Interleukin-2-induced graft-versus-leukemia for the treatment of AML in a BRCA2 Fanconi anemia patient

J Pediatr Hematol Oncol. 2014 Mar;36(2):e78-80. doi: 10.1097/MPH.0b013e31828e5c56.

Abstract

Biallelic BRCA2 mutations occur in 2% of patients with Fanconi anemia and are associated with a high risk of acute leukemia at an early age and a poor prognosis. For the first time, we report the use of interleukin-2 to stimulate a graft-versus-leukemia effect and induce complete remission in a patient with BRCA2 Fanconi anemia and refractory acute myelogenous leukemia, suggesting the potential of immunotherapy in this setting. Interleukin-2 was associated with significant infusion-related toxicity.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Child, Preschool
  • Fanconi Anemia / complications
  • Fanconi Anemia / genetics*
  • Female
  • Genes, BRCA2
  • Graft vs Leukemia Effect / drug effects*
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Interleukin-2 / therapeutic use*
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / genetics
  • Mutation

Substances

  • Antineoplastic Agents
  • Interleukin-2