HÁJEK, Roman, D. ŽÁČKOVÁ, Tomáš BÜCHLER, Miroslav PENKA, E. KRAHULCOVÁ, Zdeněk KOŘÍSTEK, J. VINKLÁRKOVÁ, J. ADLER, E. JANOVSKÁ, Karel INDRÁK, E. FABER, M. DOUBEK, M. KLABUSAY, Alexandra OLTOVÁ, Petr KUGLÍK, L. BOURKOVÁ, L. DUŠEK, Iveta MARESCHOVÁ, Jiří MAYER and Jiří VORLÍČEK. Treatment of chronic myeloid leukemia with autologous transplantation using peripheral blood stem cells or bone marrow cultured in IL-2 followed by IL-2, GM-CSF, and IFN-alpha administration. Medical oncology. United States: Humana Press Inc.,, 2003, vol. 20, No 1, p. 69-76. ISSN 1357-0560.
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Basic information
Original name Treatment of chronic myeloid leukemia with autologous transplantation using peripheral blood stem cells or bone marrow cultured in IL-2 followed by IL-2, GM-CSF, and IFN-alpha administration.
Name in Czech Léčba chronické myeloidní leukemie autologní transplantací za použití kmenových buněk periferní krve nebo buněk z kostní dřeně kultivovaných s IL-2, GM-CSF a INF alfa.
Authors HÁJEK, Roman (203 Czech Republic, guarantor), D. ŽÁČKOVÁ (203 Czech Republic), Tomáš BÜCHLER (703 Slovakia), Miroslav PENKA (203 Czech Republic), E. KRAHULCOVÁ (203 Czech Republic), Zdeněk KOŘÍSTEK (203 Czech Republic), J. VINKLÁRKOVÁ (203 Czech Republic), J. ADLER (203 Czech Republic), E. JANOVSKÁ (203 Czech Republic), Karel INDRÁK (203 Czech Republic), E. FABER (203 Czech Republic), M. DOUBEK (203 Czech Republic), M. KLABUSAY (203 Czech Republic), Alexandra OLTOVÁ (203 Czech Republic), Petr KUGLÍK (203 Czech Republic), L. BOURKOVÁ (203 Czech Republic), L. DUŠEK (203 Czech Republic), Iveta MARESCHOVÁ (203 Czech Republic), Jiří MAYER (203 Czech Republic) and Jiří VORLÍČEK (203 Czech Republic).
Edition Medical oncology, United States, Humana Press Inc., 2003, 1357-0560.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.159
Organization unit Faculty of Medicine
UT WoS 000181682400011
Keywords (in Czech) chronická myeloidní leukemie; autologní transplantace; kmenové buňky
Keywords in English chronic myeloid leukemia; autologous transplantation; IL-2; GM-CSF; INF alpha; stem cells
Tags autologous transplantation, chronic myeloid leukemia, GM-CSF, IL-2, INF alpha, stem cells
Changed by Changed by: Mgr. Anna Potáčová, Ph.D., učo 44190. Changed: 23/6/2009 15:02.
Abstract
Interleukin-2 (IL-2) is able to generate nonspecific cytotoxic effectors from hematopoietic precursors. We evaluated the feasibility and efficacy of chronic myeloid leukemia (CML) treatment with autologous hematopoietic stem cell transplantation (HSCT) using grafts cultured in IL-2 followed by immunotherapy with IL-2, granulocyte-macrophage colony-stimulating factor (GM-CSF), and interferon (IFN)-alpha. Eight patients with CML were enrolled: five in an accelerated phase and three in a chronic phase. They received peripheral blood stem cells (PBSC) or bone marrow (BM) cultured in a medium containing IL-2 for 24 h. A median of 1.29 x 10(6) CD34+ cells/kg were infused after conditioning with busulfan (12 16 mg/kg) in PBSC recipients. BM was infused without prior myeloablative therapy. The engraftment occurred with a median of 15 d. Engraftment failure developed in one patient. The transplantation was followed by a 1-mo regimen of IL-2 (0.5 x 10(6) IU/m(2) daily) and GM-CSF, and 6 mo of IFN-alpha. One complete and one transient minor cytogenetic remission were observed. At 24 mo after transplantation, two patients had died of progressive disease and one of infection. Five patients had stable disease in the chronic phase. Autologous transplantation using IL-2-activated graft is feasible and the subsequent IL-2, GM-CSF, and IFN-alpha administration has acceptable toxicity. However, no benefits in comparison with conventional autologous transplantation for CML were identified in our study.
Abstract (in Czech)
Byla vyhodnocena realizovatelnost a efektivita léčby CML autologní transplantací kmenových buněk.
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