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威斯科特-奥尔德里奇综合征的现有及新出现的治疗选择。

Current and emerging treatment options for Wiskott-Aldrich syndrome.

作者信息

Worth Austen J J, Thrasher Adrian J

机构信息

Department of Clinical Immunology and Bone Marrow Transplantation, Great Ormond Street Hospital National Health Service Trust, London WC1N 1JH, UK.

出版信息

Expert Rev Clin Immunol. 2015;11(9):1015-32. doi: 10.1586/1744666X.2015.1062366. Epub 2015 Jul 9.

Abstract

Wiskott-Aldrich syndrome is a life-threatening primary immunodeficiency associated with a bleeding tendency, eczema and a high incidence of autoimmunity and malignancy. Stem cell transplantation offers the opportunity of cure for all these complications, and over the past 35 years there has been a remarkable improvement in survival following this treatment. Here, we review advances in management of clinical complications pre- and post-transplant, as well as discuss the morbidity Wiskott-Aldrich syndrome patients experience following treatment. For patients with a poorly matched stem cell donor, recent gene therapy trials demonstrate encouraging results and the potential of low-toxicity therapy for all patients.

摘要

威斯科特-奥尔德里奇综合征是一种危及生命的原发性免疫缺陷病,伴有出血倾向、湿疹以及自身免疫和恶性肿瘤的高发病率。干细胞移植为治愈所有这些并发症提供了机会,在过去35年里,这种治疗后的生存率有了显著提高。在这里,我们回顾了移植前后临床并发症管理方面的进展,并讨论了威斯科特-奥尔德里奇综合征患者治疗后所经历的发病率。对于干细胞供体匹配不佳的患者,最近的基因治疗试验显示出令人鼓舞的结果以及对所有患者进行低毒性治疗的潜力。

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