Graft-versus-host disease in mini-transplant.

Abstract:

:Mini-transplant has been used popularly in recent years. The intensity of conditioning regimens is less in mini-transplant, thus the anti-tumor effect is mainly carried by an immunological reaction, called graft-versus-leukemia (GVL)/graft-versus-tumor (GVT) effect. Thus, graft-versus-host disease (GVHD) in mini-transplant has drawn much attention as a surrogate marker for GVL/GVT effect. However, as the regimen-related toxicity is less in mini-transplant, it is also true that GVHD is the single most worrisome adverse event after mini-transplant. As opposed to early predictions, the incidence and severity of GVHD after mini-transplant does not seem to be much different from the one after conventional stem cell transplant (CST). In addition, researchers find that host antigen presenting cells (APC) may play an important role in the development of GVHD, and thus the existence of donor-host chimerism may be critical. As a result, the theory regarding GVHD after mini-transplant is getting more confusing. A comprehensive understanding of GVHD after mini-transplant is necessary.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Mineishi S,Schuening FG

doi

10.1080/1042819042000219511

keywords:

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1969-80

issue

10

eissn

1042-8194

issn

1029-2403

pii

35TCTBDKFRLPFGTB

journal_volume

45

pub_type

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