Bone marrow B cell precursor number after allogeneic stem cell transplantation and GVHD development.

Bone marrow B cell precursor number after allogeneic stem cell transplantation and GVHD development.
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DOI:
10.1016/j.bbmt.2012.03.005
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发表时间:
2012-06
影响因子:
4.3
通讯作者:
Sarantopoulos, Stefanie
Sarantopoulos, Stefanie
中科院分区:
医学2区
文献类型:
--
作者:
Fedoriw, Yuri;Samulski, T. Danielle;Deal, Allison M.;Dunphy, Cherie H.;Sharf, Andrew;Shea, Thomas C.;Serody, Jonathan S.;Sarantopoulos, Stefanie

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Patients without chronic graft-versus-host disease (cGVHD) have robust B cell reconstitution and are able to maintain B cell homeostasis after allogeneic hematopoietic stem cell transplantation (HSCT). To determine whether B lymphopoiesis differs before cGVHD develops, we examined bone marrow (BM) biopsies for terminal deoxynucleotidyl transferase (TdT) and PAX5 immunostaining early post-HSCTat day 30 when all patients have been shown to have high B cell activating factor (BAFF) levels. We found significantly greater numbers of BM B cell precursors in patients who did not develop cGVHD compared with those who developed cGVHD (median = 44 vs 2 cells/high powered field [hpf]; respectively; P < .001). Importantly, a significant increase in precursor B cells was maintained when patients receiving high-dose steroid therapy were excluded (median = 49 vs 20 cells/hpf; P =.017). Thus, we demonstrate the association of BM B cell production capacity in human GVHD development. Increased BM precursor B cell number may serve to predict good clinical outcome after HSCT.
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