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1
HSCT resulted in complete immunological correction, even though mixed
donor
chimerism
occurred.
2
It induces rapid complete
donor
chimerism
without the need for donor lymphocyte infusion.
3
Results: DLI resulted in complete
donor
chimerism
within 2 months of the second infusion.
4
Overall, two of three patients are alive and display 100%
donor
chimerism
.
5
Complete
donor
chimerism
appears necessary to achieve a long-term cure.
6
Overall clinical response correlated with the degree of
donor
chimerism
.
7
Transient or partial
donor
chimerism
can be sufficient to correct the hematological manifestations of osteopetrosis.
8
All patients have normal counts with complete
donor
chimerism
.
9
Stable
donor
chimerism
was achieved in 91% of patients.
10
Complete
donor
chimerism
was demonstrated by cytogenetic and molecular methods up to day +385 post-transplant.
11
Five of 10 patients survive; three with full or partial
donor
chimerism
and two with autologous hematological recovery.
12
In the two patients with less than 95%
donor
chimerism
,
the HIV latent reservoir remained stable.
13
Finally, the patient achieved complete
donor
chimerism
and a decline in HHV-6 DNA copy number in whole blood.
14
The patient is currently more than 1 year after transplant with complete
donor
chimerism
and restoration of normal thrombopoiesis.
15
Conclusion: The results suggest that this novel regimen containing 2-CdA is well tolerated and induces early complete
donor
chimerism
.
16
He finally achieved complete remission with full whole blood and T-cell
donor
chimerism
after DLI preceded by lymphodepletion chemotherapy.
donor
chimerism
donor