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采取4例处缓解期的普通型急性淋巴细胞白血病患者的骨髓,用补体介导细胞毒法体外净化后进行自体骨髓移植,其中3例分别于移植后42、35和12个月仍处于完全缓解;1例移植后4个月复发。对另外3例经化疗达完全缓解的未分化型(2例)和普通型(1例)急性淋巴细胞白血病患者采取骨髓,用免疫毒素法体外净化后行自体骨髓移植,2例分别于移植后14和6个月仍处于完全缓解,1例移植后5个月,因患急性重型肝炎死亡,但骨髓仍为完全缓解。体外净化所用的单克隆抗体为McAb55、JN205及PHN200。
Four bone marrow samples from patients with relapsed normal acute lymphoblastic leukemia were treated with complement-mediated cytotoxicity and autologous bone marrow transplantation. Three of them were still in complete remission at 42, 35, and 12 months after transplantation. 1 case relapsed 4 months after transplantation. Bone marrow was taken in 3 other undifferentiated (2) and normal (1) acute lymphoblastic leukemia patients who had undergone complete remission with chemotherapy. Autologous bone marrow transplantation was performed after in vitro purification with immunotoxin and 2 cases after transplantation. After 14 months and 6 months of complete remission, 1 patient died of acute severe hepatitis 5 months after transplantation, but bone marrow remained completely relieved. The monoclonal antibodies used for in vitro purification were McAb55, JN205, and PHN200.