Graft‐versus‐tumour effect in non‐small‐cell lung cancer after allogeneic peripheral blood stem cell transplantation

Clinical evidence of a graft‐vs.‐tumour effect in solid tumours after haematopoietic stem cell transplantation is lacking. We report for the first time a complete and durable regression of a stage IB non‐small‐cell lung carcinoma in a patient who had received an allogeneic peripheral blood haematopoietic stem cell transplant for acute myeloblastic leukaemia in first complete remission. Disappearance of the tumour coincided with development of graft‐vs.‐host disease. This suggests that simultaneous generation of cytotoxic T lymphocytes against lung carcinoma cells could have been responsible for the regression. This unique clinical observation broadens the possibility of using allogeneic haematopoietic stem cell transplantation in treating neoplasias lacking significant sensitivity to chemotherapy.

[1]  F. Shepherd,et al.  Chemotherapy for non-small cell lung cancer: have we reached a new plateau? , 1999, Seminars in oncology.

[2]  A. Nagler,et al.  Nonmyeloablative stem cell transplantation and cell therapy as an alternative to conventional bone marrow transplantation with lethal cytoreduction for the treatment of malignant and nonmalignant hematologic diseases. , 1998, Blood.

[3]  C. Mountain,et al.  Revisions in the International System for Staging Lung Cancer. , 1997, Chest.

[4]  K. Cleary,et al.  Management of lymphoma recurrence after allogeneic transplantation: the relevance of graft-versus-lymphoma effect , 1997, Bone Marrow Transplantation.

[5]  Robert H. Collins,et al.  Donor leukocyte infusions in 140 patients with relapsed malignancy after allogeneic bone marrow transplantation. , 1997, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[6]  C. Marth,et al.  Evidence for a graft-versus-tumor effect in a patient treated with marrow ablative chemotherapy and allogeneic bone marrow transplantation for breast cancer. , 1996, Blood.

[7]  H. Nieuwenhuis,et al.  Graft-versus-myeloma effect in two cases , 1996, The Lancet.

[8]  R. Gale,et al.  Graft-vs-leukemia following bone marrow transplantation: a model of immunotherapy in man. , 1987, Progress in clinical and biological research.

[9]  R. Storb,et al.  Antileukemic effect of graft-versus-host disease in human recipients of allogeneic-marrow grafts. , 1979, The New England journal of medicine.

[10]  M. Bychkov,et al.  [Chemotherapy of lung cancer]. , 1972, Voprosy onkologii.