1. Polyclonal hematopoiesis with variable telomere shortening in human long-term allogeneic marrow graft recipients.
- Author
-
Mathioudakis G, Storb R, McSweeney PA, Torok-Storb B, Lansdorp PM, Brümmendorf TH, Gass MJ, Bryant EM, Storek J, Flowers ME, Gooley T, and Nash RA
- Subjects
- Adolescent, Adult, Cell Division physiology, Child, Child, Preschool, Female, Follow-Up Studies, Granulocytes ultrastructure, Humans, In Situ Hybridization, Fluorescence, Male, Nuclear Family, Polymorphism, Restriction Fragment Length, Sex Factors, Transplantation Chimera, Transplantation, Homologous, X Chromosome ultrastructure, Bone Marrow Transplantation standards, Hematopoiesis physiology, Telomere ultrastructure
- Abstract
Donor-derived hematopoiesis was assessed in 17 patients who received allogeneic marrow grafts from HLA-matched siblings between 1971 and 1980. Complete blood counts were normal or near normal in all patients except one. Chimerism analyses, using either dual-color XY-chromosome fluorescence in situ hybridization (FISH) or analysis of variable number tandem repeat loci, indicated that 15 out of 16 patients had greater than 97% donor-derived hematopoiesis, whereas 1 patient had indeterminate chimerism. All 12 recipients of grafts from female donors exhibited polyclonal hematopoiesis by X-linked clonal analysis with the use of molecular probes. Of the 17 recipients, 9 exhibited a less than 1.0-kilobase shortening of granulocyte telomere length compared with their respective donors, according to terminal restriction fragment analysis or flow-FISH with a fluorescein-labeled peptide nucleic acid probe. These data suggest that under standard transplantation conditions, the stem cell proliferative potential is not compromised during hematopoietic reconstitution. (Blood. 2000;96:3991-3994)
- Published
- 2000