Generally, the BCR-ABL protein indicates the presence of the 
Philadelphia Chromosome, which is the marker for CML.  We would need 
more information (such as information from FISH and cytogenetics) to 
know how much leukemia is present.  I suspect your son's doctor is 
suggesting that once the immunosuppressant medications are stopped, 
the donor cells may complete the business of killing off any 
remaining leukemia cells.  Is he still on immunosuppressant drugs 
(steroids, Cyclosporin, Prograf, Cellcept)?  These drugs treat graft 
versus host disease (GVHD, an unwanted consequence from transplant 
when the donor cells see the recipient's organs as foreign and 
attack them), but the drugs also can dampen the graft versus 
leukemia effect (when the donor cells see the leukemia cells as 
foreign and attack them -- which you DO want).  These drugs inhibit 
the immune system which would explain why your son has had so many 
trips to the hospital for infection.  My husband had an unrelated 
transplant in September, 2003 and is currently in the hospital with 
pneumonia.  He is in the process of tapering the last 
immunosuppressant.

Best of luck.

Warm regards,
Kelly


--- In [email protected], "crazymom18951" <[EMAIL PROTECTED]> 
wrote:
> 
> I don't understand why the CML protein is still in my sons blood 
when 
> his unrelated transplant was in March 2003. He is still trying to 
get 
> off his medicines. He has had MANY trips back to the hospital from 
> infections. The doctor found the CML protein in his blood a year 
ago 
> and put him back on Gleevec. When i ask if the transplant worked 
the 
> doctor says he needs to get off all his meds. I just want to know 
> what it means if the protein is in his blood does he still have 
CML?





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