"Ex-vivo" T-cell depletion in allogeneic hematopoietic stem cell transplantation: New clinical approaches for old challenges

Eur J Haematol. 2021 Jul;107(1):38-47. doi: 10.1111/ejh.13636. Epub 2021 May 21.

Abstract

Allogeneic transplantation still remains as standard of care for patients with high-risk hematological malignancies at diagnosis or after relapse. However, GvHD remains yet as the most relevant clinical complication in the early post-transplant period. TCD allogeneic transplant is now considered a valid option to reduce severe GvHD and to provide a platform for cellular therapy to prevent relapse disease or to treat opportunistic infections.

Keywords: GvHD; GvL effect; T-cell depletion; adoptive cellular therapy; allogeneic transplantation; donor lymphocyte infusion; graft manipulation; haploidentical transplantation.

Publication types

  • Review

MeSH terms

  • Antigens, CD34 / biosynthesis
  • Graft vs Host Disease
  • Hematologic Neoplasms / therapy*
  • Hematology / methods
  • Hematology / trends*
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Killer Cells, Natural / cytology
  • Leukocyte Common Antigens / biosynthesis
  • Lymphocyte Depletion
  • Neoplasm Recurrence, Local
  • Recurrence
  • T-Lymphocytes / cytology
  • Transplantation, Homologous / adverse effects*
  • Treatment Outcome

Substances

  • Antigens, CD34
  • Leukocyte Common Antigens