Review Article
Autologous Graft-versus-Tumor Effect: Reality or Fiction?
Table 1
Survival outcomes based on absolute lymphocyte count recovery after autologous hematopoietic stem cell transplantation.
| Study [reference] | Study design (disease) | Days after AHSCT ALC obtained | ALC cut-off value (µ/L) | OS | PFS | yrs | rates | | yrs | rates | |
| Porrata et al., 2001 [5] | Retrospective | | | | | <0.0001 | | | <0.0001 | (non-Hodgkin’s lymphoma) | 15 | ≥500 | 5 | 85% | | 5 | 72% | | <500 | 5 | 15% | | 5 | 0% | | Retrospective | | | | | <0.0001 | | | <0.0003 | (multiple myeloma) | 15 | ≥500 | 5 | 30% | | 5 | 20% | | <500 | 5 | 0% | | 5 | 0% | |
| Porrata et al., 2001 [13] | Retrospective | | | | | <0.0001 | | | <0.0001 | (metastatic breast cancer) | 15 | ≥500 | 3 | 55% | | 3 | 45% | | <500 | 3 | 0% | | 3 | 0% | |
| Porrata et al., 2002 [14] | Retrospective | | | | | <0.0001 | | | <0.002 | (Hodgkin’s lymphoma) | 15 | ≥500 | 5 | 80% | | 5 | 50% | | <500 | 5 | 30% | | 5 | 20% | |
| Porrata et al., 2002 [15] | Retrospective | | | | | <0.0009 | | | <0.0008 | (acute myelogenous leukemia) | 15 | ≥500 | 5 | 68% | | 5 | 66% | | <500 | 5 | 19% | | 5 | 5% | |
| Ferrandina et al., 2003 [16] | Retrospective | | | | | <0.0015 | | | <0.0026 | (ovarian cancer) | 365 | ≥850 | 3 | 93% | | 3 | 86% | | <850 | 3 | 62% | | 3 | 23% | |
| Gordan et al., 2003 [17] | Retrospective | | | | | 0.27 | | | <0.02 | (Hodgkin’s and non-Hodgkin’s lymphoma) | 15 | ≥667 | 5 | 70% | | 5 | 55% | | <667 | 5 | 60% | | 5 | 25% | |
| Nieto et al., 2004 [18] | Retrospective | | | | | <0.04 | | | <0.007 | (metastatic breast cancer) | 15 | ≥500 | 5 | 42% | | 5 | 58% | | <500 | 5 | 29% | | 5 | 18% | |
| Kim et al., 2004 [19] | Retrospective | | | | | <0.005 | | | <0.011 | (T-cell non-Hodgkin’s lymphoma) | 25 | ≥1000 | 5 | 48% | | 5 | 80% | | <1000 | 5 | 18% | | 5 | 30% | |
| Porrata et al., 2005 [20] | Retrospective | | | | | <0.0003 | | | <0.0001 | (systemic amyloidosis) | 15 | ≥500 | 5 | 95% | | 5 | 80% | | <500 | 5 | 40% | | 5 | 30% | |
| Kim et al., 2006 [21] | Retrospective | | | | | <0.0156 | | | <0.0243 | (multiple myeloma) | 23 | ≥1000 | 5 | 50% | | 5 | 35% | | <1000 | 5 | 27% | | 5 | 10% | |
| Boulassel et al., 2006 [22] | Retrospective | | | | | <0.001 | | | <0.001 | (Lymphoproliferative disorders) | 15 | ≥500 | 3 | 91% | | 5 | 70% | | <500 | 3 | 68% | | 5 | 20% | |
| Joao et al., 2006 [23] | Retrospective | | | | | <0.01 | | | <0.0006 | (mantle cell lymphoma) | 15 | ≥500 | 5 | 70% | | 5 | 70% | | <500 | 5 | 25% | | 5 | 5% | |
| Porrata et al., 2008 [6] | Prospective | | | | | <0.0001 | | | <0.0001 | (non-Hodgkin’s lymphoma) | 15 | ≥500 | 5 | 80% | | 5 | 63% | | <500 | 5 | 37% | | 5 | 13% | |
| Valtola et al., 2016 [7] | Prospective | | | | <0.002 | | | | <0.015 | (non-Hodgkin’s lymphoma) | 15 | ≥500 | 3 | 88% | | 3 | 80% | | <500 | 3 | 30% | | 3 | 38% | |
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This number is based on the CD3 count. ALC: absolute lymphocyte count; AHSCT: autologous hematopoietic stem cell transplantation; yrs: years.
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