PMID- 9502297 OWN - NLM STAT- MEDLINE DCOM- 19980508 LR - 20071114 IS - 1083-8791 (Print) IS - 1083-8791 (Linking) VI - 3 IP - 6 DP - 1997 Dec TI - Polyclonal engraftment after unrelated donor bone marrow and cord blood transplantation. PG - 304-9 AB - Data on a small number of allogeneic sibling donor marrow transplants have indicated that reconstituted hematopoiesis can be oligoclonal or even monoclonal, suggesting that hematopoiesis can be reconstituted from a very small number of stem cells. However, other studies have failed to confirm this observation. Animal data indicate that hematopoiesis is likely to be oligoclonal after transplantation using limiting numbers of hematopoietic stem cells, or in cases of poor engraftment. In this study we investigated clonality of engraftment after unrelated donor (URD) bone marrow (BM) and cord blood transplantation, clinical settings in which human leukocyte antigen (HLA) disparities have been known to impair engraftment and in which stem cell numbers have been limiting. Twenty-four URD transplant recipients (20, BM; 4, cord blood) together with 8 sibling donor marrow, 2 sibling donor peripheral blood stem cells (PBSC), and 1 sibling donor cord blood recipients were studied at 28 days, 100 days, 6 months, and 1 year post-bone marrow transplantation (BMT) using the polymerase chain reaction (PCR)-based human androgen receptor assay (HUMARA) as a marker of clonality. URD marrow and cord blood recipients show polyclonal reconstitution in all cases, and results are similar at early and late time points after BMT. Similar results were seen in sibling donor marrow and cord blood recipients. These data indicate that oligoclonal hematopoiesis is not a frequent event after URD stem cell transplantation, even for cases in which limited numbers of stem cells are infused. FAU - Davies, S M AU - Davies SM AD - Department of Pediatrics, University of Minnesota, Minneapolis 55455, USA. FAU - Radloff, G A AU - Radloff GA FAU - Wagner, J E AU - Wagner JE FAU - McGlennen, R AU - McGlennen R FAU - Kersey, J H AU - Kersey JH FAU - Ramsay, N K AU - Ramsay NK LA - eng GR - N01-HB-47095/HB/NHLBI NIH HHS/United States GR - P01-CA 65493-01/CA/NCI NIH HHS/United States GR - R01 HL-32987/HL/NHLBI NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. 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 (Receptors, Androgen) SB - IM MH - Adolescent MH - Alleles MH - *Bone Marrow Transplantation MH - Child MH - Child, Preschool MH - Clone Cells MH - Colony-Forming Units Assay MH - Female MH - Hematopoiesis MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Receptors, Androgen/analysis/genetics EDAT- 1998/03/21 00:00 MHDA- 1998/03/21 00:01 CRDT- 1998/03/21 00:00 PHST- 1998/03/21 00:00 [pubmed] PHST- 1998/03/21 00:01 [medline] PHST- 1998/03/21 00:00 [entrez] PST - ppublish SO - Biol Blood Marrow Transplant. 1997 Dec;3(6):304-9.