The graft-versus-lymphoma effect: clinical review and future opportunities

被引:36
作者
Butcher, BW [1 ]
Collins, RH [1 ]
机构
[1] Univ Texas, SW Med Ctr, Dept Internal Med, Hematopoiet Cell Transplantat Program, Dallas, TX 75390 USA
关键词
graft-versus-lymphoma effect (GVL); nonmyeloablative stem cell transplantation (NST); donor leukocyte infusion (DLI); non-Hodgkin's lymphoma (NHL); Hodgkin's disease (HD);
D O I
10.1038/sj.bmt.1705008
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Numerous lines of preclinical and clinical evidence support the existence of a graft- versus- leukemia effect, but less evidence supporting a comparable graft- versus- lymphoma effect exists. We review here current clinical data addressing the graft- versus- lymphoma effect, including comparisons of autologous, syngeneic, and allogeneic transplantation; responses to immunomodulation; and responses to nonmyeloablative stem cell transplantation. Despite several limitations of the data, we believe that there is sufficient evidence suggesting a significant graft-versus-lymphoma effect. In addition, we discuss approaches for clinical management of lymphoma patients, opportunities for mechanistic studies afforded by donor leukocyte infusions and nonmyeloablative transplantation, and suggestions for clinical studies to further de. ne the magnitude and applicability of the graft- versus- lymphoma effect.
引用
收藏
页码:1 / 17
页数:17
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