Table 1.
Patient | Diagnosis | Chimerism at HLA-loss study (% Recipient)† | Sample type | Relapse details (MRD (Flow cytometry and genetic) and imaging evaluation) | HLA-loss relapse | Exitus | ||
---|---|---|---|---|---|---|---|---|
1 | DCL | 5 | BM | 30% blasts | MRD + | Yes | Yes | |
2 | AML | 1.6 | BM | CNS infiltration | MRD + | WT1 + | Yes | Yes |
3 | MDS | 1.5 | BM | 7% blasts | WT1 + | Yes | Yes | |
4 | HL | 26 | Pelvic adenopathy | Mediastinal adenopathy | PET/CT positive | Yes | Yes | |
5 | HL | 13.6 | Axillary adenopathy | Supra/infradiaphragmatic relapse | PET/CT positive | Yes | No | |
6 | ALL-T | 11 | PB | 17% blasts | MRD + | Yes | Yes | |
7 | AML | 23 | PB | 24% blasts | MRD + | WT1 + | No | Yes |
8 | NHL | 2.5 | BM | BM infiltration 25% blasts. Axillary and mediastinal adenophaty | MRD + | PET/CT positive | No | Yes |
9 | NHL | 38 | Hepatic adenopathy | Liver infiltration | PET/CT positive | No | Yes | |
10 | ALL-B | 7.8 | PB | 60% blasts | MRD + | No | Yes | |
11 | NHL | 44 | BM | CNS + BM infiltration 25% blasts | MRD + | No | Yes | |
12 | AML | 12 | PB | 28% blasts | MRD + | FLT3 /WT1 + | No | No |
13 | AML | 88 | PB | 90% blasts | MRD + | NPM1/WT1 + | No | Yes |
14 | ALL-B | 24 | BM | Mediastinal adenopathy. CNS + BM 5% infiltration | MRD + | PET/CT positive | No | Yes |
15 | ALL-B | 1.5 | PB | 62% blasts | MRD + | No | Yes | |
16 | AML | 1.6 | BM | 10% blasts | MRD + | WT1 + | No | No |
17 | AML | 31 | BM | 46% blasts | MRD + | WT1 + | No | Yes |
18 | AML | 20.6 | BM | 25% blasts | MRD + | WT1 + | No | Yes |
19 | AML secondary to NHL | 97 | PB | 90% blasts | MRD + | WT1 + | No | Yes |
20 | HL | 22 | Cervical adenopathy | Cervical adenopathy | PET/CT positive | No | Yes | |
21 | AML | 76 | PB | Medullary aplasia | FLT3/NPM1 + | No | Yes | |
22 | AML | 90 | BM | 86% blasts | MRD + | No | Yes |
ALL-B, B-cell acute lymphoblastic leukemia; ALL-T, T-cell acute lymphoblastic leukemia; AML, acute myeloid leukemia; CNS, central nervous system; CSF, cerebrospinal fluid; DCL, dendritic cell leukemia; GVHD, graft-vs.-host disease; HL, hodgkin's lymphoma; HSCT, hematopoietic stem cell transplantation; MRD, minimal residual disease; MDS, myelodysplastic syndrome; NHL, non-hodgkin's lymphoma. MRD +, MRD positive; WT1+, overexpression WT1.
Post-transplantation hematopoietic chimerism was evaluated using short tandem repeat. PET/CT was employed for study relapsed patients with lymphoproliferative syndrome without bone marrow infiltration.