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Blood leukocyte subsets and cytokine profile after autologous peripheral blood stem cell transplantation

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Abstract

High-dose chemotherapy with autologous peripheral blood stem cell transplantation (PBSCT) includes the risk of infectious complications due to neutropenia and therapy-induced immune deviation. In order to understand early immune recovery in this situation, we analyzed the distribution of cell subsets by flow cytometry and we measured cytokine production in a whole blood assay stimulated with lipopolysaccharide (LPS) in order to induce monocyte (MO) activation in 43 patients with solid tumors or lymphoma treated with two cycles of high-dose chemotherapy and PBSCT. Blood was collected at the following time points: before start of mobilization chemotherapy, before and after high-dose chemotherapy, and 10 and 30 days after PBSCT. In the lymphocyte compartment, we found a depletion of B cells and naive T cells and a transitory reduction of natural killer (NK) cells, whereas MO and neutrophils recovered rapidly. However, during early recovery, HLA-DR expression on MO and the percentage of CD16+ MO was considerably reduced. Production of proinflammatory cytokines interleukin (IL)-1, IL-6, and tumor necrosis factor (TNF)-alpha upon LPS stimulation was severely impaired directly after chemotherapy and unexpectedly remained low during early recovery of myeloid cells, whereas production of IL-1RA was enhanced, indicating a shift of immune competent cells to an anti-inflammatory or anergic state early after PBSCT.

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Acknowledgements

We gratefully thank M. Laumer for excellent technical assistance.

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Authors and Affiliations

  1. Department of Hematology and Oncology, University of Regensburg, 93042, Regensburg, Germany

    S. W. Krause, M. Gnad, A. Reichle & R. Andreesen

  2. Institute of Clinical Chemistry, University of Regensburg, 93042, Regensburg, Germany

    G. Rothe

Authors
  1. S. W. Krause
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  2. G. Rothe
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  3. M. Gnad
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  4. A. Reichle
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  5. R. Andreesen
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Corresponding author

Correspondence to S. W. Krause.

Additional information

This work was supported by Deutsche Krebshilfe (German Cancer Aid)

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Krause, S.W., Rothe, G., Gnad, M. et al. Blood leukocyte subsets and cytokine profile after autologous peripheral blood stem cell transplantation. Ann Hematol 82, 628–636 (2003). https://doi.org/10.1007/s00277-003-0716-z

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  • DOI: https://doi.org/10.1007/s00277-003-0716-z

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