Role of extracorporeal photochemotherapy in patients with refractory chronic graft-versus-host disease

被引:51
作者
Rubegni, P
Cuccia, A
Sbano, P
Cevenini, G
Carcagnì, MR
D'Ascenzo, G
De Aloe, G
Guidi, S
Guglielmetti, P
Marotta, G
Lauria, F
Bosi, A
Fimiani, M
机构
[1] Univ Siena, Ist Sci Dermatol, Policlin Scotte, Dept Clin Med & Immunol Sci,Sect Dermatol, I-53100 Siena, Italy
[2] Univ Siena, Dept Cardiac Surg & Biomed Technol, I-53100 Siena, Italy
[3] Univ Florence, Dept Haematol, Florence, Italy
[4] Univ Florence, Bone Marrow Transplant Unit, Florence, Italy
[5] Univ Siena, Sect Haematol, I-53100 Siena, Italy
关键词
graft-versus-host disease; extracorporeal photochemotherapy; ultraviolet; stem cell transplantation; bone marrow;
D O I
10.1111/j.1365-2141.2005.05586.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recent studies suggest that extracorporeal photochemotherapy (ECP) may be beneficial in patients with steroid-refractory chronic graft-versus-host disease (cGvHD). However, it is not yet clear whether certain conditions, such as age, mode of onset of cGvHD etc., influence clinical response and whether certain affected organs are more sensitive to ECP than others. We analysed the main clinical and laboratory parameters related to evolution of the disease in 32 steroid-refractory cGvHD patients, to identify any useful response predictors to ECP. ECP affected the course of the disease positively in 78% (25/32) of our cases.
引用
收藏
页码:271 / 275
页数:5
相关论文
共 12 条
[1]   Extracorporeal photopheresis therapy in the management of steroid-refractory or steroid-dependent cutaneous chronic graft-versus-host disease after allogeneic stem cell transplantation:: feasibility and results [J].
Apisarnthanarax, N ;
Donato, M ;
Körbling, M ;
Couriel, D ;
Gajewski, J ;
Giralt, S ;
Khouri, I ;
Hosing, C ;
Champlin, R ;
Duvic, M ;
Anderlini, P .
BONE MARROW TRANSPLANTATION, 2003, 31 (06) :459-465
[2]   Treating refractory chronic graft-versus-host disease with extracorporeal photochemotherapy [J].
Bisaccia, E ;
Palangio, M ;
Gonzalez, J ;
Adler, KR ;
Rowley, SD ;
Goldberg, SL .
BONE MARROW TRANSPLANTATION, 2003, 31 (04) :291-294
[3]   Steroid-refractory graft-vs.-host disease: past, present and future [J].
Carpenter, PA ;
Sanders, JE .
PEDIATRIC TRANSPLANTATION, 2003, 7 :19-31
[4]   Extracorporeal photopheresis (ECP) in the treatment of chronic graft-versus-host disease (GVHD) [J].
Child, FJ ;
Ratnavel, R ;
Watkins, P ;
Samson, D ;
Apperley, J ;
Ball, J ;
Taylor, P ;
Russell-Jones, R .
BONE MARROW TRANSPLANTATION, 1999, 23 (09) :881-887
[5]   Mechanism of action of extracorporeal photochemotherapy in chronic graft-versus-host disease [J].
Fimiani, M ;
Di Renzo, M ;
Rubegni, P .
BRITISH JOURNAL OF DERMATOLOGY, 2004, 150 (06) :1055-1060
[6]   Three cases of progressive systemic sclerosis treated with extracorporeal photochemotherapy [J].
Fimiani, M ;
Rubegni, P ;
Flori, ML ;
Mazzatenta, C ;
DAscenzo, G ;
Andreassi, L .
ARCHIVES OF DERMATOLOGICAL RESEARCH, 1997, 289 (02) :120-122
[7]   Successful use of extracorporeal photochemotherapy in the treatment of severe acute and chronic graft-versus-host disease [J].
Greinix, HT ;
Volc-Platzer, B ;
Rabitsch, W ;
Gmeinhart, B ;
Guevara-Pineda, C ;
Kalhs, P ;
Krutmann, J ;
Hönigsmann, H ;
Ciovica, M ;
Knobler, RM .
BLOOD, 1998, 92 (09) :3098-3104
[8]   Extracorporeal photoimmunotherapy for the treatment of steroid refractory progressive chronic graft-versus-host disease [J].
Ilhan, O ;
Arat, M ;
Arslan, Ö ;
Ayyildiz, E ;
Sanli, H ;
Beksac, M ;
Özcan, M ;
Gürman, G ;
Akan, H .
TRANSFUSION AND APHERESIS SCIENCE, 2004, 30 (03) :185-187
[9]   Diagnosis and clinical management of chronic graft-versus-host disease [J].
Martin, PJ ;
Carpenter, PA ;
Sanders, JE ;
Flowers, MED .
INTERNATIONAL JOURNAL OF HEMATOLOGY, 2004, 79 (03) :221-228
[10]   Influence of extracorporeal photopheresis on clinical and laboratory parameters in chronic graft-versus-host disease and analysis of predictors of response [J].
Seaton, ED ;
Szydlo, RM ;
Kanfer, E ;
Apperley, JF ;
Russell-Jones, R .
BLOOD, 2003, 102 (04) :1217-1223