机构:[1]Department of Hematology, Xuanwu Hospital, Capital Medical University, Beijing, China血液科首都医科大学宣武医院[2]Intensive Care Unit, Beijing Shijitan Hospital, Capital Medical University, Beijing, China[3]Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine, Gainesville, FL, USA
DLI is an effective strategy for patients with recurrent hematological malignancies after allogeneic hematopoietic SCT (allo-HSCT). DLI has been widely applied to boost the graft vs tumor (GVT) or GVL effects. However, given the potentially severe complications associated with conventional DLI and transient GVL effect, new strategies for DLI are emerging. In this review, we have discussed the recent important studies on DLI as a prophylactic or therapeutic modality for relapsed hematological disorders after allo-HSCT. The strategies to separate GVL from GVHD have also been discussed. Leukemia-targeting therapy and lymphodepletion combined with DLI, and prophylactic DLI after allo-HSCT are often employed for patients with high risk of relapse, which has been reviewed as well. In addition, we have also discussed the issues on DLI to be further addressed, such as the doses, timing and frequency of DLI in different clinical settings, leukemic antigen-specific DLI as well as how to augment GVL effect while attenuating GVHD.
基金:
the Natural Science Foundation of China (No. 81172854 & No. 81240015).
第一作者机构:[1]Department of Hematology, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[*1]Department of Hematology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
推荐引用方式(GB/T 7714):
X Chang,X Zang,C-Q Xia.New strategies of DLI in the management of relapse of hematological malignancies after allogeneic hematopoietic SCT[J].BONE MARROW TRANSPLANTATION.2016,51(3):324-332.doi:10.1038/bmt.2015.288.
APA:
X Chang,X Zang&C-Q Xia.(2016).New strategies of DLI in the management of relapse of hematological malignancies after allogeneic hematopoietic SCT.BONE MARROW TRANSPLANTATION,51,(3)
MLA:
X Chang,et al."New strategies of DLI in the management of relapse of hematological malignancies after allogeneic hematopoietic SCT".BONE MARROW TRANSPLANTATION 51..3(2016):324-332