Table 2.
Patient | Diagnosis | Number of samplesa | DNA, ng/µlb | First indication of recipient chimerism, days post HSCT |
Evidence for relapsec | Comment | |
---|---|---|---|---|---|---|---|
STR-PCR | indel-qPCR | ||||||
1 | AML | 6 | 3–475 | 1,273 | 1,273 | thrombocyte count ↓, blasts (BM/PB) | |
2 | AML | 11 | 9–176 | 208/569 | 208/569 | DEK-CAN fusion ↑, blasts(BM/PB) | 2× RL |
3 | AML | 8 | 10–172 | 853/1,105 | 231/1,008 | thrombocyte count ↓, blasts (BM) | 2× RL |
4 | ALL | 11 | 12–128 | 126/716 | 126/716 | blasts (BM/PB) | 2× RL, † |
5 | AML | 10 | 6–64 | 32/314 | 32/314 | blasts (BM/PB) | |
6 | AML | 2 | 5–61 | 97 | 97 | blasts (BM) | † |
7 | MM | 5 | 29–108 | – | 423 | clonal IgG ↑ | |
8 | MM | 3 | 19–46 | – | 111 | serum κ-chains ↑ | † |
9 | ALL | 3 | 3–250 | 105 | 105 | blasts (PB) | † |
10 | MM | 4 | 15–50 | 185 | 185 | clonal IgG ↑, plasma cell expansion (BM) | † |
11 | NHL | 5 | 10–189 | 29 | 29 | residual lymphoma | stable MC |
12 | ALL | 3 | 35–220 | 230 | 54 | BCR-ABL+ after HSCT | |
13 | MM | 5 | 18–238 | 243 | 148 | clonal IgG ↑, plasma cell expansion (BM) | HID |
14 | NHL | 6 | 20–105 | 41 | 41 | incompl. donor hematopoiesis | HID, stable MC |
15 | ALL | 4 | 35–259 | 86 | 36 | blasts (BM) | |
16 | NHL | 3 | 23–242 | 62 | 35 | blasts (PB) |
AML = Acute myeloid leukemia; ALL = acute lymphoblastic leukemia; BM = bone marrow; HID = HLA-identical sibling donor; MC, mixed chimerism; MM = multiple myeloma; NHL= non-Hodgkin's lymphoma; PB = peripheral blood; STR = short-tandem-repeat; indel = micro insertion/deletion. polymorphism
= deceased.
Cases where indel-qPCR provided an earlier detection of recipient chimerism are highlighted in italics.
Number of post HSCT samples available for retrospective analysis by indel-qPCR.
DNA concentration range of the samples, 100μl of each sample were available in most cases.
Molecular and cytological evidence for relapse.