B-cell differentiation following autologous, conventional, or T-cell depleted bone marrow transplantation: A recapitulation of normal B-cell ontogeny Journal Article


Authors: Small, T. N.; Keever, C. A.; Weiner-Fedus, S.; Heller, G.; O'Reilly, R. J.; Flomenberg, N.
Article Title: B-cell differentiation following autologous, conventional, or T-cell depleted bone marrow transplantation: A recapitulation of normal B-cell ontogeny
Abstract: The circulating lymphocytes of 88 consecutive patients following autologous, conventional, or T-cell depleted bone marrow transplantation were serially analyzed for B-cell surface antigen expression and function. In the majority of patients, except for those who developed chronic graft-versus-host disease, the number of circulating CD20+ B cell normalized by the fourth posttransplant month. The earliest detectable B cells normally expressed HLA-DR, CD19, surface immunoglobulin (sIg), CD21, Leu-8, and lacked expression of CD10 (CALLA). In addition, the circulating B cells expressed CD1c, CD38, CD5, and CD23 for the first year following transplant, antigens that are normally expressed on a small percentage of circulating B cells in normal adults, but highly expressed on cord blood B cells. Similar to cord blood B cells, patient B cells, patient B cells isolated during the first year following transplant, proliferated normally to Staphylococcus aureus Cowan strain I (SAC), and produced IgM, but minimal or no IgG when stimulated with pokeweed mitogen and SAC, unlike normal adult B cells that produce both. The similar phenotype and function of posttransplant and cord blood B cells, and their similar rate of decline in patients and normal children adds further evidence to support the hypothesis that B-cell differentiation posttransplant is recapitulating normal B-cell ontogeny.
Keywords: adult; child; child, preschool; human cell; major clinical study; comparative study; t-lymphocytes; cell differentiation; b-lymphocytes; antigens, cd20; lymphocyte activation; immunoglobulin g; infant, newborn; hla-dr antigens; immunophenotyping; aging; leukocyte count; antigens, cd; staphylococcus aureus; bone marrow transplantation; graft vs host disease; b lymphocyte differentiation; immunoglobulin m; antigens, differentiation, b-lymphocyte; human; priority journal; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.
Journal Title: Blood
Volume: 76
Issue: 8
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 1990-10-15
Start Page: 1647
End Page: 1656
Language: English
PUBMED: 1698484
PROVIDER: scopus
DOI: 10.1182/blood.V76.8.1647.1647
DOI/URL:
Notes: Article -- Export Date: 27 January 2020 -- Source: Scopus
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MSK Authors
  1. Trudy Small
    234 Small
  2. Glenn Heller
    399 Heller
  3. Richard O'Reilly
    747 O'Reilly
  4. Carolyn Keever
    36 Keever