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Prepublished online as a Blood First Edition Paper on July 24, 2003; DOI 10.1182/blood-2003-06-1843.

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Submitted June 13, 2003
Accepted July 13, 2003

Little evidence of donor-derived epithelial cells in early digestive acute graft versus host disease

Veronique Meignin, Jean Soulier, Frederic Brau, Marc Lemann, Eliane Gluckman, Anne Janin, and Gerard Socie*

INSERM ERM-0220, Paris, France; Service d'Hematologie Greffe de Moelle, Hospital St Louis, Paris, France
Service de Pathologie, Hospital St Louis, Paris, France
Laboratoire Central d'Hematologie, Hospital St Louis, Paris, France
Service Commun d'Imagerie, Hospital St Louis, Paris, France
Service d'Hepato-Gastroenterologie, Hospital St Louis, Paris, France

* Corresponding author; email: gsocie{at}chu-stlouis.fr.

Donor origin of epithelial intestinal cells has been studied in animals and humans after transplantation and has been used as evidence of hematopoietic stem cell (HSC) plasticity. However, in the human gastro-intestinal tract no study used X and Y-chromosome detection by fluorescence in situ hybridization (FISH) coupled with immunological stainings to characterize cell types on the same tissue section. We here combined these techniques on the same section of duodenal epithelium in 6 patients with acute graft versus host disease. Donor-derived lymphoid cells were detected both in the epithelium and lamina propria, as expected. However, no donor-derived cells could be proven to be of epithelial type, using our stringent criteria.


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