Abstract
The immune status of children with malignant disease in remission was assessed usingvarious immune function tests. Children with infections had significantlymore neutropenia, hypogammaglobulinaemia, and impaired cell-mediated immune responses than those without. These two groups combined had much more absolute lymphopenia and impairment of both cell-mediated immunity and antibody-producing capacity thancontrol children with non-malignant conditions. Regular immunological evaluation isrecommended for children with malignant disease when new intensive treatment schedules are under trial and for individual patients particularly prone to develop infections during treatment.
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Selected References
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- Astaldi G., Massimo L., Dagna F., Mori P. G., Fossati A. PHA -blastogenesis in relationship to the cell-type and source in acute leukemia. Blut. 1972 Mar;24(3):153–160. doi: 10.1007/BF01631462. [DOI] [PubMed] [Google Scholar]
- Bodey G. P., Buckley M., Sathe Y. S., Freireich E. J. Quantitative relationships between circulating leukocytes and infection in patients with acute leukemia. Ann Intern Med. 1966 Feb;64(2):328–340. doi: 10.7326/0003-4819-64-2-328. [DOI] [PubMed] [Google Scholar]
- Borella L., Sen L. T- and B-lymphocytes and lymphoblasts in untreated acute lymphocytic leukemia. Cancer. 1974 Sep;34(3):646–651. doi: 10.1002/1097-0142(197409)34:3<646::aid-cncr2820340322>3.0.co;2-1. [DOI] [PubMed] [Google Scholar]
- Borella L., Webster R. G. The immunosuppressive effects of long-term combination chemotherapy in children with acute leukemia in remission. Cancer Res. 1971 Apr;31(4):420–426. [PubMed] [Google Scholar]
- Hersh E. M., Oppenheim J. J. Inhibition of in vitro lymphocyte transformation during chemotherapy in man. Cancer Res. 1967 Jan;27(1):98–105. [PubMed] [Google Scholar]
- Hersh E. M., Oppenheim J. J. Inhibition of in vitro lymphocyte transformation during chemotherapy in man. Cancer Res. 1967 Jan;27(1):98–105. [PubMed] [Google Scholar]
- Holland J. F., Glidewell O. Oncologists' reply: survival expectancy in acute lymphocytic leukemia. N Engl J Med. 1972 Oct 12;287(15):769–777. doi: 10.1056/NEJM197210122871512. [DOI] [PubMed] [Google Scholar]
- Hughes W. T. Fatal infections in childhood leukemia. Am J Dis Child. 1971 Oct;122(4):283–287. doi: 10.1001/archpedi.1971.02110040067003. [DOI] [PubMed] [Google Scholar]
- Hughes W. T., Smith D. R. Infection during induction of remission in acute lymphocytic leukemia. Cancer. 1973 Apr;31(4):1008–1014. doi: 10.1002/1097-0142(197304)31:4<1008::aid-cncr2820310434>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
- Humphrey G. B., Nesbit M. E., Jr, Chary K. K., Krivit W. Impaired lymphocyte transformation in leukemic patients after intensive therapy. Cancer. 1972 Feb;29(2):402–406. doi: 10.1002/1097-0142(197202)29:2<402::aid-cncr2820290222>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
- Pinkel D. Five-year follow-up of "total therapy" of childhood lymphocytic leukemia. JAMA. 1971 Apr 26;216(4):648–652. [PubMed] [Google Scholar]
- Robbins J. H., Gart J. J., Levis W. R., Burk P. G. The millipore filter assay technique for measuring tritiated thymidine incorporation into DNA in leucocyte cultures. Clin Exp Immunol. 1972 Aug;11(4):629–640. [PMC free article] [PubMed] [Google Scholar]
- Sen L., Borella L. Expression of cell surface markers on T and B lymphocytes after long-term chemotherapy of acute leukemia. Cell Immunol. 1973 Oct;9(1):84–95. doi: 10.1016/0008-8749(73)90170-6. [DOI] [PubMed] [Google Scholar]
- Simone J. V., Holland E., Johnson W. Fatalities during remission of childhood leukemia. Blood. 1972 Jun;39(6):759–770. [PubMed] [Google Scholar]
- Urquhart G. E., Logan R. W., Izatt M. M. Sudden unexplained death in infancy and hyperimmunization. J Clin Pathol. 1971 Nov;24(8):736–739. doi: 10.1136/jcp.24.8.736. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vowels M. R., Willoughby M. L. Cyclic chemotherapy in acute lymphoblastic leukaemia of childhood: 5-year survivals. Arch Dis Child. 1973 Jun;48(6):436–440. doi: 10.1136/adc.48.6.436. [DOI] [PMC free article] [PubMed] [Google Scholar]
