Mechanisms of graft failure after human marrow transplantation: a review.

Abstract:

:Graft failure (GF) following bone marrow transplantation (BMT) in man is usually attributed to allograft rejection; however, other mechanisms of GF exist. Exposure of the developing allograft to viruses, myelotoxic drugs, and damage to the host-derived marrow stroma during graft-versus-host disease (GVHD) may all cause GF. Later, in the posttransplant course, recurrence of the original disease may ultimately destroy or replace the graft. Overall allogeneic rejection remains the most important cause of GF and most in vivo and in vitro evidence points to a T cell mechanism. The incidence of rejection after clinical BMT is very variable and highly dependent on HLA and non HLA histocompatibility differences between donor and recipient, the level of recipient sensitisation pre-BMT and the immunosuppressive protocols used pre-transplant and for the prevention of GVHD.

journal_name

Immunol Lett

journal_title

Immunology letters

authors

Hows JM

doi

10.1016/0165-2478(91)90204-n

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

77-80

issue

1-2

eissn

0165-2478

issn

1879-0542

pii

0165-2478(91)90204-N

journal_volume

29

pub_type

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