Donor lymphocyte infusion after allogeneic stem cell transplantation

被引:55
作者
Castagna, Luca [1 ]
Sarina, Barbara [1 ]
Bramanti, Stefania [1 ]
Perseghin, Paolo [2 ]
Mariotti, Jacopo [1 ]
Morabito, Lucio [1 ]
机构
[1] Ist Clin Humanitas, Programma Trapianto Humanitas Canc Ctr, I-20800 Rozzano, Italy
[2] Osped San Gerardo, Apheresis Unit, ASST Monza, Monza, MB, Italy
关键词
DLI; Allogeneic transplantation; Relapse; Pre-emeptive; Hematological disease; BONE-MARROW-TRANSPLANTATION; ACUTE MYELOID-LEUKEMIA; VERSUS-HOST-DISEASE; RELAPSED HEMATOLOGIC MALIGNANCIES; ACUTE LYMPHOBLASTIC-LEUKEMIA; ACUTE MYELOGENOUS LEUKEMIA; MINIMAL RESIDUAL DISEASE; LONG-TERM REMISSIONS; LOW-DOSE AZACITIDINE; HIGH RESPONSE RATE;
D O I
10.1016/j.transci.2016.05.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Allogeneic stem cell transplantation (allo-SCT) is considered the cornerstone in the treatment of several malignant and not malignant hematological diseases. However, relapse of hematological disease after allo-SCT is considered the most challenging point in the field. The risk can be reduced through optimal patients, donor and disease selection before allo-SCT, but harnessing donor immune system is an appealing way to treat or avoid disease relapse. Donor lymphocyte infusion (DLI) is a simple and effective therapy after allo-SCT. In this paper, the efficacy of DLI will be analyzed in different hematological diseases, focusing also on their therapeutic or pre-emptive use. (C) 2016 Published by Elsevier Ltd.
引用
收藏
页码:345 / 355
页数:11
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