Figure 1.
Nonmyeloablative ex vivo T-cell depleted (TCD) peripheral blood stem cell transplantation (PBSCT) and delayed donor lymphocyte infusion (DLI) for hematologic malignancy.
This schematic representation of a nonmyeloablative conditioning regimen (cyclophosphamide ± fludarabine, anti-CD2 monoclonal antibody [MEDI-507], and thymic irradiation) shows the induction of mixed lymphohematopoietic chimerism followed by delayed DLI to convert the chimerism to full donor, thereby capturing a potent graft-versus-leukemia (GVL) effect while minimizing graft-versus-host disease (GVHD). The graph from one patient shows “split lineage” chimerism and conversion of T-cell chimerism following DLI. BMT, bone marrow transplantation.