Abstract
We report three patients with lethal forms of acute GVHD in whom all biopsy specimens showed a striking preponderance of macrophages in the inflammatory infiltrate with production of TNF-alpha. The role of the macrophage/TNF-alpha axis in human acute GVHD is examined and the existence of primary macrophagic forms of GVHD is discussed.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Bone Marrow Transplantation
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Child
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Fatal Outcome
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Female
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Graft vs Host Disease / immunology
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Graft vs Host Disease / pathology*
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Humans
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / immunology
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / pathology
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / therapy
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Leukemia, Myeloid, Acute / immunology
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Leukemia, Myeloid, Acute / pathology
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Leukemia, Myeloid, Acute / therapy
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Macrophages / metabolism*
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Macrophages / physiology
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Middle Aged
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Tumor Necrosis Factor-alpha / metabolism*
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Tumor Necrosis Factor-alpha / physiology
Substances
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Tumor Necrosis Factor-alpha