The significance of minimal residual disease in stem cell grafts and the role of purging: is it better to purge in vivo or in vitro?

Abstract:

:Contamination of autologous graft by tumor, in addition to incomplete tumor eradication, can partly explain why relapse remains the commonest cause of treatment failure after autologous stem cell transplantation (ASCT) in patients with malignant hematologic disorders. Monitoring of minimal residual disease (MRD) is now recognized as an important diagnostic tool for assessment either of the response to treatments aimed at maximal cytoreduction and the individual risk of relapse. In order to improve cure rates, many strategies to achieve in vivo or in vitro reduction, if not eradication, of residual disease have been proposed. We discuss the significance of MRD and the role of purging in the ASCT setting, focusing on acute myeloid leukemia, chronic myeloid leukemia, multiple myeloma and follicular lymphoma.

journal_name

Acta Haematol

journal_title

Acta haematologica

authors

Melillo L,Cascavilla N,Lerma E,Corsetti MT,Carella AM

doi

10.1159/000088411

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

206-13

issue

4

eissn

0001-5792

issn

1421-9662

pii

88411

journal_volume

114

pub_type

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