Biomarkers in chronic graft-versus-host disease: quo vadis?

Biomarkers in chronic graft-versus-host disease: quo vadis?
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DOI:
10.1038/s41409-018-0092-x
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发表时间:
2018-07
影响因子:
4.8
通讯作者:
Schultz KR
Schultz KR
中科院分区:
医学3区
文献类型:
--
作者:
Wolff D;Greinix H;Lee SJ;Gooley T;Paczesny S;Pavletic S;Hakim F;Malard F;Jagasia M;Lawitschka A;Hansen JA;Pulanic D;Holler E;Dickinson A;Weissinger E;Edinger M;Sarantopoulos S;Schultz KR

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Biomarkers are increasingly used for diagnosis and treatment of transplant related complications including the first biomarker-driven interventional trials of acute graft-versus-host disease (GvHD). In contrast, the development of biomarkers of chronic GvHD (cGvHD) has lagged due to a broader variety of manifestations, overlap with acute GvHD, a greater variability in time to onset and maximum severity, and lack of sufficient patient numbers within prospective trials. An international workshop organized by a North-American and European consortium was held in Marseille in March 2017 with the goal of identifying strategies for future biomarker development to guide cGvHD therapy. As a result of this meeting, two areas were prioritized: the development of prognostic biomarkers predicting the subsequent onset of moderate/severe cGvHD, and in parallel, the development of qualified clinical grade assays for biomarker quantification. The most promising prognostic serum biomarkera are CXCL 9, ST2, matrix metalloproteinase-3, osteopontin, CXCL 10, CXCL 11 and CD163. Urine-proteomics and cellular subsets (CD4+ T cell subsets, co21low B cells) represent additional potential prognostic biomarkers of cGvHD. A joint effort is required to verify the results of numerous exploratory trials before any of the potential candidates is ready for validation and subsequent clinical application.
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