Analysis of T-cell repertoire and mixed chimaerism in a patient with aplastic anaemia after allogeneic bone marrow transplantation

Br J Haematol. 2002 Jul;118(1):136-9. doi: 10.1046/j.1365-2141.2002.03628.x.

Abstract

We analysed 26 T-cell receptor (TCR) beta chain subfamilies (VB) of a patient with aplastic anaemia (AA) who underwent allogeneic bone marrow transplantation (allo-BMT). The patient developed pancytopenia at d 80. The patient's T cells were skewed in 10 of 26 TCR-VB on d 83. These TCR-VB, especially VB15, which were almost entirely CD8-positive cells, were skewed throughout her clinical course. Chimaerism analysis of the CD8-positive cells indicated that they were of recipient origin. Therefore, some immune responses induced by the recipient CD8-positive T cells had an important role in pancytopenia in AA patients after allo-BMT.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Aplastic / immunology*
  • Anemia, Aplastic / therapy*
  • Bone Marrow Transplantation*
  • Electrophoresis, Capillary
  • Female
  • Genes, T-Cell Receptor beta*
  • Humans
  • T-Lymphocytes / immunology*
  • Transplantation, Homologous