Bone marrow transplantation

Surgery – Miscellaneous – Methods

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A61B 1900

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active

058065296

ABSTRACT:
The present invention provides a method for bone marrow transplantation from an HLA-nonmatched donor to a patient which comprises conditioning the patient under a suitable regimen followed by transplant of a very large dose of stem cells which is at least about 3-fold greater than the conventional doses used in T cell-depleted bone marrow transplantation. The patient is conditioned under lethal or supralethal conditions for the treatment of malignant or non-malignant diseases, or under sublethal conditions for the treatment of non-malignant diseases. The transplant may consist of T cell-depleted bone marrow stem cells and T cell-depleted stem cell-enriched peripheral blood cells from the HLA-nonmatched donor. preferably a relative of the patient, which donor was previously treated with a drug, e.g. a cytokine such as granulocyte colony-stimulating factor (G-CSF).

REFERENCES:
Caspar, et al., "Effective Stimulation of Donors for Granulocyte Transfusions With Recombinant Methionyl Granulocyte Colonystimulating Factor", Blood, 81:2866-71 (1993).
Cordell et al., "Immunoenzyme Labeling of Monoclonal Antibodies Using Immune Complexes of Alkaline Phosphatase and Monoclonal Anti-Alkaline Phosphatase (APAAP complexes)", J. Histochem. Cytochem., 32:219 (1984).
Gale and Reisner,"Graft Rejection and Graft-Versus-Host-Disease: Mirror Images", Lancet 1:1468 (1986).
Gianni et al., "Durable and Complete Hematopoietic Reconstitution After Autografting of rhGM-CSF Exposed Peripheral Blood Progenitor Cells", Bone Marrow Transplant 6:143 (1990).
Glucksberg et al., "Clinical Manifestations of Graft-Versus-Host Disease in Human Recipients of Marrow From HLA-Matched Sibling Donors", Transplantation, 18:295 (1974).
Lapidot et al., "Enhancement by Dimethyl Myleran of Donor Type Chimerism in Murine Recipients of Bone Marrow Allografts", Blood 73:2025.
Matsunaga et al., "Recombinant Human Granulocyte Colony-Stimulating Factor Can Mobilize Sufficient Amounts of Peripheral Blood Stem Cells in Healthy Volunteers for Allogeneic Transplantation", Bone Marrow Transplant, 11:103 (1993).
Molineux et al., "Transplantation Potential of Peripheral Blood Stem Cells Induced by Granulocyte Colony-Stimulating Factor", Blood, 76:2153 (1990).
O'Reilly et al., "Transplantation of Marrow Depleted of T-Cells by Soybean Lectin Agglutination and E-Rosette Depletion: Major Histocompatibility Complex-Related Graft Resistance in Leukemia Transplant Recipients", Transplant Proc., 17:455 (1985).
O'Reilly et al., "Allogeneic Transplants Depleted of T-Cells by Soybean Lectin Agglutination and E-Rosette Depletion", Bone Marrow Transplant 3:(1):3 (1988).
Reisner et al., "Hemopoietic Stem Cell Transplantation Using Mouse Bone-Marrow and Spleen Cells Fractionated by Lectins", Proc. Natl. Acad. Sci. USA, 75:2933 (1978).
Reisner et al., "Transplantation for Acute Leukemia With HLA-A and B Nonidentical Parental Marrow Cells Fractionated With Soybean Agglutinin and Sheep Red Blood Cells", Lancet II, 327 (1981).
Reisner et al., "Allogeneic Bone Marrow Transplantation in Mouse, Monkey and Man Using Lectin-Separated Grafts", Tolerance in Bone Marrow and Organ Transplantation, Elsevier, Slavin, S. (ed.) p. 293 (1984).
Reisner et al., "A Shorter Procedure for Preparation of E-Rosette-Depleted Bone Marrow for Transplantation", Transplantation, 42:312 (1986).
Russel et al., "Peripheral Blood Stem as an Alternative to Marrow for Allogeneic Transplantation", Lancet 341: 1482 (1993).
Terenzi et al., "Enhancement of T-Cell Depleted Bone Marrow Allografts in Mice by Thiotepa", Transplantation 50:717 (1990).
Vallera and Blazer, "T-Cell Depletion for Graft-Versus-Host Disease (GVHD) Prophylaxis: A Perspective on Engraftment in Mice and Humans" Transplantation 47:751 (1989).
Velardi et al., "Acquisition of Immunoglobulin Isotype Diversity After Bone Marrow Transplantation in Adults. A Recapitulation of Normal B-cell Ontogeny", J. Immunol. 141:815 (1988a).
Velardi et al., "Imbalance Within Peripheral Blood T-Helper (CD4+) and T-suppressor (CD8+) Cell Populations in the Reconstitution Phase After Human Bone Marrow Transplantation", Blood 71:1196 (1988b).
Velardi et al., "Cytolytic Functions of Clonable T-Cells After Human Bone Marrow Transplantation", Blood 75:1364 (1990).
Weaver et al., "Synergeneic Transplantation With Peripheral Blood Mononuclear Cells Collected After the Administration of Recombinant Human Granulocyte Colon-Stimulating Factor", Blood 82:1981.
Yam et al., "Use of DNA Restriction Fragment Length Polymorphisms to Document Marrow Engraftment and Mixed Hematopoietic Chimerism Following Bone Marrow Transplantation", Transplantation 43:399 (1987).
Zinzani et al., 1993, "Granulocyte colony stimulating factor G-CSF as adjunct therapy in relapsed-resistant high-grade non-Hodgkin's lymphoma ", Haematologica 78(1):40-43.
Reisner and Gan, 1985, "Differential binding of soybean agglutinin to human neuroblastoma cell lines: Potential application to autologous bone marrow transplantation", Cancer Research 45(9):4026-4031.
Reisner, "Engraftment of T-cell-depleted Bone Marrow in Murine Models for Allogeneic Bone Marrow Transplantation", In Bone Marrow Transplantation, Kluwer Academic Publishers, R. Champlin (ed.), p. 9 (1990).

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