusion into the recipient. Trypan blue viability was >99% for the fresh marrow. Progenitor cell assays revealed that 20% of the CFU-MIX, 16% of the BFU-E, 10% of the CFU-E, and 17% of the CFU-GM were spared during the cryopreserva-tion period. Posttransplantation, the recipient had a leuko- cyte count >103/µL by day 26. Southern blotting analysis documented the donor origin of the peripheral blood mononuclear cells and granulocytes isolated 46 days posttrans-plantation. Unfortunately, the patient died of complications relating to graft-v-host disease 67 days following transplantation. This case demonstrates the feasibility of cadaveric marrow as a source of donor cells and is the first reported case of documented leukocyte engraftment in a recipient of cadaveric marrow.
doi_str_mv 10.1182/blood.V67.6.1655.1655
format Article
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The marrow was stored in liquid nitrogen for 17 days prior to infusion into the recipient. Trypan blue viability was &gt;99% for the fresh marrow. Progenitor cell assays revealed that 20% of the CFU-MIX, 16% of the BFU-E, 10% of the CFU-E, and 17% of the CFU-GM were spared during the cryopreserva-tion period. Posttransplantation, the recipient had a leuko- cyte count &gt;103/µL by day 26. Southern blotting analysis documented the donor origin of the peripheral blood mononuclear cells and granulocytes isolated 46 days posttrans-plantation. Unfortunately, the patient died of complications relating to graft-v-host disease 67 days following transplantation. 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Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bone Marrow Transplantation</subject><subject>Bone marrow, stem cells transplantation. Graft versus host reaction</subject><subject>Cadaver</subject><subject>Child</subject><subject>Erythrocytes - analysis</subject><subject>Genotype</subject><subject>Graft vs Host Disease</subject><subject>Humans</subject><subject>Leukemia, Lymphoid - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Phenotype</subject><subject>Polymorphism, Genetic</subject><subject>Stem Cells - cytology</subject><subject>Transfusions. Complications. Transfusion reactions. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone Marrow Transplantation
Bone marrow, stem cells transplantation. Graft versus host reaction
Cadaver
Child
Erythrocytes - analysis
Genotype
Graft vs Host Disease
Humans
Leukemia, Lymphoid - therapy
Male
Medical sciences
Phenotype
Polymorphism, Genetic
Stem Cells - cytology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Successful Donor Cell Engraftment in a Recipient of Bone Marrow from a Cadaveric Donor
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