PMID- 20637879 OWN - NLM STAT- MEDLINE DCOM- 20110128 LR - 20181201 IS - 1523-6536 (Electronic) IS - 1083-8791 (Linking) VI - 16 IP - 10 DP - 2010 Oct TI - NCI first international workshop on the biology, prevention, and treatment of relapse after allogeneic hematopoietic stem cell transplantation: report from the committee on disease-specific methods and strategies for monitoring relapse following allogeneic stem cell transplantation. part II: chronic leukemias, myeloproliferative neoplasms, and lymphoid malignancies. PG - 1325-46 LID - 10.1016/j.bbmt.2010.07.001 [doi] AB - Relapse has become the major cause of treatment failure after allogeneic hematopoietic stem cell transplantation. Outcome of patients with clinical relapse after transplantation generally remains poor, but intervention prior to florid relapse improves outcome for certain hematologic malignancies. To detect early relapse or minimal residual disease, sensitive methods such as molecular genetics, tumor-specific molecular primers, fluorescence in situ hybridization (FISH), and multiparameter flow cytometry (MFC) are commonly used after allogeneic stem cell transplantation to monitor patients, but not all of them are included in the commonly employed disease-specific response criteria. The highest sensitivity and specificity can be achieved by molecular monitoring of tumor- or patient-specific markers measured by polymerase chain reaction-based techniques, but not all diseases have such targets for monitoring. Similar high sensitivity can be achieved by determination of recipient-donor chimerism, but its specificity regarding detection of relapse is low and differs substantially among diseases. Here, we summarize the current knowledge about the utilization of such sensitive monitoring techniques in chronic leukemias, myeloproliferative neoplasms, and lymphoid malignancies based on tumor-specific markers and cell chimerism and how these methods might augment the standard definitions of posttransplant remission, persistence, progression, relapse, and the prediction of relapse. Critically important is the need for standardization of the different residual disease techniques and to assess the clinical relevance of minimal residual disease and chimerism surveillance in individual diseases, which in turn must be followed by studies to assess the potential impact of specific interventional strategies. CI - Copyright (c) 2010 American Society for Blood and Marrow Transplantation. All rights reserved. FAU - Kroger, Nicolaus AU - Kroger N AD - Department for Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Germany. nkroeger@uke.uni-hamburg.du FAU - Bacher, Ulrike AU - Bacher U FAU - Bader, Peter AU - Bader P FAU - Bottcher, Sebastian AU - Bottcher S FAU - Borowitz, Michael J AU - Borowitz MJ FAU - Dreger, Peter AU - Dreger P FAU - Khouri, Issa AU - Khouri I FAU - Olavarria, Eduardo AU - Olavarria E FAU - Radich, Jerald AU - Radich J FAU - Stock, Wendy AU - Stock W FAU - Vose, Julie M AU - Vose JM FAU - Weisdorf, Daniel AU - Weisdorf D FAU - Willasch, Andre AU - Willasch A FAU - Giralt, Sergio AU - Giralt S FAU - Bishop, Michael R AU - Bishop MR FAU - Wayne, Alan S AU - Wayne AS LA - eng PT - Congress DEP - 20100715 PL - United States TA - Biol Blood Marrow Transplant JT - Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation JID - 9600628 RN - 0 (Biomarkers, Tumor) SB - IM MH - Biomarkers, Tumor MH - Clinical Trials as Topic MH - Combined Modality Therapy MH - Diagnostic Imaging/methods MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Leukemia/diagnosis/drug therapy/prevention & control/*surgery MH - Lymphoma/diagnosis/drug therapy/prevention & control/*surgery MH - Molecular Diagnostic Techniques MH - Myeloproliferative Disorders/diagnosis/drug therapy/prevention & control/*surgery MH - Neoplasm, Residual MH - Predictive Value of Tests MH - Secondary Prevention MH - Transplantation, Homologous EDAT- 2010/07/20 06:00 MHDA- 2011/02/01 06:00 CRDT- 2010/07/20 06:00 PHST- 2010/07/03 00:00 [received] PHST- 2010/07/06 00:00 [accepted] PHST- 2010/07/20 06:00 [entrez] PHST- 2010/07/20 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] AID - S1083-8791(10)00291-0 [pii] AID - 10.1016/j.bbmt.2010.07.001 [doi] PST - ppublish SO - Biol Blood Marrow Transplant. 2010 Oct;16(10):1325-46. doi: 10.1016/j.bbmt.2010.07.001. Epub 2010 Jul 15.