Prognostic value of CD34+ peak in peripheral blood during mobilization in intermediate-risk AML patients treated in first CR by autologous or allogeneic transplantation

被引:6
|
作者
Milone, G. [1 ]
Poidomani, M. [1 ]
Leotta, S. [1 ]
Avola, G. [1 ]
Camuglia, M. G. [1 ]
Privitera, A. [1 ]
Consoli, C. [1 ]
Mercurio, S. [1 ]
Romeo, M. A. [1 ]
Di Marco, A. [1 ]
Di Mercurio, S. [1 ]
Spadaro, A. [1 ]
Palumbo, G. A. [1 ]
Tedeschi, P. [1 ]
机构
[1] Azienda Osped Policlin Vittorio Emanuele, Osped Ferrarotto, Bone Marrow Transplantat Unit, I-95124 Catania, Italy
关键词
CD34+cell mobilization; AML; hematopoietic transplantation; ACUTE MYELOID-LEUKEMIA; STEM-CELL TRANSPLANTATION; RELAPSE; COLLECTION; EXPRESSION; MORTALITY; CHILDREN; THERAPY;
D O I
10.1038/bmt.2011.33
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Ninety-six AML patients in 1st CR were evaluated for peak CD34+ cell levels in peripheral blood (PB) during PBSC mobilization and harvest. Distribution of CD34+ cell peaks was determined and cases were grouped on the basis of 50th and 75th percentile: group A, those having a CD34+ cell peak <= 70 x 10(9)/L (n=48); group B, those having a CD34+ cell peak between 70 and 183 x 10(9)/L (n=24); group C, those having a CD34+ cell peak >183 x 10(9)/L (n=24). Irrespective of post-remission treatment received, group A had a disease free survival (DFS) of 73%, group B a DFS of 51% and group C of 30% (P=0.0003). In intermediate cytogenetic risk patients, those treated by autologous transplantation had a DFS of 68, 33 and 14% in the groups A, B and C, respectively, (P=0.01) whereas after allogeneic transplantation DFS was 87% in group A+B vs 50% in group C (P=0.009). The peak of CD34+ cells in PB, was an independent predictor for DFS in multivariate analysis. Bone Marrow Transplantation (2012) 47, 24-32; doi: 10.1038/bmt.2011.33; published online 14 March 2011
引用
收藏
页码:24 / 32
页数:9
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