Allogeneic Stem Cell Transplantation with CD34+ Cell Selection

The success of allogeneic stem cell transplant is hampered by the development of acute and chronic graft- versus -host disease (GvHD) which has direct impact on treatment-related mortality and morbidity. As a result, T cell depletion through positive selection of CD34+ cells has emerged as a promisi...

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Detalles Bibliográficos
Autores: Roldan, Elisa, Perales, Miguel Angel, Barba, Pere|||0000-0001-7076-7969
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:249795
Acceso en línea:https://ddd.uab.cat/record/249795
https://dx.doi.org/urn:doi:10.2991/chi.d.190613.001
Access Level:acceso abierto
Palabra clave:Allogeneic transplant
Graft- versus -host disease
T cell depletion
CD34+ cell selection
Graft- versus -host disease-free and relapse-free survival (GRFS)
Descripción
Sumario:The success of allogeneic stem cell transplant is hampered by the development of acute and chronic graft- versus -host disease (GvHD) which has direct impact on treatment-related mortality and morbidity. As a result, T cell depletion through positive selection of CD34+ cells has emerged as a promising strategy to reduce acute and chronic GvHD in these patients. In this review, we summarize the main characteristics of allogeneic stem cell transplant with CD34+ cell selection including risks of graft failure, GvHD, infection, organ toxicity, and long-term survival. Moreover, we highlight future strategies to improve the results of this platform and to consolidate its use in clinical practice.