Treatment of leukemic relapse following unrelated umbilical cord blood transplantation with interleukin-2: potential for augmenting graft-versus-leukemia and graft-versus-host effects with cytokines.

Abstract:

:In comparison to bone marrow, umbilical cord blood has decreased intrinsic immune responsiveness allowing transplantation across HLA barriers with lower rates of graft-versus-host disease. However, laboratory models have also suggested that cord blood may be extremely sensitive to stimulation by cytokines. We report an adult recipient of an ex vivo expanded, HLA-mismatched, unrelated cord blood transplant who experienced a late extramedullary relapse while still in hematologic remission. Despite demonstrating immune tolerance on minimal immunosuppressive agents, a brief course of intravenous interleukin-2 resulted in rapid, aggressive graft-versus-host and graft-versus-leukemia reactions. This case highlights the potential of cytokine immunomodulation following cord blood transplantation, but also suggests caution in stimulating these cells.

journal_name

Bone Marrow Transplant

authors

Goldberg SL,Pecora AL,Rosenbluth RJ,Jennis AA,Preti RA

doi

10.1038/sj.bmt.1702520

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

353-5

issue

3

eissn

0268-3369

issn

1476-5365

journal_volume

26

pub_type

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