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Stem-Cell Transplantation

Recipient CMV status should determine T-cell depletion

Published in Blood Weekly, April 22nd, 2004

The CMV status of hematopoietic stem-cell recipients should determine the type and extent of graft T-cell depletion used.

In a recent study, scientists in England "compared the incidence and outcome of preemptively treated cytomegalovirus (CMV) infection, lymphocyte recovery and non-CMV infections between two different TCD modalities, one employing CD34+ selection and T-cell add-back (TCAB), preceded by Campath-1H in vivo (CD34+/TCAB group, n=29), and the other using grafts incubated with Campath-1H in vitro (Campath-1H in vitro group, n=32)."

"The probabilities of CMV reactivation and recurrence were 67% and 83.6% in the CD34+/TCAB group and 42.9%...

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