Donor lymphocyte collections from unrelated donors of the Czech National Marrow Donors Registry (ČNMDR) between 1999 and 2010

Česká verze

Authors: D. Lysák ¹; M. Hrabětová ¹; A. Jungová ¹; T. Svoboda ¹; Navrátilová J.1ihash2 ^{,2 ,2}
Authors place of work: Hematologicko-onkologické oddělení FN Plzeň, Český národní registr dárců dřeně ¹
Published in the journal: Transfuze Hematol. dnes,17, 2011, No. 4, p. 165-170.
Category: Souhrnné práce, původní práce, kazuistiky

Summary

We analyzed a group of 45 unrelated donors who had donated donor lymphocytes in the collection centre of the Czech National Marrow Donor Registry between 1999 and 2010. An upward trend was apparent in the past 3 years for the evolution of collection numbers in time. Lymphocyte collection was requested primarily for patients with acute leukaemia, chronic myeloid leukaemia and non-Hodgkin lymphoma (44%, 18% and 16% of all donations). Immunotherapy using donor lymphocytes was most frequently indicated for haematological or molecular relapse (57% and 16%) or persisting mixed chimerism after transplantation (16 % of donations). Lymphocyte collection was undertaken at a median of 8.4 (1.3–6) months following the initial collection of bone marrow or peripheral blood stem cells. The collected number corresponded to 0.9 (0.1–5.0) x 10⁸ CD3+ cells per kilogram of recipient weight. A repeated lymphocyte donation was requested only for one recipient. The number of CD3+ cells in the product correlated with the leukocyte count (r=0,427, p=0.0031) and mononuclear cell numbers in donor peripheral blood before donation (r=0.511, p=0.0003). Adverse events during the donation occurred in only 9 % of donors and in all cases were clinically insignificant. Donor lymphocyte donation is a safe and minimally taxing method of donation. Immunotherapy using donor lymphocytes enables the treatment of many complications following allogeneic haematopoietic stem cells transplantation. With the development of non-myeloablative conditioning regimens and an increased understanding of post-transplant immunological interactions etc., it may be presumed that there will be an increasing demand for lymphocyte donations from the original donors in the years to come.

Key words:
donor lymphocyte, GVL, adverse reaction, donors

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