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造血干细胞移植后 EBV 相关移植后淋巴增殖性疾病(PTLD)。

Epstein-Barr virus post-transplant lymphoproliferative disease (PTLD) after hematopoietic stem cell transplantation.

机构信息

Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.

Institute of Blood and Marrow Transplantation, Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China.

出版信息

Eur J Haematol. 2018 Sep;101(3):283-290. doi: 10.1111/ejh.13131. Epub 2018 Aug 3.

Abstract

Epstein-Barr virus (EBV) viremia and post-transplant lymphoproliferative disease (PTLD) are severe complications after hematopoietic stem cell transplantation (HSCT). A series of risk factors have been found to predict EBV viremia and PTLD, including the T-cell depletion, reduced intensity conditioning, and alternative donor. The rituximab pre-emptive therapy could improve PTLD prognosis significantly, but the trigger of initiating rituximab pre-emptive therapy has not been well established. Additionally, EBV-specific cytotoxic T cell (CTL) is a promising approach to treat EBV-PTLD.

摘要

EB 病毒血症和移植后淋巴组织增生性疾病(PTLD)是造血干细胞移植(HSCT)后的严重并发症。已经发现了一系列危险因素可以预测 EBV 血症和 PTLD,包括 T 细胞耗竭、强度降低的预处理和替代供体。利妥昔单抗的抢先治疗可以显著改善 PTLD 的预后,但尚未确定启动利妥昔单抗抢先治疗的触发因素。此外,EBV 特异性细胞毒性 T 细胞(CTL)是治疗 EBV-PTLD 的一种有前途的方法。

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