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1 BONE MARROW TRANSPLANTA non
2 Cancer Treatment and Research WILLIAM L MCGUIRE, series editor Livingston, RB (ed): Lung Cancer ISBN Humphrey GB, Dehner LP, Grindey GB, Acton, RT (eds): Pediatric Oncology 1. ISBN Decosse JJ, Sherlock P (eds): Gastrointestinal Cancer ISBN Bennett JM (ed): Lymphomas 1, including Hodgkin's Disease ISBN Bloomfield CD (ed): Adult Leukemias ISBN Paulson DF (ed): Genitourinary Cancer ISBN Muggia FM (ed): Cancer Chemotherapy ISBN Humphrey GB, Grindey GB (eds): Pancreatic Tumors in Children ISBN Costanzi JJ (ed): Malignant Melanoma ISBN Griffiths CT, Fuller AF (eds): Gynecologic Oncology ISBN Greco AF (ed): Biology and Management of Lung Cancer ISBN Walker MD (ed): Oncology of the Nervous System ISBN Higby DJ (ed): Supportive Care in Cancer Therapy ISBN Herberman RB (ed): Basic and Clinical Tumor Immunology ISBN Baker LH (ed): Soft Tissue Sarcomas ISBN Bennett JM (ed): Controversies in the Management of Lymphomas ISBN Humphrey GB, Grindey GB (eds): Adrenal and Endocrine Tumors in Children ISBN DeCosse JJ, Sherlock P (eds): Clinical Management of Gastrointestinal Cancer ISBN Catalona WJ, Ratliff, TL (eds): Urologic Oncology ISBN Santen RJ, Manni A (eds): Diagnosis and Management of Endocrine-related Tumors ISBN Costanzi JJ (ed): Clinical Management of Malignant Melanoma ISBN X. Wolf GT (ed): Head and Neck Oncology ISBN Alberts DS, Surwit EA (eds): Ovarian Cancer ISBN Muggia, FM (ed): Experimental and Clinical Progress in Cancer Chemotherapy ISBN Higby DJ (ed): Issues in Supportive Care of Cancer Patients ISBN Surwit EA, Alberts DS (eds): Cervix Cancer ISBN Jacobs C (ed): Cancers of the Head and Neck ISBN MacDonald JS (ed): Gastrointestinal Oncology ISBN RatliffTL, Catalona WJ (eds): Genitourinary Cancer ISBN Nathanson L (ed): Basic and Clinical Aspects of Malignant Melanoma ISBN Muggia FM (ed): Concepts, Clinical Developments, and Therapeutic Advances in Cancer Chemotherapy ISBN Frankel AE (ed): Immunotoxins ISBN Bennett JM, Foon KA (eds): Immunologic Approaches to the Classification and Management of Lymphomas and Leukemias ISBN Osborne CK (ed): Endocrine Therapies in Breast and Prostate Cancer ISBN X. Lippman ME, Dickson R (eds): Breast Cancer: Cellular and Molecular Biology ISBN Kamps WA, Humphrey GB, Poppema S (eds): Hodgkin's Disease in Children: Controversies and Current Practice ISBN Muggia FM (ed): Cancer Chemotherapy: Concepts, Clinical Investigations and Therapeutic Advances ISBN Nathanson L (ed): Malignant Melanoma: Biology, Diagnosis, and Therapy ISBN Pinedo HM, Verweij J (eds): Treatment of Soft Tissue Sarcomas ISBN Hansen HH (ed): Basic and Clinical Concepts of Lung Cancer ISBN Lepor H, RatliffTL (eds): Urologic Oncology ISBN Benz C, Liu E (eds): Oncogenes ISBN Ozols RF (ed): Drug Resistance in Cancer Therapy ISBN Surwit EA, Alberts DS (eds): Endometrial Cancer ISBN Champlin R (ed): Bone Marrow Transplantation ISBN
3 Bone Marrow Transplantation Edited by RICHARD CHAMPLIN, M.D. MD Anderson Cancer Center Houston, Texas KLUWER ACADEMIC PUBLISHERS 1111 BOSTONIDORDRECHT/LONDON...
4 Distributors for North America: Kluwer Academic Publishers 101 Philip Drive Assinippi Park Norwell, Massachusetts USA for all other countries: Kluwer Academic Publishers Group Distribution Centre Post Office Box AH Dordrecht, THE NETHERLANDS Library of Congress Cataloging-in-Publication Data Bone marrow transplantation 1 edited by Richard Champlin. p. cm. - (Cancer treatment and research) Includes bibliographical references. ISBN-13: e-isbn-13: DOl: / Bone marrow-transplantation. I. Champlin, Richard. II. Series. [DNLM: 1. Bone Marrow-transplantation. 2. Bone Marrow Diseases-therapy. WI CA693 1 WH 380 B ] RD123.5.B ' 4-dc20 DNLM/DLC for Library of Congress CIP Copyright 1990 by Kluwer Academic Publishers Softcover reprint of the hardcover 1 st edition 1990 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher, Kluwer Academic Publishers, 101 Philip Drive, Assinippi Park, Norwell, Massachusetts
5 v Table of Contents Preface... vii List of Contributors Bone Marrow Transplantation: Introduction and Overview 1 RICHARD E. CHAMPLIN 2. Engraftment of T -Cell-Depleted Bone Marrow in Murine Models for Allogeneic Bone Marrow Transplantation... 9 YAIR REISNER 3. Recapitulation of Immune Ontogeny: A Vital Component for the Success of Bone Marrow Transplantation... ". 27 LAWRENCEG. LUM ix Acute Graft -Versus-Host Disease GEORGIA B. VOGELSANG Chronic Graft -Versus-Host Disease KEITH M. SULLIVAN T-Cell Depletion for Bone Marrow Transplantation: Effects on Graft Rejection, Graft-Versus-Host Disease, Graft-Versus- Leukemia, and Survival RICHARD E. CHAMPLIN 7. Cytomegalovirus Infection and Interstitial Pneumonia after Bone Marrow Transplantation DREW J. WINSTON, WINSTON G. HO, and RICHARD E. CHAMPLIN 8. Selection of Marrow Donors for Patients Lacking an HLA Identical Sibling CLAUDIOANASETTI andpatrickg. BEATTY
6 vi 9. Therapeutic Use of Hematopoietic Growth Factors in Bone Marrow Transplantation STEPHEN D. NIMER and RICHARD E. CHAMPLIN APPLICATIONS OF BONE MARROW TRANSPLANTATION Bone Marrow Transplantation for Immunodeficiency and Genetic Diseases CARL LENARSKY, DONALD KOHN, and ROBERTSON PARKMAN 11. Bone Marrow Transplantation for Aplastic Anemia: Recent Advances and Comparisons with Alternative Therapies RICHARD E. CHAMPLIN 12. Bone Marrow Transplantation for Acute Nonlymphocytic Leukemia (ANL) FREDERICK R. APPELBAUM 13. Bone Marrow Transplantation in Acute Lymphoblastic Leukemia ROBERT P. GALE and ANNA BUTTURINI 14. Therapy of Chronic Myelogenous Leukemia with Bone Marrow Transplantation PHILIP B. McGLAVE 15. Bone Marrow Transplantation for Hodgkin's Disease, Non- Hodgkin's Lymphoma, and Multiple Myeloma JULIE M. VOSE, JAMES O. ARMITAGE, and PHILIP J. BIERMAN 16. Bone Marrow Transplantation for Solid Tumors in Pediatrics THOMASJ. MOSS 17. Role of Bone Marrow Transplantation as Treatment for Victims of Nuclear Accidents RICHARD E. CHAMPLIN Index
7 vii Preface Bone marrow transplantation has emerged as a major form of treatment for a broad range of human diseases. Marrow transplantation has many unique biologic features and its principles differ markedly from the transplantation of solid organs. This volume overviews the present status of bone marrow transplantation and summarizes recent progress and controversies. Advances in defining the underlying biology of marrow transplantation are discussed. The current status of several major clinical problem areas are reviewed, including engraftment, acute and chronic graft-versus-host disease, immunodeficiency, and opportunistic infections. The therapeutic role of allogeneic and autologous bone marrow transplantation is discussed, and results are compared with alternative therapies.
8 lx List of contributors ANASETII, CLAUDIO, M.D., Fred Hutchinson Cancer Research Center, 1124 Columbia Street, Seattle, Washington APPELBAUM, FRED, M.D., Fred Hutchinson Cancer Research Center, 1124 Columbia Street, Seattle, Washington ARMITAGE, JAMES 0., M.D., Department of Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, Nebraska BEATIY, PATRICK G., M.D., Fred Hutchinson Cancer Research Center, 1124 Columbia Street, Seattle, Washington BIERMAN, PHILIP J., M.D., Department of Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, Nebraska BUTTURINI, ANNA, M.D., Department of Pediatrics, University of Parma School of Medicine, Parma, Italy CHAMPLIN, RICHARD, M.D., Department of Hematology, MD Anderson Cancer Center, Houston, TX GALE, ROBERT PETER, M.D., Ph.D., Division of Hematology Oncology, Department of Medicine, UCLA Center for the Health Sciences, Los Angeles, California HO, WINSTON G., M.D., Division of Hematology-Oncology, Department of Medicine, UCLA Center for the Health Sciences, Los Angeles, California KOHN, DONALD, M.D., Division of Research Immunology/Bone Marrow Transplantation, Children's Hospital of Los Angeles and Department of Pediatrics, University of Southern California, Medical School, Los Angeles, California LENARSKY, CARL, M.D., Division of Bone Marrow Transplant and Research Immunology, Children's Hospital of Los Angeles, 4650 Sunset Boulevard, Los Angeles, California LUM, LAWRENCE G., M.D., Division of Hematology and Oncology,
9 x Dept. of Medicine and Pediatrics, Wayne State University, Detroit, Michigan McGLAVE, PHILIP B., M.D., Adult Bone Marrow Transplantation Program, University of Minnesota Hospitals, 420 Delaware Street, Minneapolis, Minnesota MOSS, THOMAS J., M.D., Division of Hematology/Oncology, Department of Pediatrics, UCLA Center for the Health Sciences, Los Angeles, California NIMER, STEPHEN D., M.D., Division of Hematology-Oncology, Department of Medicine, UCLA Center for the Health Sciences, Los Angeles, California PARKMAN, ROBERTSON, M.D., Division of Bone Marrow Transplant and Research Immunology, Children's Hospital of Los Angeles, 4650 Sunset Boulevard, Los Angeles, California REISNER, YAIR, M.D., Department of Biophysics, Weizman Institute of Science, Rehovot 76100, Israel SULLIVAN, KEITH, M.D., Fred Hutchinson Cancer Research Center, 1124 Columbia Street, Seattle, Washington VOGELSANG, GEORGIA B., M.D., Johns Hopkins Bone Marrow Unit, Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, Maryland VOSE, JULIE M., M.D., Department of Internal Medicine, University of Nebraska Medical Center, 42nd and Dewey Avenue, Omaha, Nebraska WINSTON, DREW J., M.D., UCLA Center for the Health Sciences, Los Angeles, California 90024
10 BONE MARROW TRANSPLANTATION
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