Table 1.
Hematopoietic Cell Transplantation (HCT) | Interval between HCT + OLT (months) | Orthotopic Lung Transplantation (OLT) | |||||||
---|---|---|---|---|---|---|---|---|---|
Recipient | Age at HCT (months) | TBI dose* (cGy) | Source of HSC | Post-HCT IS** | Donor Chimerism | ||||
Marrow Cells/Kg (×108) | G-PBMC Cells/Kg (×108) | Age at OLT (months) | Before OLT (%) | 6 Wk Post- OLT (%) | |||||
G190 | 9 | 200 | 4.0 | 0 | CSP/MMF | 7 | 16 | L=76.2 G=81.3 |
L=74.7 G=78.5 |
G005 | 22 | S5/200 | 4.0 | 10.5 | CSP/MMF | 13 | 35 | L=32.0 G=57.4 |
L=53.2 G=44.7 |
E875 | 45 | 200 | 0 | 2.8 | None | 5 | 50 | L=74.6 G=100 |
L=80.2 G=100 |
G246 | 15 | 200 | 6.7 | 8.7 | CSP/MMF | 11 | 26 | L=60.8 G=91.1 |
L=37.4 G=68.3 |
G183 | 15 | 200 | 4.7 | 0 | CSP/MMF | 21 | 36 | L=37.1 G=71.6 |
L=60.3 G=92.7 |
BM = bone marrow; CSP = cyclosporine; G-PBMC = granulocyte colony-stimulating factor (G-CSF)-mobilized peripheral blood mononuclear cells; HCT = hematopoietic cell transplantation; HSC = hematopoietic stem cell; IS = immunosuppression; MMF = mycophenolate mofetil; OLT = orthotopic lung transplantation; S5 = CD44-specific monoclonal antibody; TBI = total body irradiation. For donor chimerism in peripheral blood: L= CD3+ lymphocytes, G= granulocytes
TBI was delivered at doses of 2 Gy from a high energy linear accelerator (Varian CLINAC 4, Palo Alto, CA) at a rate of 7 cGy/min.
For immunosuppression, oral cyclosporine (15 mg/kg b.i.d.) was administered for 35 days and mycophenolate mofetil (10 mg b.i.d., s.c.) was administered for 28 days after HCT.