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November 24, 2017New England Journal of MedicineOpen Access

Acute Graft-versus-Host Disease — Biologic Process, Prevention, and Therapy

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Authors

RZRobert ZeiserUniversity of FreiburgBruce R. BlazarBruce R. BlazarEngelhardt Institute of Molecular Biology

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Implication

Clinical review outlines the mechanisms and management of acute graft-versus-host disease in transplant recipients, highlighting the necessity of prompt immunosuppressive therapy.

Key Points

  • To review the biologic mechanisms, clinical presentation, prevention strategies, and therapeutic management of acute graft-versus-host disease.
  • Synthesized clinical and biologic evidence regarding immune responses following hematopoietic-cell transplantation.
  • Acute graft-versus-host disease manifests within three months following hematopoietic-cell transplantation when donor-derived T cells attack host tissues.
  • Primary pathological involvement occurs predominantly in the skin, liver, and gastrointestinal tract, managed standardly using immunosuppressive drugs.

Cite This Study

Zeiser et al. (2017) studied this question.

synapsesocial.com/papers/69da25ff0f32475823a3d226https://doi.org/10.1056/nejmra1609337
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Adenosine generation catalyzed by CD39 and CD73 expressed on regulatory T cells mediates immune suppression2007 · 2,482 citations
  2. 2Risk factors for acute GVHD and survival after hematopoietic cell transplantation2011 · 722 citations
  3. 3Suppression of graft-versus-host disease and amplification of graft-versus-tumor effects by activated natural killer cells after allogeneic bone marrow transplantation.1998 · 300 citations
  4. 4Absence of donor T-cell–derived soluble TNF decreases graft-versus-host disease without impairing graft-versus-tumor activity2007 · 34 citations
  5. 5Inhibition of Neovascularization to Simultaneously Ameliorate Graft-vs-Host Disease and Decrease Tumor Growth2010 · 60 citations