Evidence of graft-versus-Waldenstrom's macroglobulinaemia effect after allogeneic stem cell transplantation: a single centre experience

被引:10
作者
Stakiw, J. [1 ]
Kim, D. H. [1 ]
Kuruvilla, J. [1 ]
Gupta, V. [1 ]
Messner, H. [1 ]
Lipton, J. H. [1 ]
机构
[1] Univ Toronto, Princess Margaret Hosp, Allogene BMT Program, Dept Hematol Med Oncol, Toronto, ON M5G 2M9, Canada
关键词
Waldenstrom's macroglobulinaemia; allogeneic peripheral blood stem cell transplantation; graft-versus-Waldenstrom's effect;
D O I
10.1038/sj.bmt.1705748
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
The role of allogeneic stem cell transplantation (SCT) in Waldenstrom's macroglobulinaemia (WM) is not yet clear, as published data on allogeneic SCT in WM are limited. We present a retrospective study of allogeneic SCT in five patients with WM. Median age was 56 years ( range 40-60 years). All patients were heavily pretreated. Conditioning therapy with busulphan and cyclophosphamide was used for all patients and all were given cyclosporine and methotrexate for graft-versus-host disease prophylaxis. With a median follow-up of 32 months ( range 2-43), all except one are alive and disease free. Progressive, delayed decline in serum IgM levels were noted in all the patients, suggesting an active graft-versus Waldenstrom's effect. With the limited available data, it appears that allogeneic SCT is a useful treatment option for advanced WM.
引用
收藏
页码:369 / 372
页数:4
相关论文
共 24 条
[1]   Autologous and allogeneic stem cell transplantation in Waldenstrom's macroglobulinemia: Review of the literature and future directions [J].
Anagnostopoulos, A ;
Aleman, A ;
Giralt, S .
SEMINARS IN ONCOLOGY, 2003, 30 (02) :286-290
[2]   Stem cell transplantation (SCT) for Waldenstrom's macroglobulinemia (WM) [J].
Anagnostopoulos, A ;
Giralt, S .
BONE MARROW TRANSPLANTATION, 2002, 29 (12) :943-947
[3]   High-dose chemotherapy - High-dose chemotherapy followed by stem cell transplantation in patients with resistant Waldenstrom's macroglobulinemia [J].
Anagnostopoulos, A ;
Dimopoulos, MA ;
Aleman, A ;
Weber, D ;
Alexanian, R ;
Champlin, R ;
Giralt, S .
BONE MARROW TRANSPLANTATION, 2001, 27 (10) :1027-1029
[4]   Autologous or allogeneic stem cell transplantation in patients with Waldenstrom's macroglobulinemia [J].
Anagnostopoulos, Athanasios ;
Hari, Parameswaran N. ;
Perez, Waleska S. ;
Ballen, Karen ;
Bashey, Asad ;
Bredeson, Christopher N. ;
Freytes, Cesar O. ;
Gale, Robert Peter ;
Gertz, Morie A. ;
Gibson, John ;
Goldschmidt, Hartmut ;
Lazarus, Hillard M. ;
McCarthy, Philip L. ;
Reece, Donna E. ;
Vesole, David H. ;
Giralt, Sergio A. .
BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION, 2006, 12 (08) :845-854
[5]  
Boussiotis VA, 1999, SEMIN HEMATOL, V36, P209
[6]   Treatment for Waldenstrom's macroglobulinemia [J].
Chen, CI .
ANNALS OF ONCOLOGY, 2004, 15 (04) :550-558
[7]   High-dose therapy with autologous haemopoietic stem cell support for Waldenstrom's macroglobulinaemia [J].
Desikan, R ;
Dhodapkar, M ;
Siegel, D ;
Fassas, A ;
Singh, J ;
Singhal, S ;
Mehta, J ;
Vesole, D ;
Tricot, G ;
Jagannath, S ;
Anaissie, E ;
Barlogie, B ;
Munshi, NC .
BRITISH JOURNAL OF HAEMATOLOGY, 1999, 105 (04) :993-996
[8]   Waldenstrom's macroglobulinemia: Clinical features, complications, and management [J].
Dimopoulos, MA ;
Panayiotidis, P ;
Moulopoulos, LA ;
Sfikakis, P ;
Dalakas, M .
JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (01) :214-226
[9]  
Dimopoulos MA, 2005, HAEMATOLOGICA, V90, P117
[10]   Myeloablative radiochemotherapy followed by reinfusion of purged autologous stem cells for Waldenstrom's macroglobulinaemia [J].
Dreger, P ;
Glass, B ;
Kuse, R ;
Sonnen, R ;
von Neuhoff, N ;
Bolouri, H ;
Kneba, M ;
Schmitz, N .
BRITISH JOURNAL OF HAEMATOLOGY, 1999, 106 (01) :115-118