Novel strategies for steroid-refractory acute graft-versus-host disease.

Abstract:

PURPOSE OF REVIEW:Graft-versus-host disease is one of the commonest complications of allogeneic bone marrow or peripheral blood stem cell transplantation. This review will cover advances in the pathophysiology of graft-versus-host disease and new agents under investigation for the treatment of this disorder. Patients developing graft-versus-host disease who fail to respond to steroids have a poor prognosis. In this group of people, morbidity and mortality are very high. RECENT FINDINGS:Novel agents are currently under investigation for the treatment of such devastating disorders. Pentostatin, denileukin diftitox, mycophenolate mofetil, extracorporeal photopheresis, and several monoclonal antibodies have been used, some of them with encouraging results. SUMMARY:As supportive care improves and new agents are added to the armamentarium against steroid-refractory acute graft-versus-host disease, the prognosis of this entity may start to change. Patients with this complication after transplantation should be enrolled, whenever possible, in clinical trials to find effective therapies.

journal_name

Curr Opin Hematol

authors

Bolaños-Meade J,Vogelsang GB

doi

10.1097/01.moh.0000148763.12733.bb

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

40-4

issue

1

eissn

1065-6251

issn

1531-7048

pii

00062752-200501000-00008

journal_volume

12

pub_type

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