Effect of GCV treatment on circulating GMCs
Patient no. . | GCV treatment . | GMCs among circulating lymphocytes, % . | Circulating GMCs, × 106/L . | |||||
---|---|---|---|---|---|---|---|---|
Diagnosis . | Initiation date . | Pre-GCV . | Post-GCV (d) . | Reduction . | Pre-GCV . | Post-GCV . | Reduction . | |
1 | Acute GVHD | D31 | 0.544-150 | 0.014-150 (D47) | 98.1 | NA | NA | NA |
9 | 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 treatment . | GMCs among circulating lymphocytes, % . | Circulating GMCs, × 106/L . | |||||
---|---|---|---|---|---|---|---|---|
Diagnosis . | Initiation date . | Pre-GCV . | Post-GCV (d) . | Reduction . | Pre-GCV . | Post-GCV . | Reduction . | |
1 | Acute GVHD | D31 | 0.544-150 | 0.014-150 (D47) | 98.1 | NA | NA | NA |
9 | 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.
Indicates the percentage of GMCs among cells after Ficoll gradient separation.
Indicates the refractory lethal GVHD after (unmanipulated) donor lymphocyte infusion.