T cell regeneration after allogeneic and autologous bone marrow transplantation

DC Linch, LJ Knott, RM Thomas… - British Journal of …, 1983 - Wiley Online Library
DC Linch, LJ Knott, RM Thomas, P Harper, AH Goldstone, EG Davis, RJ Levinski
British Journal of Haematology, 1983Wiley Online Library
Venous blood T cell phenotypes were analysed with monoclonal antibodies after 11
allogeneic and 17 autologous bone marrow transplants. In seven cases studied in the early
regenerative period, cells with a thymocyte phenotype were present in the blood. In the large
majority of patients treated with both allografts and autografts there was an imbalance of
phenotypic 'helper'and 'suppressor'T cell subsets with initially a relative and later an
absolute increase of 'suppressor'T cells. This imbalance was still present at over 250 d in …
Summary. Venous blood T cell phenotypes were analysed with monoclonal antibodies after 11 allogeneic and 17 autologous bone marrow transplants. In seven cases studied in the early regenerative period, cells with a thymocyte phenotype were present in the blood. In the large majority of patients treated with both allografts and autografts there was an imbalance of phenotypic ‘helper’ and ‘suppressor’ T cell subsets with initially a relative and later an absolute increase of ‘suppressor’ T cells. This imbalance was still present at over 250 d in eight out nine cases. Suppressor T cells bearing HLA‐Dr antigens were abundant in one case of fatal GVHD but not in another, and were also increased following two autografts. It is concluded that T cell phenotyping is not of diagnostic value in sick patients following bone marrow transplantation when graft‐versus‐host disease is suspected.
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