Successful treatment of an infant with severe combined immunodeficiency by transplantation of bone marrow cells from an uncle

A 4½-month-old boy suffering from congenital severe combined immunodeficiency was successfully treated by transplantation of bone marrow-derived cells. His parents were cousins in the first degree. The donor was a 32-year-old maternal uncle, who was HL-A genotypically identical with the patient as w...

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Veröffentlicht in:Clinical and experimental immunology 1973-01, Vol.13 (1), p.9-20
Hauptverfasser: Vossen, J M, de Koning, J, van Bekkum, D W, Dicke, K A, Eysvoogel, V P, Hijmans, W, van Loghem, E, Rádl, J, van Rood, J J, van der Waay, D, Dooren, L J
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container_issue 1
container_start_page 9
container_title Clinical and experimental immunology
container_volume 13
creator Vossen, J M
de Koning, J
van Bekkum, D W
Dicke, K A
Eysvoogel, V P
Hijmans, W
van Loghem, E
Rádl, J
van Rood, J J
van der Waay, D
Dooren, L J
description A 4½-month-old boy suffering from congenital severe combined immunodeficiency was successfully treated by transplantation of bone marrow-derived cells. His parents were cousins in the first degree. The donor was a 32-year-old maternal uncle, who was HL-A genotypically identical with the patient as was shown by serological typing and MLC. A stem cell rich fraction of the donor's bone marrow was prepared by albumin gradient centrifugation. The infant showed a full immunological reconstitution without any sign of GVH disease. Remarkably the only allotypic marker of his IgG which was different from the donor allotype remained in the serum after transplantation, and even showed an increase of its level. The infant was nursed in strict reverse isolation and his unfavourable endogenous microflora of high potential pathogenicity was eliminated by antibiotic decontamination.
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His parents were cousins in the first degree. The donor was a 32-year-old maternal uncle, who was HL-A genotypically identical with the patient as was shown by serological typing and MLC. A stem cell rich fraction of the donor's bone marrow was prepared by albumin gradient centrifugation. The infant showed a full immunological reconstitution without any sign of GVH disease. Remarkably the only allotypic marker of his IgG which was different from the donor allotype remained in the serum after transplantation, and even showed an increase of its level. 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The infant was nursed in strict reverse isolation and his unfavourable endogenous microflora of high potential pathogenicity was eliminated by antibiotic decontamination.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bone Marrow Cells</subject><subject>Bone Marrow Transplantation</subject><subject>Centrifugation, Density Gradient</subject><subject>Feces - microbiology</subject><subject>Genotype</subject><subject>Histocompatibility Antigens</subject><subject>Histocompatibility Testing</subject><subject>Humans</subject><subject>Immunoglobulin G - analysis</subject><subject>Immunologic Deficiency Syndromes - genetics</subject><subject>Immunologic Deficiency Syndromes - nursing</subject><subject>Immunologic Deficiency Syndromes - therapy</subject><subject>Infant</subject><subject>Isoantigens - analysis</subject><subject>Lymphocyte Activation</subject><subject>Male</subject><subject>Patient Isolators</subject><subject>Pedigree</subject><subject>Pharynx - microbiology</subject><subject>Skin - microbiology</subject><subject>Tissue Donors</subject><subject>Transplantation, Homologous</subject><issn>0009-9104</issn><issn>1365-2249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1973</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1LxDAQhoMo67r6E4ScvBXy0bTNRZDFLxA8qOeSpBM30iRr0-6yB_-7WVxET8Mw8z7zvnOE5pRXomCslMdoTgiRhaSkPEVnKX3ktqoqNkOzUjS1IGyOvl4mYyAlO_V4HECNHsKIo8UqYBesys3WjSucYAMDYBO9dgE67LyfQuzAOuMgmB3Wu6xXIa37rFGji2FP0TEA9moY4hYb6PuE7RD9Hj4F08M5OrGqT3BxqAv0dnf7unwonp7vH5c3T8WaVXQsmFVSmrJrgBopa5Cs4cA6owlUlJWmqbkqtagNSM2VIaLh2ggtpK5JI6nlC3T9w11P2kNncsZB9e16cNnbro3Ktf8nwa3a97hpqRC8rmgGXB0AQ_ycII2td2kfSAWIU2obRnl2RfLi5d9LvycOD-ffKzmCEg</recordid><startdate>197301</startdate><enddate>197301</enddate><creator>Vossen, J M</creator><creator>de Koning, J</creator><creator>van Bekkum, D W</creator><creator>Dicke, K A</creator><creator>Eysvoogel, V P</creator><creator>Hijmans, W</creator><creator>van Loghem, E</creator><creator>Rádl, J</creator><creator>van Rood, J J</creator><creator>van der Waay, D</creator><creator>Dooren, L J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>197301</creationdate><title>Successful treatment of an infant with severe combined immunodeficiency by transplantation of bone marrow cells from an uncle</title><author>Vossen, J M ; 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His parents were cousins in the first degree. The donor was a 32-year-old maternal uncle, who was HL-A genotypically identical with the patient as was shown by serological typing and MLC. A stem cell rich fraction of the donor's bone marrow was prepared by albumin gradient centrifugation. The infant showed a full immunological reconstitution without any sign of GVH disease. Remarkably the only allotypic marker of his IgG which was different from the donor allotype remained in the serum after transplantation, and even showed an increase of its level. The infant was nursed in strict reverse isolation and his unfavourable endogenous microflora of high potential pathogenicity was eliminated by antibiotic decontamination.</abstract><cop>England</cop><pmid>4587502</pmid><tpages>12</tpages></addata></record>
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subjects Anti-Bacterial Agents - therapeutic use
Bone Marrow Cells
Bone Marrow Transplantation
Centrifugation, Density Gradient
Feces - microbiology
Genotype
Histocompatibility Antigens
Histocompatibility Testing
Humans
Immunoglobulin G - analysis
Immunologic Deficiency Syndromes - genetics
Immunologic Deficiency Syndromes - nursing
Immunologic Deficiency Syndromes - therapy
Infant
Isoantigens - analysis
Lymphocyte Activation
Male
Patient Isolators
Pedigree
Pharynx - microbiology
Skin - microbiology
Tissue Donors
Transplantation, Homologous
title Successful treatment of an infant with severe combined immunodeficiency by transplantation of bone marrow cells from an uncle
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