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Adoptive Immunotherapy Using Donor Leukocyte Infusions to Treat Relapsed Hematologic Malignancies after Allogeneic Bone Marrow Transplantation

  • Chapter
Advances in Allogeneic Hematopoietic Stem Cell Transplantation

Part of the book series: Cancer Treatment and Research ((CTAR,volume 101))

Abstract

Allogeneic bone marrow transplantation (BMT) is the only curative therapy for a number of patients with hematologic malignancies. The therapeutic efficacy of allogeneic marrow transplantation derives from the conditioning regimen which is myeloablative and the allogeneic marrow graft itself which is able to exert an antileukemic effect against residual malignant cell populations. This phenomenon which has been termed the graft-versus-leukemia (GVL) effect is mediated by immunocompetent cells resident in the donor marrow graft (1). Support for the existence of the GVL effect has come from both animal models (2,3) and epidemiological studies in man (4) which have provided strong evidence that allogeneic marrow transplantation is a potent demonstration of effective adoptive immunotherapy.

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Drobyski, W.R. (1999). Adoptive Immunotherapy Using Donor Leukocyte Infusions to Treat Relapsed Hematologic Malignancies after Allogeneic Bone Marrow Transplantation. In: Burt, R.K., Brush, M.M. (eds) Advances in Allogeneic Hematopoietic Stem Cell Transplantation. Cancer Treatment and Research, vol 101. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4987-1_11

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