Evaluation of HSCT outcome using molecular diagnostic assays
| . | . | . | . | Pretransplant . | . | ∼1.5 years after transplant . | . | ||
|---|---|---|---|---|---|---|---|---|---|
| . | Mother . | Father . | Unaffected sibling . | Sister . | Brother . | Ref. int. . | Sister . | Brother . | Ref. int. . |
| White blood cell counts | |||||||||
| WBC | 3.93 | 7.51 | 5.26 | 3.05* | 2.54* | 3.5–8.8 | 4.21 | 3.98 | 3.5–8.8 |
| Neutrophils | 2.22 | 3.73 | 2.87 | 1.57* | 1* | 1.8–7.5 | 2.91 | 1.7 | 1.6–5.9 |
| Lymphocytes | 1.26 | 2.73 | 1.7 | 0.924 | 1.02 | 0.8–4.5 | 0.74* | 0.86* | 1.1–3.5 |
| Monocytes | 0.307 | 0.664 | 0.494 | 0.307 | 0.455 | 0.1–1.0 | 0.25 | 0.28 | 0.2–0.8 |
| Eosinophils | 0.115 | 0.297 | 0.188 | 0.244 | 0.041 | 0.04–0.4 | 0.23 | 0.93 | <0.5 |
| Basophils | 0.026 | 0.084 | 0 | 0.012 | 0.032 | 0–0.1 | 0.02 | 0.01 | <0.1 |
| CD3+ (T cells) | | | | 0.52* | 0.11* | 0.65–1.57 | 0.43* | 0.38* | 0.65–1.57 |
| CD3+CD4+ (Th cells) | | | | 0.46* | 0.07* | 0.49–1.34 | 0.32* | 0.33* | 0.41–1.02 |
| CD3+CD8+ (Tc cells) | | | | 0.06* | 0.02** | 0.19–0.8 | 0.1* | 0.03* | 0.17–0.8 |
| CD4+/CD8+ ratio | | | | 7.58* | 3.31 | 1.13–3.93 | 3.23 | 9.83* | 0.79–3.63 |
| T cell proliferation (%) | 90 ± 2 | 92 ± 10 | 91 ± 0 | 87 ± 2 | 20 ± 3* | 78–94 (n = 300) | 84 ± 1 | 84 ± 1 | 78–94 (n = 300) |
| IR sensitivity (CDA index %) | |||||||||
| Dose 1 (low)# | 67 ± 2 | 74 ± 1 | 72 ± 4 | 42 ± 10* | 21 ± 4* | 49–95 (n = 28) | 61 ± 6 | 56 ± 7 | 50–97 (n = 40) |
| Dose 2 (high)# | 13 ± 0 | 18 ± 2 | 24 ± 4 | 3 ± 0* | 4 ± 0.3* | 11–41 (n = 28) | 12 ± 1* | 11 ± 1* | 15–47 (n = 40) |
| DSB repair (%) | |||||||||
| NHEJ | | | | | | | 19.8 ± 0.3 | 20.1 ± 0.3 | 7.4–36 (n = 12) |
| HR | | | | | | | 1.9 ± 0.1 | 2.1 ± 0.1 | 0.4–9 (n = 11) |
| Chimerism (% patient) | |||||||||
| CD3+ | | | | | | | 3.40% | 3.60% | |
| CD19+ | | | | | | | 3.20% | 0.40% | |
| CD33+ | | | | | | | 85.80% | 80.80% | |
| . | . | . | . | Pretransplant . | . | ∼1.5 years after transplant . | . | ||
|---|---|---|---|---|---|---|---|---|---|
| . | Mother . | Father . | Unaffected sibling . | Sister . | Brother . | Ref. int. . | Sister . | Brother . | Ref. int. . |
| White blood cell counts | |||||||||
| WBC | 3.93 | 7.51 | 5.26 | 3.05* | 2.54* | 3.5–8.8 | 4.21 | 3.98 | 3.5–8.8 |
| Neutrophils | 2.22 | 3.73 | 2.87 | 1.57* | 1* | 1.8–7.5 | 2.91 | 1.7 | 1.6–5.9 |
| Lymphocytes | 1.26 | 2.73 | 1.7 | 0.924 | 1.02 | 0.8–4.5 | 0.74* | 0.86* | 1.1–3.5 |
| Monocytes | 0.307 | 0.664 | 0.494 | 0.307 | 0.455 | 0.1–1.0 | 0.25 | 0.28 | 0.2–0.8 |
| Eosinophils | 0.115 | 0.297 | 0.188 | 0.244 | 0.041 | 0.04–0.4 | 0.23 | 0.93 | <0.5 |
| Basophils | 0.026 | 0.084 | 0 | 0.012 | 0.032 | 0–0.1 | 0.02 | 0.01 | <0.1 |
| CD3+ (T cells) | | | | 0.52* | 0.11* | 0.65–1.57 | 0.43* | 0.38* | 0.65–1.57 |
| CD3+CD4+ (Th cells) | | | | 0.46* | 0.07* | 0.49–1.34 | 0.32* | 0.33* | 0.41–1.02 |
| CD3+CD8+ (Tc cells) | | | | 0.06* | 0.02** | 0.19–0.8 | 0.1* | 0.03* | 0.17–0.8 |
| CD4+/CD8+ ratio | | | | 7.58* | 3.31 | 1.13–3.93 | 3.23 | 9.83* | 0.79–3.63 |
| T cell proliferation (%) | 90 ± 2 | 92 ± 10 | 91 ± 0 | 87 ± 2 | 20 ± 3* | 78–94 (n = 300) | 84 ± 1 | 84 ± 1 | 78–94 (n = 300) |
| IR sensitivity (CDA index %) | |||||||||
| Dose 1 (low)# | 67 ± 2 | 74 ± 1 | 72 ± 4 | 42 ± 10* | 21 ± 4* | 49–95 (n = 28) | 61 ± 6 | 56 ± 7 | 50–97 (n = 40) |
| Dose 2 (high)# | 13 ± 0 | 18 ± 2 | 24 ± 4 | 3 ± 0* | 4 ± 0.3* | 11–41 (n = 28) | 12 ± 1* | 11 ± 1* | 15–47 (n = 40) |
| DSB repair (%) | |||||||||
| NHEJ | | | | | | | 19.8 ± 0.3 | 20.1 ± 0.3 | 7.4–36 (n = 12) |
| HR | | | | | | | 1.9 ± 0.1 | 2.1 ± 0.1 | 0.4–9 (n = 11) |
| Chimerism (% patient) | |||||||||
| CD3+ | | | | | | | 3.40% | 3.60% | |
| CD19+ | | | | | | | 3.20% | 0.40% | |
| CD33+ | | | | | | | 85.80% | 80.80% | |
Reference interval for the T cell proliferation, CDA, and DNA repair assay is based on the 2.5th and 97.5th percentile of controls, and “n” indicates the number of controls. WBC, white blood cells.
Indicates values outside the reference interval (also indicated in bold).
Estimated IR doses used were 1.0 Gy (dose 1) and 3.5 Gy (dose 2) for both parents, siblings, and patients prior to patient transplantation; for posttransplant samples, IR doses were 0.36 Gy (dose 1) and 1.95 Gy (dose 2).