Table 4.

Effect of GCV treatment on circulating GMCs

Patient no.GCV treatmentGMCs among circulating lymphocytes, %Circulating GMCs, × 106/L
DiagnosisInitiation datePre-GCVPost-GCV (d)ReductionPre-GCVPost-GCVReduction
Acute GVHD D31 0.544-150 0.014-150 (D47) 98.1 NA NA NA 
Chronic GVHD D134 0.1 0.015 (D146) 85 0.46 0.09 80.4 
11 Acute GVHD D2384-151 1.28 0.083 (D245) 93.5 4.14 0.01 99.7 
12 Acute GVHD + CMV infection D40 14.86 0.82 (D56) 94.5 28.2 6.83 75.8 
Patient no.GCV treatmentGMCs among circulating lymphocytes, %Circulating GMCs, × 106/L
DiagnosisInitiation datePre-GCVPost-GCV (d)ReductionPre-GCVPost-GCVReduction
Acute GVHD D31 0.544-150 0.014-150 (D47) 98.1 NA NA NA 
Chronic GVHD D134 0.1 0.015 (D146) 85 0.46 0.09 80.4 
11 Acute GVHD D2384-151 1.28 0.083 (D245) 93.5 4.14 0.01 99.7 
12 Acute GVHD + CMV infection D40 14.86 0.82 (D56) 94.5 28.2 6.83 75.8 

Quantitative PCR was not performed in the 2 other patients treated by GCV (patient no. 3, acute GVHD day 15; patient no. 6, acute GVHD day 20). However, semiquantitative PCR confirmed the presence of circulating GMCs at diagnosis of GVHD in both patients (at a very low level for patient no. 6) and a significant decrease of GMCs associated with GCV treatment. NA indicates not available.

F4-150

Indicates the percentage of GMCs among cells after Ficoll gradient separation.

F4-151

Indicates the refractory lethal GVHD after (unmanipulated) donor lymphocyte infusion.

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