Graft-versus-host disease: How to translate new insights into new therapeutic strategies

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

Graft-versus-host disease occurs when transplanted donor-derived T lymphocytes recognize major or minor histocompatibility complex proteins and their associated peptides expressed by recipient antigen-presenting cells. A widely accepted paradigm for the pathophysiology of acute GVHD is based on the existence of 3 sequential steps: (1) injury to the host environment (as would occur during conditioning regimens); (2) donor T-cell activation, proliferation, and differentiation; and (3) damage to the target tissue caused by either cytotoxicity or indirectly by inflammatory cytokines. In order to reduce the incidence of GVHD, recent studies have focused on methods of prophylaxis as well as novel treatments for established GVHD. We review each phase in the development of acute GVHD and discuss recently developed interventions aimed to prevent or treat GVHD by interfering with these pathways.

Original languageEnglish (US)
Pages (from-to)815-825
Number of pages11
JournalBiology of Blood and Marrow Transplantation
Volume10
Issue number12
DOIs
StatePublished - Dec 1 2004

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Keywords

  • ATG
  • Alemtuzumab
  • Extracorporeal photophoresis
  • Graft-versus-host disease
  • MMR
  • Pento-statin
  • Sirolimus
  • Stem cell transplant
  • T cell depletion

ASJC Scopus subject areas

  • Hematology
  • Transplantation

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