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AG Smith, RJ O'Reilly, JA Hansen and PJ Martin
Horse anti-human thoracic duct lymphocyte globulin (ATDLG) has been used
successfully for the treatment of severe aplastic anemia, although not all
lots have comparable efficacy. We have characterized the antibody
specificities contained in one lot of Swiss ATDLG found to provide a
response rate of 69% and another lot that provided only a 31% response
rate. Antibody specificities were analyzed quantitatively by competitive
inhibition assays with the use of a panel of fluorescein- conjugated murine
monoclonal antibodies that recognize T cell antigens, common leukocyte
antigens, and "la-like" antigens. Although there was wide variation in the
amounts of individual antibody specificities within each lot, the effective
lot of ATDLG contained an average of 2 1/2 times as much of each antibody
specificity as the less effective lot. There were only two antibody
specificities that differed remarkably from this pattern; and these
deviations did not appear sufficient to account for the variation in ATDLG
efficacy. It is possible that antibody specificities other than those
tested were responsible for therapeutic efficacy. Alternatively, the data
suggest that it might be possible to achieve improved results for the
treatment of severe aplastic anemia with higher doses of less effective
lots of ATDLG.
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| Copyright © 1985 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||