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Blood, 15 July 2004, Vol. 104, No. 2, pp. 572-578. Prepublished online as a Blood First Edition Paper on March 25, 2004; DOI 10.1182/blood-2003-12-4226.
Submitted December 11, 2003
Transplantation Biology Research Center, Massachusetts General Hospital, Boston, MA, USA * Corresponding author; email: john.iacomini{at}tbrc.mgh.harvard.edu.
Ataxia-telangiectasia (A-T) is a human autosomal recessive disease caused by mutations in the gene encoding ataxia-telangiectasia mutated (ATM). A-T is characterized by progressive cerebellar degeneration, variable immunodeficiency, and a high incidence of leukemia and lymphoma. Recurrent sino-pulmonary infections secondary to immunodeficiency and hematopoietic malignancies are major causes of morbidity and mortality in A-T patients. In mice, an introduced mutation in Atm leads to a phenotype that recapitulates many of the symptoms of A-T including immune system abnormalities and susceptibility to malignancy. Here we show that the replacement of the bone marrow compartment in Atm knockout mice (Atm-/-) using a clinically relevant, non-myeloablative host conditioning regimen can be used to overcome the immune deficiencies and prevent the malignancies observed in these mice. Therefore, bone marrow transplantation may prove to be of therapeutic benefit in A-T patients.
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