Chronic GvHD NIH Consensus Project Biology Task Force: evolving path to personalized treatment of chronic GvHD.

Chronic GvHD NIH Consensus Project Biology Task Force: evolving path to personalized treatment of chronic GvHD.
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DOI:
10.1182/bloodadvances.2022007611
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发表时间:
2023-09-12
期刊:
影响因子:
7.5
通讯作者:
Blazar, Bruce R.
Blazar, Bruce R.
中科院分区:
医学1区
文献类型:
--
作者:
Buxbaum, Nataliya P.;Socie, Gerard;Hill, Geoffrey R.;Macdonald, Kelli P. A.;Tkachev, Victor;Teshima, Takanori;Lee, Stephanie J.;Ritz, Jerome;Sarantopoulos, Stefanie;Luznik, Leo;Zeng, Defu;Paczesny, Sophie;Martin, Paul J.;Pavletic, Steven Z.;Schultz, Kirk R.;Blazar, Bruce R.

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慢性移植物抗宿主病(CGVHD)仍然是异基因造血干细胞移植的一个突出障碍,是导致无复发死亡和显着发病率的主要原因。在对cGVHD的病理生理学的理解和新疗法的开发方面都取得了巨大的进步。虽然我们的领域历来是从经验的角度进行治疗,但在床边和长椅上进行的研究已经阐明了cGVHD的一些复杂的病理生理学。从临床的角度来看,不同患者的疾病表现有很大的差异,这表明不同的生物学基础。利用迄今取得的进展,该领域现在侧重于建立个性化的治疗方法。本文的目的是简要回顾最近获得的知识,并制定出一条针对患者的cGVHD治疗途径。
Chronic graft-versus-host disease (cGvHD) remains a prominent barrier to allogeneic hematopoietic stem cell transplantion as the leading cause of nonrelapse mortality and significant morbidity. Tremendous progress has been achieved in both the understanding of pathophysiology and the development of new therapies for cGvHD. Although our field has historically approached treatment from an empiric position, research performed at the bedside and bench has elucidated some of the complex pathophysiology of cGvHD. From the clinical perspective, there is significant variability of disease manifestations between individual patients, pointing to diverse biological underpinnings. Capitalizing on progress made to date, the field is now focused on establishing personalized approaches to treatment. The intent of this article is to concisely review recent knowledge gained and formulate a path toward patient-specific cGvHD therapy.
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