Impaired B-cell reconstitution in children after chemotherapy for standard or medium risk acute precursor B-lymphoblastic leukemia
Standard
Impaired B-cell reconstitution in children after chemotherapy for standard or medium risk acute precursor B-lymphoblastic leukemia. / Wiegering, Verena; Frank, Jana; Freudenberg, Sandra; Morbach, Henner; Schlegel, Paul G; Eyrich, Matthias; Winkler, Beate.
in: LEUKEMIA LYMPHOMA, Jahrgang 55, Nr. 4, 04.2014, S. 870-875.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Impaired B-cell reconstitution in children after chemotherapy for standard or medium risk acute precursor B-lymphoblastic leukemia
AU - Wiegering, Verena
AU - Frank, Jana
AU - Freudenberg, Sandra
AU - Morbach, Henner
AU - Schlegel, Paul G
AU - Eyrich, Matthias
AU - Winkler, Beate
PY - 2014/4
Y1 - 2014/4
N2 - Chemotherapy for childhood acute lymphoblastic leukemia (ALL) is a highly effective treatment, but at the same time causes significant suppression of the patient's immunity. Immune reconstitution was studied in a homogeneous cohort of 48 children with standard or medium risk ALL treated according to the ALL-Berlin-Frankfurt-Münster (BFM) protocol. Whereas the T-cell compartment was only moderately affected and recovered to normal levels quickly after treatment cessation, B-cells were significantly reduced during and after therapy. In particular, the naive B-cell compartment declined. Even 5 years after the end of therapy, B-cell distribution was disturbed and patients showed an ongoing reconstitution. Thus, even standard regimens for chemotherapy cause severe B-cell depletion that resolves only gradually.
AB - Chemotherapy for childhood acute lymphoblastic leukemia (ALL) is a highly effective treatment, but at the same time causes significant suppression of the patient's immunity. Immune reconstitution was studied in a homogeneous cohort of 48 children with standard or medium risk ALL treated according to the ALL-Berlin-Frankfurt-Münster (BFM) protocol. Whereas the T-cell compartment was only moderately affected and recovered to normal levels quickly after treatment cessation, B-cells were significantly reduced during and after therapy. In particular, the naive B-cell compartment declined. Even 5 years after the end of therapy, B-cell distribution was disturbed and patients showed an ongoing reconstitution. Thus, even standard regimens for chemotherapy cause severe B-cell depletion that resolves only gradually.
KW - Adolescent
KW - Antineoplastic Combined Chemotherapy Protocols/therapeutic use
KW - Asparaginase/therapeutic use
KW - B-Cell Activating Factor/metabolism
KW - B-Lymphocyte Subsets/immunology
KW - Biomarkers/metabolism
KW - Child
KW - Child, Preschool
KW - Daunorubicin/therapeutic use
KW - Female
KW - Flow Cytometry
KW - Follow-Up Studies
KW - Humans
KW - Immunophenotyping
KW - Infant
KW - Killer Cells, Natural/immunology
KW - Male
KW - Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/drug therapy
KW - Prednisone/therapeutic use
KW - T-Lymphocyte Subsets/immunology
KW - Treatment Outcome
KW - Vincristine/therapeutic use
U2 - 10.3109/10428194.2013.816423
DO - 10.3109/10428194.2013.816423
M3 - SCORING: Journal article
C2 - 23786458
VL - 55
SP - 870
EP - 875
JO - LEUKEMIA LYMPHOMA
JF - LEUKEMIA LYMPHOMA
SN - 1042-8194
IS - 4
ER -