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A promising sword of tomorrow: Human gamma delta T cell strategies reconcile allo-HSCT complications

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机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Hangzhou 310000, Zhejiang, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Hematol, 6 Tiantan Xili, Beijing 100050, Peoples R China; [3]Jinhua Cent Hosp, Dept Hematol, 351 Mingyue Rd, Jinhua 312000, Peoples R China
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关键词: Allogeneic hematopoietic stem cell transplantation gamma delta T cells Leukemia Relapse Graft versus host disease Infection

摘要:
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is potentially a curative therapeutic option for hematological malignancies. In clinical practice, transplantation associated complications greatly affected the final therapeutical outcomes. Currently, primary disease relapse, graft-versus-host disease (GVHD) and infections remain the three leading causes of a high morbidity and mortality in allo-HSCT patients. Various strategies have been investigated in the past several decades including human gamma delta T cell-based therapeutical regimens. In different microenvironments, human gamma delta T cells assume features reminiscent of classical Th1, Th2, Th17, NKT and regulatory T cells, showing diverse biological functions. The cytotoxic gamma delta T cells could be utilized to target relapsed malignancies, and recently regulatory gamma delta T cells are defined as a novel implement for GVHD management. In addition, human gamma delta T cells facilitate control of post-transplantation infections and participate.in tissue regeneration and wound healing processes. These features potentiate gamma delta T cells a versatile therapeutical agent to target transplantation associated complications. This review focuses on insights of applicable potentials of human gamma delta T cells reconciling complications associated with allo-HSCT. We believe an improved understanding of pertinent gamma delta T cell functions would be further exploited in the design of innovative immunotherapeutic approaches in allo-HSCT, to reduce mortality and morbidity, as well as improve quality of life for patients after transplantation. (C) 2015 Elsevier Ltd. All rights reserved.

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出版当年[2015]版:
大类 | 2 区 医学
小类 | 2 区 血液学
最新[2023]版
大类 | 2 区 医学
小类 | 2 区 血液学
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出版当年[2014]版:
Q1 HEMATOLOGY
最新[2023]版:
Q1 HEMATOLOGY

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第一作者机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Hangzhou 310000, Zhejiang, Peoples R China;
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通讯机构: [1]Zhejiang Univ, Sch Med, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Hangzhou 310000, Zhejiang, Peoples R China;
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