Emerging therapies in hematopoietic stem cell transplantation.

Emerging therapies in hematopoietic stem cell transplantation.
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DOI:
10.1016/j.bbmt.2011.10.022
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发表时间:
2012-01
影响因子:
4.3
通讯作者:
Koreth, John
Koreth, John
中科院分区:
医学2区
文献类型:
--
作者:
Reddy, Pavan;de Lima, Marcos;Koreth, John

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尽管造血干细胞移植(HSCT)在过去几十年中有所改进,但仍需要进一步的进展来实现:改善对毒性如移植物抗宿主病(GVHD)的控制;增强移植后免疫重建;以及通过增强移植物抗肿瘤(GVT)应答来降低复发风险。实现这些不同的HSCT目标将可能需要引入新的治疗药物,以目前的医疗设施。在本章中,我们概述了临床前和早期临床数据,这些数据表明蛋白酶体抑制剂治疗(硼替佐米)、低甲基化剂治疗(氮杂胞苷)和组蛋白脱乙酰酶抑制剂治疗(伏立诺他)有助于改善HSCT结局的潜力。
Despite improvements to hematopoietic stem cell transplantation (HSCT) over the past several decades, further advances are necessary to achieve: improved control of toxicities like graft-versus-host disease (GVHD); enhanced immunologic reconstitution post transplantation; and reduction in relapse risk via enhancement of graft-versus-tumor (GVT) responses. Achieving these disparate HSCT goals will likely require the introduction of novel therapeutic agents to the current armamentarium. In this chapter we outline preclinical and early phase clinical data indicating the potential of proteasome-inhibitor therapy (bortezomib), hypomethylating agent therapy (azacytidine), and histone deacetylase-inhibitor therapy (vorinostat) to help improve HSCT outcomes.
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