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眼移植物抗宿主病的最新进展。

Recent advances in ocular graft-versus-host disease.

机构信息

Medical Center of Hematology, Xinqiao Hospital, State Key Laboratory of Trauma, Burns and Combined Injury, Army Medical University, Chongqing, China.

School of Medicine, Chongqing University, Chongqing, China.

出版信息

Front Immunol. 2023 Jan 25;14:1092108. doi: 10.3389/fimmu.2023.1092108. eCollection 2023.

Abstract

Ocular graft-versus-host-disease (GVHD) remains a significant clinical complication after allogeneic hematopoietic stem cell transplantation. Impaired visual function, pain, and other symptoms severely affect affected individuals' quality of life. However, the diagnosis of and therapy for ocular GVHD involve a multidisciplinary approach and remain challenging for both hematologists and ophthalmologists, as there are no unified international criteria. Through an exploration of the complex pathogenesis of ocular GVHD, this review comprehensively summarizes the pathogenic mechanism, related tear biomarkers, and clinical characteristics of this disease. Novel therapies based on the mechanisms are also discussed to provide insights into the ocular GVHD treatment.

摘要

眼移植物抗宿主病(GVHD)仍是异基因造血干细胞移植后的一个重要临床并发症。视觉功能受损、疼痛和其他症状严重影响患者的生活质量。然而,眼 GVHD 的诊断和治疗需要多学科的方法,对血液学家和眼科医生来说仍然具有挑战性,因为目前还没有统一的国际标准。通过对眼 GVHD 复杂发病机制的探索,本综述全面总结了该病的发病机制、相关泪液生物标志物和临床特征。还讨论了基于这些机制的新疗法,为眼 GVHD 的治疗提供了思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2998/9905686/7fc82de92bdc/fimmu-14-1092108-g001.jpg

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