Autologous hematopoietic stem cell transplantation for systemic sclerosis Position statement of the stem cell therapy working party of the German Society of Rheumatology

被引:2
作者
Alexander, T. [1 ,2 ,3 ,4 ,5 ]
Henes, J. [6 ]
Distler, J. H. W. [7 ]
Schmalzing, M. [8 ]
Blank, N. [9 ]
Koetter, I [10 ,11 ]
Hiepe, F. [1 ,2 ,3 ,4 ,5 ]
机构
[1] Charite Univ Med Berlin, Med Klin mS Rheumatol & Klin Immunol, Charitepl 1, D-10117 Berlin, Germany
[2] Free Univ Berlin, Charitepl 1, D-10117 Berlin, Germany
[3] Humboldt Univ, Charitepl 1, D-10117 Berlin, Germany
[4] Berlin Inst Hlth, Charitepl 1, D-10117 Berlin, Germany
[5] Deutsch Rheuma Forschungszentrum DRFZ Berlin, Inst Leibniz Gemeinschaft, Berlin, Germany
[6] Univ Klinikum Tubingen, Med Klin Innere Med Hamatol Onkol Klin Immunol &, Tubingen, Germany
[7] Friedrich Alexander Univ Erlangen Nurnberg, Med Klin Rheumatol & Immunol 3, Erlangen, Germany
[8] Univ klinikum Wurzburg, Med Klin & Poliklin Rheumatol & Klin Immunol 2, Wurzburg, Germany
[9] Univ Klinikum Heidelberg, Med Klin Hamatol Onkol & Rheumatol 5, Heidelberg, Germany
[10] Univ Klinikum Hamburg Eppendorf, Med Klin & Poliklin Nephrol Rheumatol 3, Sekt Endokrinol, Hamburg, Germany
[11] Klinikum Bad Bramstedt, Klin Rheumatol & Immunol, Bad Bramstedt, Germany
来源
ZEITSCHRIFT FUR RHEUMATOLOGIE | 2020年 / 79卷 / 05期
关键词
Autologous stem cell transplantation; Systemic sclerosis; Cell therapy; Guidelines; DGRh; MARROW TRANSPLANTATION; AUTOIMMUNE-DISEASES; PULSE CYCLOPHOSPHAMIDE; EUROPEAN-SOCIETY; BLOOD; EBMT;
D O I
10.1007/s00393-020-00789-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There have been three randomized controlled trials on autologous hematopoietic stem cell transplantation (AHSCT) in systemic sclerosis (SSc) that demonstrated significant superiority with respect to survival, improvement of cutaneous fibrosis, lung function and quality of life compared to standard treatment; however, these advantages must be carefully weighed against the transplantation-related risks. For this reason, an expert group from the stem cell therapy working party of the German Society for Rheumatology (DGRh) has now developed recommendations for the use of AHSCT in SSc. Based on the high-quality evidence, AHSCT is considered as the standard option for the treatment of selected SSc patients. Potential candidates for AHSCT are those with early, rapidly progressive, diffuse cutaneous SSc with visceral manifestations who have not yet developed severe damage to internal organs. A close cooperation between rheumatologists and transplantation centers is crucial for optimizing patient selection and treatment outcomes.
引用
收藏
页码:429 / 436
页数:8
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