Table 3.

Evaluation of HSCT outcome using molecular diagnostic assays

Pretransplant∼1.5 years after transplant
MotherFatherUnaffected siblingSisterBrotherRef. int.SisterBrotherRef. 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 0.012 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
MotherFatherUnaffected siblingSisterBrotherRef. int.SisterBrotherRef. 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 0.012 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).

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