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12th Congress of the European Hematology ... - Haematologica

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1447<br />

THE IMPACT OF DISPARITY IN SHORT TANDEM REPEATS (STRS) ANALYSIS<br />

ON THE OUTCOME OF ALLOGENEIC HEMATOPOIETIC CELL TRANSPLANTATION<br />

(ALLO-HCT) FROM HLA-IDENTICAL SIBLING DONORS<br />

E. Serbest, P.T. Topcuoglu, K.D. Dalva, E.S. Soydan, O.A. Arslan,<br />

M.O. Ozcan, T.D. Demirer, H.A. Akan, N.K. Konuk, A.U. Uysal,<br />

O.I. Ilhan, G.G. Gurman, M.B. Beksac, M.A. Arat<br />

Ankara University, ANKARA, Turkey<br />

STRs were widely used for monitoring <strong>of</strong> chimerism after allo-HCT.<br />

The effect <strong>of</strong> STR disparity on allo- HCT has been analyzed in a few<br />

studies. We aimed to evaluate <strong>the</strong> impact <strong>of</strong> STR disparity on allo-HCT<br />

outcome retrospectively in our single center cohort. Between Sep 2000<br />

and May 2005, total 88 patients (F/M:45/43) underwent allo-HCT from<br />

an HLA-identical sibling donor (PB/BM: 71/17) Median age was 34 ys<br />

(16-64). Multiplex PCR was performed to amplify 16 STR loci (D3S1358,<br />

HUMvWA, D16S539,D2S1338, Amelogenin,D8S1179, D21S11,D18S51,<br />

D19S433, THO1, FGA, D7S820, CSF1PO, D13S317, TPOX, D5S818)<br />

(ABI Prism 310). These loci were classified as full- and partial-matched,<br />

and full mismatched(mm) between donors and recipients. Results.<br />

D2S1338 locus (full matched, 21.6%-n=19; partial matched 50%-n=44<br />

and full mm 28.4%-n=25) was <strong>the</strong> most informative one, but CSF1PO<br />

(43.2%, n=4; 52.2%, n=46 and 4.5%, n=38, respectively) was <strong>the</strong> least.<br />

The general incidences <strong>of</strong> acute(a) severe and chronic(c)GvHD were<br />

29.5% and 61.8%. Full mm in TPOX locus (p=0.04) led to more acute<br />

severe GvHD than in partial matched or full matched loci. However,<br />

full mm in D2S1338 locus significantly decreased <strong>the</strong> incidence <strong>of</strong><br />

aGvHD in patients with partial matched and full matched loci (5.3%,<br />

29.5% and 48%, respectively p=0.009). However, more cGvHD was<br />

only seen in <strong>the</strong> patients with full matched D7S820 donors (p=0.04). In<br />

our cohort,2-year probability <strong>of</strong> disease free survival (DFS) and overall<br />

survival(OS) were 53.1±5.9% and 66.2±5.6%, respectively in mean<br />

46.5±3.8 moths <strong>of</strong> follow-up. Although <strong>the</strong> full-mm in D8S1179 locus<br />

increased <strong>the</strong> relapse incidence (62.5% vs 33.3% vs 18.8%, p=0.04),<br />

<strong>the</strong>re was a tendency to a decrease <strong>of</strong> DFS in patients with full-mm<br />

CSF1PO or partial matched D7S820 (p=0.06). Early transplant-related<br />

mortality increased in patients with D7S820 full-mm (p=0.02). This unfavorable<br />

effect was reflected on OS (p=0.002).Besides, patients with fullmm<br />

TPOX locus had a decreased probability <strong>of</strong> OS. TPOX and D7S820<br />

were also less informative resembling CSF1PO.We were not able to<br />

show any correlation <strong>of</strong> stem cell source, conditioning regimen, donor<br />

or recipient age, and sex mm on early TRM, aGVHD, cGVHD, and OS<br />

rate. Conclusions. The presence <strong>of</strong> STR disparity could be associated with<br />

<strong>the</strong> development <strong>of</strong> complications and unfavorable survival probability<br />

after allo-HCT from HLA-identical siblings.This analysis approach<br />

should be repeated on partial matched and unrelated donor transplants.<br />

1448<br />

EVALUATION OF THE SURVIVAL OF INPATIENT WITH ALL AND INTERMEDIATE RISK<br />

TREATED ACCORDING TO PETHEMA-96 PROTOCOL<br />

C. Martin, I. Pérez de Soto, E. Gil, P. Cerezuela, F. De la Cruz,<br />

J.M. Pérez-Hurtado<br />

HHUU Virgen del Rocio, SEVILLE, Spain<br />

Introduction. Acute lymphoblastic leukemia (ALL) is <strong>the</strong> most common<br />

cancer in chilhood and represents around <strong>the</strong> 25% <strong>of</strong> neoplasias diagnosed<br />

in younger children <strong>of</strong> 14 years old. They are treated according to<br />

defined risk groups based in clinical and laboratory features. For children<br />

who seem to have less cure likelihoods, more aggressive treatment generally<br />

is given. Materials and Methods. Descriptive study in patient with<br />

ALL <strong>of</strong> intermediate risk treated in Pediatric Oncohaematological Service<br />

<strong>of</strong> our centre according to <strong>the</strong> PETHEMA-96 protocol. Period: August<br />

1998-January 2007. Results. 38 inpatients (52% girls) with mean age <strong>of</strong><br />

4,8 years (1 to 14 years), have been evaluated. The most frequent clinical<br />

presentation were adenopathy and <strong>the</strong> hepatomegaly (57,9%), with<br />

anaemia (Hb< 8 g/dL) in 36,8% (14) and leukocytosis (>50.000/mm3 ) in<br />

26,3% (10). L1 are <strong>the</strong> 73,7% (according to <strong>the</strong> FAB classification), B-II<br />

(EGIL classification) 65,8% and a 13,1% were immunophenotype T.<br />

Cytogenetic study was performed in <strong>the</strong> 68,4% (26) <strong>of</strong> <strong>the</strong> inpatients<br />

being normal <strong>the</strong> 34,4% and pathological <strong>the</strong> 65,6% remaining, emphasizing<br />

<strong>the</strong> presence <strong>of</strong> hypodiploidies (13,2%), hyperdiploidies (18,4%)<br />

and complex karyotype in <strong>the</strong> 15,8%. The molecular biology study<br />

(BCR/ ABL, E2A/ PBX1, MLL/AF4, TEL/AML) was realized <strong>of</strong> uneven<br />

way in <strong>the</strong> studied inpatients (between <strong>the</strong> 28,9% and <strong>the</strong> 65,8% <strong>of</strong> <strong>the</strong><br />

cases) finding TEL/ AML reordering in 2 inpatient (5,3%). During <strong>the</strong><br />

treatment <strong>the</strong> 7,9% (3) relapsed and a 13,2% (5) died, 2 in <strong>the</strong> induction<br />

12 th <strong>Congress</strong> <strong>of</strong> <strong>the</strong> <strong>European</strong> <strong>Hematology</strong> Association<br />

treatment (both by infectious causes) and <strong>the</strong> 3 remaining during relapse.<br />

The maximum follow-up is 101 months (mean 52 months). The complete<br />

remission (CR) rate was 86,8% having completed treatment <strong>the</strong><br />

63,2% (24). Conclusions. Complete continuous remission in childhood<br />

with risk factors agreements with PETHEMA-96 protocol is similar to<br />

<strong>the</strong> obtained inpatients <strong>of</strong> standard risk that <strong>the</strong>y have received ano<strong>the</strong>r<br />

treatment protocols.<br />

1449<br />

BONE MARROW/PERIPHERAL BLOOD POSITIVITY OF BCL-2/IGH REARRANGEMENT<br />

IN PATIENTS WITH FOLLICULAR LYMPHOMA BEFORE TREATMENT HAS NO PROGNOSTIC<br />

SIGNIFICANCE<br />

D. Belada, 1 L. Smolej, 2 M. Beranek, 3 D. Dvorakova, 4 P. Stepankova, 2<br />

J. Bukac, 5 J. Maly2 1 University Hospital Hradec Kralove, HRADEC KRALOVE; 2 University Hospital<br />

and Medical School, HRADEC KRALOVE; 3 Institute <strong>of</strong> Clinical Biochemistry,<br />

HRADEC KRALOVE; 4 Dept.<strong>of</strong> Internal Medicine-Hematooncology, UNI-<br />

VERSITY HOSPITAL BRNO; 5 Institute <strong>of</strong> Biophysic and Biostatistics, MED-<br />

ICAL SCHOOL, HRADEC KRALOVE, Czech Republic<br />

Background. Bcl-2/IgH rearrangement represents a typical cytogenetic<br />

aberration in patients with follicular lymphoma where it occurs in 40-<br />

90% <strong>of</strong> <strong>the</strong> cases at diagnosis. However, its clinical impact remains<br />

unclear. Aims and methods. The aim <strong>of</strong> this study was to evaluate Bcl-<br />

2/IgH rearrangement in 50 patients with follicular lymphoma before<br />

treatment by means <strong>of</strong> nested PCR technique and to correlate molecular<br />

genetic findings with clinical characteristics and results <strong>of</strong> treatment<br />

in subgroups-with vs. without Bcl-2/IgH rearraangement. 91 samples<br />

from peripheral blood and/or bone marrow from fifty patients (median<br />

age, 56.5 years; male/female ratio: 33/17) were analysed. Samples from<br />

both compartments were available in 41 cases. Bcl-2/IgH rearrangement<br />

was analysed by nested PCR technique for both major breakpoint region<br />

(MBR) and minor cluster region (mcr). Results. Twenty-six out <strong>of</strong> fifty<br />

patients (52%) were positive for Bcl-2/IgH rearrangements; 24 in MBR<br />

and 2 in mcr, remaining 24 patients were negative. Regarding <strong>the</strong> initial<br />

characteristics, patients under 65 years were more likely to be Bcl-2/IgH<br />

positive than negative (88% vs. 58%, p=0.02). Patients with initial bone<br />

marrow involvement were also more <strong>of</strong>ten Bcl-2/IgH positive than negative<br />

(88% vs. 58%, p=0.02). High correlation between Bcl-2/IgH<br />

rearrangement in peripheral blood and bone marrow was noted as well<br />

as correlation between PCR Bcl-2/IgH detection and immunohistochemistry<br />

bcl-2 protein detection in bone marrow. No differences were found<br />

according to initial Bcl-2/IgH status with respect to clinical course <strong>of</strong> disease<br />

in terms <strong>of</strong> complete remission achievement, improved overall survival<br />

or progression-free survival in comparison with Bcl-2/IgH negative<br />

group. Summary. Molecular positivity <strong>of</strong> Bcl-2/IgH rearrangement in<br />

patients with follicular lymphoma before treatment had no impact to<br />

prognosis <strong>of</strong> <strong>the</strong> disease although additional breakpoint regions may<br />

play important role. Fur<strong>the</strong>r investigations in this field are needed to<br />

determine definitive role <strong>of</strong> this molecular finding to prognosis <strong>of</strong><br />

patients with follicular lymphoma.<br />

This work was supported by research project MZO 00179906 from Ministry<br />

<strong>of</strong> Health, Czech Republic, and by grant NR/9453-3 from Internal Grant Agency,<br />

Ministry <strong>of</strong> Health, Czech Republic.<br />

1450<br />

HEMATO- AND IMMUNOPOIESIS REGENERATION OF LETHALLY IRRADIATED MICE<br />

BY CELLS ISOLATED FROM INTESTINAL EPITHELIAL LAYER<br />

L. Vedina, 1 S.V. Sennikov, 1 V.A. Trufakin, 2 V.A. Kozlov1 1 Institute <strong>of</strong> Clinical Immunology, NOVOSIBIRSK; 2 Institute <strong>of</strong> Physiology,<br />

NOVOSIBIRSK, Russian Federation<br />

Background. The study <strong>of</strong> stem cell plasticity has large significance in<br />

development <strong>of</strong> <strong>the</strong> cellular <strong>the</strong>rapy. Recent studies shown that adult<br />

stem cells are able to differentiate into cellular types <strong>of</strong> different tissues.<br />

Many adult non-hematopoietic stem cells is known to have hematopoietic<br />

potential. As shown earlier, cells <strong>of</strong> <strong>the</strong> intestinal epi<strong>the</strong>lial layer have<br />

ability to form splenic hematopoietic colonies (CFU-9). Aim. This study<br />

aims to investigate ability <strong>of</strong> intestinal epi<strong>the</strong>lial layer cells (IELC) to<br />

hemo- and immunopoiesis regeneration <strong>of</strong> lethally irradiated mice. Methods.<br />

Recipient animals were (CBAxC57Bl/6)F1 mice that were lethally<br />

irradiated with 9 Gy given in one dose. IELC or bone marrow cells (BMC)<br />

were introduced intravenously. Control group was non-irradiated mice.<br />

At 1, 3 and 6 months after transplantation, delayed-type hypersensitivity<br />

reaction, IgM antibody formation, blood cells counts were investigat-<br />

haematologica/<strong>the</strong> hematology journal | 2007; 92(s1) | 517

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