Jamil Muhammad Omer, Mineishi Shin
Division of Hematology and Oncology, University of Alabama at Birmingham (UAB), 1802 6th Ave South, NP 2562, Birmingham, AL, 35294-3300, USA.
Int J Hematol. 2015 May;101(5):452-66. doi: 10.1007/s12185-015-1785-1. Epub 2015 Apr 12.
Graft-versus-host disease (GVHD) remains as the major obstacle for successful hematopoietic stem cell transplant (HSCT). Roughly half of the patients undergoing HSCT develop GVHD which requires treatment, and above 10 % of the patient may die because of it. However, GVHD presents with anti-tumor activity, called graft-versus-tumor (GVT) effect, and it carries significant anti-tumor activity, thus suppressing GVHD completely may increase the relapse of original disease. Thus, it is important to control GVHD to the appropriate level.
移植物抗宿主病(GVHD)仍然是成功进行造血干细胞移植(HSCT)的主要障碍。接受HSCT的患者中约有一半会发生需要治疗的GVHD,超过10%的患者可能因此死亡。然而,GVHD具有抗肿瘤活性,称为移植物抗肿瘤(GVT)效应,且具有显著的抗肿瘤活性,因此完全抑制GVHD可能会增加原发病的复发。因此,将GVHD控制在适当水平很重要。