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B 细胞靶向治疗慢性移植物抗宿主病。

B-cell targeting in chronic graft-versus-host disease.

机构信息

Department of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, Freiburg University, Freiburg, Germany.

Division of Hematological Malignancies and Cellular Therapy, Department of Medicine, Duke Cancer Institute, Duke University Medical Center, Durham, NC; and.

出版信息

Blood. 2018 Mar 29;131(13):1399-1405. doi: 10.1182/blood-2017-11-784017. Epub 2018 Feb 1.

DOI:10.1182/blood-2017-11-784017
PMID:29437591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6031308/
Abstract

Over the last decade, our understanding of the pathophysiology of chronic graft-versus-host disease (cGVHD) has improved considerably. In this spotlight, we discuss emerging insights into the pathophysiology of cGVHD with a focus on B cells. First, we summarize supporting evidence derived from mouse and human studies. Next, novel cGVHD therapy approaches that target B cells will be covered to provide treating physicians with an overview of the rationale behind the emerging armamentarium against cGVHD.

摘要

在过去的十年中,我们对慢性移植物抗宿主病(cGVHD)的病理生理学的理解有了很大的提高。在这个重点介绍中,我们讨论了 cGVHD 病理生理学的新见解,重点是 B 细胞。首先,我们总结了来自小鼠和人类研究的支持证据。接下来,将介绍针对 B 细胞的新型 cGVHD 治疗方法,为治疗医生提供对抗 cGVHD 的新兴武器背后的基本原理概述。

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本文引用的文献

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Pathophysiology of Chronic Graft-versus-Host Disease and Therapeutic Targets.慢性移植物抗宿主病的病理生理学及治疗靶点
N Engl J Med. 2017 Dec 28;377(26):2565-2579. doi: 10.1056/NEJMra1703472.
2
Extrafollicular CD4 T-B interactions are sufficient for inducing autoimmune-like chronic graft-versus-host disease.滤泡外 CD4 T-B 相互作用足以诱导自身免疫样慢性移植物抗宿主病。
Nat Commun. 2017 Oct 17;8(1):978. doi: 10.1038/s41467-017-00880-2.
3
A critical role for donor-derived IL-22 in cutaneous chronic GVHD.供者来源的白介素-22 在皮肤慢性移植物抗宿主病中起关键作用。
Am J Transplant. 2018 Apr;18(4):810-820. doi: 10.1111/ajt.14513. Epub 2017 Oct 24.
4
Ibrutinib for chronic graft-versus-host disease after failure of prior therapy.伊布替尼用于既往治疗失败后的慢性移植物抗宿主病。
Blood. 2017 Nov 23;130(21):2243-2250. doi: 10.1182/blood-2017-07-793786. Epub 2017 Sep 18.
5
Rituximab-based first-line treatment of cGVHD after allogeneic SCT: results of a phase 2 study.异基因造血干细胞移植后基于利妥昔单抗的一线治疗 cGVHD:一项 2 期研究结果。
Blood. 2017 Nov 16;130(20):2186-2195. doi: 10.1182/blood-2017-05-786137. Epub 2017 Sep 1.
6
An aberrant NOTCH2-BCR signaling axis in B cells from patients with chronic GVHD.慢性移植物抗宿主病患者B细胞中异常的NOTCH2-BCR信号轴。
Blood. 2017 Nov 9;130(19):2131-2145. doi: 10.1182/blood-2017-05-782466. Epub 2017 Aug 29.
7
Eomesodermin promotes the development of type 1 regulatory T (T1) cells.胚外中胚层决定蛋白促进1型调节性T(T1)细胞的发育。
Sci Immunol. 2017 Apr 7;2(10). doi: 10.1126/sciimmunol.aah7152.
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An activated Th17-prone T cell subset involved in chronic graft-versus-host disease sensitive to pharmacological inhibition.一种参与慢性移植物抗宿主病的、易于分化为Th17的活化T细胞亚群,对药物抑制敏感。
JCI Insight. 2017 Jun 15;2(12). doi: 10.1172/jci.insight.92111.
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Invariant natural killer T cells ameliorate murine chronic GVHD by expanding donor regulatory T cells.不变自然杀伤T细胞通过扩增供体调节性T细胞来改善小鼠慢性移植物抗宿主病。
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Pirfenidone ameliorates murine chronic GVHD through inhibition of macrophage infiltration and TGF-β production.吡非尼酮通过抑制巨噬细胞浸润和转化生长因子-β的产生来改善小鼠慢性移植物抗宿主病。
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