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[异基因干细胞移植:自身免疫性疾病的一种选择?]

[Allogeneic stem cell transplantation : An option for autoimmune diseases?].

作者信息

Wirths S, Bethge W, Henes J C

机构信息

Abteilung für Onkologie, Hämatologie, klinische Immunologie, Rheumatologie, Pulmologie, Medizinische Klinik der Universität Tübingen, Otfried-Müller-Str. 10, 72076, Tübingen, Deutschland.

出版信息

Z Rheumatol. 2016 Oct;75(8):780-785. doi: 10.1007/s00393-016-0194-z.

DOI:10.1007/s00393-016-0194-z
PMID:27596146
Abstract

According to experimental animal models and experiences of patients with coexisting autoimmune diseases, allogeneic stem cell transplantation has the potential to reestablish and maintain immunological tolerance. On the other hand, it is associated with significant treatment related mortality and may induce diverse immunological diseases by graft-versus-host reaction. Other than with severe aplastic anemia, it is not an established therapy for autoimmune diseases; it is under investigation in clinical trials and might be considered in severe, refractory immune cytopenia.

摘要

根据实验动物模型以及自身免疫性疾病共存患者的经验,异基因干细胞移植有重建和维持免疫耐受的潜力。另一方面,它与显著的治疗相关死亡率相关,并且可能通过移植物抗宿主反应诱发多种免疫性疾病。除了重型再生障碍性贫血外,它并非自身免疫性疾病的既定疗法;它正在临床试验中接受研究,对于严重的难治性免疫性血细胞减少症可能会考虑使用。

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[Allogeneic stem cell transplantation : An option for autoimmune diseases?].[异基因干细胞移植:自身免疫性疾病的一种选择?]
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[Importance of stem cell therapy in autoimmune diseases].[干细胞疗法在自身免疫性疾病中的重要性]
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Allogeneic HSCT for autoimmune diseases: conventional conditioning regimens.用于自身免疫性疾病的异基因造血干细胞移植:传统预处理方案。
Bone Marrow Transplant. 2003 Aug;32 Suppl 1:S77-80. doi: 10.1038/sj.bmt.1703949.
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Stem cell transplantation for severe autoimmune diseases: progress and problems.严重自身免疫性疾病的干细胞移植:进展与问题
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Donor lymphocyte infusion: the use of alloreactive and tumor-reactive lymphocytes for immunotherapy of malignant and nonmalignant diseases in conjunction with allogeneic stem cell transplantation.供体淋巴细胞输注:将同种异体反应性和肿瘤反应性淋巴细胞用于恶性和非恶性疾病的免疫治疗,并与异基因干细胞移植联合使用。
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Bone Marrow Transplant. 2017 Aug;52(8):1204-1205. doi: 10.1038/bmt.2017.94. Epub 2017 Jun 5.

本文引用的文献

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Allogeneic stem cell transplantation in a patient with myelodysplastic syndrome and polyarteritis nodosa: a case report and systematic review.一名骨髓增生异常综合征合并结节性多动脉炎患者的异基因干细胞移植:病例报告及系统评价
Ann Hematol. 2016 Mar;95(4):645-7. doi: 10.1007/s00277-015-2587-5. Epub 2016 Jan 20.
2
Indications for allo- and auto-SCT for haematological diseases, solid tumours and immune disorders: current practice in Europe, 2015.2015年欧洲血液疾病、实体瘤和免疫疾病异基因及自体造血干细胞移植的适应证:当前实践
Bone Marrow Transplant. 2015 Aug;50(8):1037-56. doi: 10.1038/bmt.2015.6. Epub 2015 Mar 23.
3
Increasing incidence of chronic graft-versus-host disease in allogeneic transplantation: a report from the Center for International Blood and Marrow Transplant Research.
异基因移植中慢性移植物抗宿主病发病率上升:国际血液和骨髓移植研究中心报告
Biol Blood Marrow Transplant. 2015 Feb;21(2):266-74. doi: 10.1016/j.bbmt.2014.10.021. Epub 2014 Oct 30.
4
Long-term outcomes of hematopoietic stem cell transplantation for severe treatment-resistant autoimmune cytopenia in children.儿童严重治疗抵抗性自身免疫性血细胞减少症造血干细胞移植的长期结局。
Biol Blood Marrow Transplant. 2013 Apr;19(4):666-9. doi: 10.1016/j.bbmt.2012.12.008. Epub 2012 Dec 16.
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Transplantation for autoimmune diseases in north and South America: a report of the Center for International Blood and Marrow Transplant Research.南北美洲的自身免疫性疾病的移植:国际血液和骨髓移植研究中心的报告。
Biol Blood Marrow Transplant. 2012 Oct;18(10):1471-8. doi: 10.1016/j.bbmt.2012.06.003. Epub 2012 Jun 13.
6
Haematopoietic stem cell transplantation (HSCT) in severe autoimmune diseases: analysis of UK outcomes from the British Society of Blood and Marrow Transplantation (BSBMT) data registry 1997-2009.严重自身免疫性疾病的造血干细胞移植(HSCT):英国血液和骨髓移植学会(BSBMT)数据登记处 1997-2009 年英国结果分析。
Br J Haematol. 2012 Jun;157(6):742-6. doi: 10.1111/j.1365-2141.2012.09122.x. Epub 2012 Apr 26.
7
How I treat acquired aplastic anemia.我如何治疗获得性再生障碍性贫血。
Blood. 2012 Aug 9;120(6):1185-96. doi: 10.1182/blood-2011-12-274019. Epub 2012 Apr 19.
8
Management of autoimmune diseases after haematopoietic stem cell transplantation.造血干细胞移植后自身免疫性疾病的管理。
Br J Haematol. 2012 May;157(3):281-90. doi: 10.1111/j.1365-2141.2012.09070.x. Epub 2012 Feb 24.
9
Haematopoietic SCT in severe autoimmune diseases: updated guidelines of the European Group for Blood and Marrow Transplantation.严重自身免疫性疾病中的造血干细胞移植:欧洲血液与骨髓移植组的更新指南
Bone Marrow Transplant. 2012 Jun;47(6):770-90. doi: 10.1038/bmt.2011.185. Epub 2011 Oct 17.
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Secondary autoimmune diseases occurring after HSCT for an autoimmune disease: a retrospective study of the EBMT Autoimmune Disease Working Party.自身免疫性疾病异基因造血干细胞移植后发生的继发性自身免疫性疾病:EBMT 自身免疫疾病工作组的回顾性研究。
Blood. 2011 Aug 11;118(6):1693-8. doi: 10.1182/blood-2011-02-336156. Epub 2011 May 19.