Messina C, Faraci M, de Fazio V, Dini G, Calò M P, Calore E
Bone Marrow Unit, Paediatric Onco-Haematology Clinic, University of Padova, Padova, Italy.
Bone Marrow Transplant. 2008 Jun;41 Suppl 2:S65-70. doi: 10.1038/bmt.2008.57.
GvHD remains a source of significant morbidity and mortality in the setting of allogeneic haematopoietic SCT. Improving outcomes in stem cell transplant recipients requires additional therapeutic modalities for GvHD, especially for patients who fail to respond to initial therapy with steroids. Moreover, while the absence of acute GvHD (aGvHD) is associated with a higher risk of relapse of the underlying malignant disease, severe aGvHD usually induces the occurrence of life-threatening complications such as severe infections. This article summarizes the current state of aGvHD prophylaxis and treatment.
在异基因造血干细胞移植背景下,移植物抗宿主病(GvHD)仍然是导致显著发病和死亡的原因。改善干细胞移植受者的治疗结果需要针对GvHD的额外治疗方式,特别是对于那些对初始类固醇治疗无反应的患者。此外,虽然无急性移植物抗宿主病(aGvHD)与潜在恶性疾病复发风险较高相关,但严重的aGvHD通常会引发危及生命的并发症,如严重感染。本文总结了aGvHD预防和治疗的现状。