Post transplant persistence of host cells augments the intensity of acute graft-versus-host disease and level of donor chimerism, an explanation for graft-versus-host disease and rapid displacement of host cells seen following non-myeloablative stem cell transplantation?

Post transplant persistence of host cells augments the intensity of acute graft-versus-host disease and level of donor chimerism, an explanation for graft-versus-host disease and rapid displacement of host cells seen following non-myeloablative stem cell transplantation?

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ABSTRACT Although the use of non-myeloablative stem cell transplantation (NST) reduces the severity of graft-versus-host disease (GVHD), GVHD remains a major complication following


allogeneic transplantation. Since following NST in comparison with myeloablative conditioning, higher proportions of host immunohematopoietic cells may persist while donor-derived


alloreactive lymphocytes are being infused, thus possibly serving as host antigen presentation for continuous stimulation of donor T cells, we speculated that GVHD may be similarly amplified


by conditioning followed by intentional administration of host cells. This hypothesis was tested in a preclinical animal model. Increased incidence of GVHD, higher mortality and increased


levels of chimerism were observed in recipients reconstituted with host cells, particularly with non-irradiated spleen cells. Graft-versus-leukemia effect was not impaired by post transplant


cell administration. These results suggest that GVHD may be amplified by recipient cell infusion using either irradiated or viable stimulatory host cells, thus possibly explaining in part


higher than anticipated incidence of GVHD and rapid displacement of host cells and conversion to 100% donor type cells following NST. Administration of irradiated host antigen-presenting


cells post transplantation may thus represent a potential approach for amplification of the alloreactive capacity of donor lymphocytes following stem cell transplantation. Access through


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CONTENT BEING VIEWED BY OTHERS DYNAMIC IMMUNE PROFILING IDENTIFIES THE STRONGER GRAFT-VERSUS-LEUKEMIA (GVL) EFFECTS WITH HAPLOIDENTICAL ALLOGRAFTS COMPARED TO HLA-MATCHED STEM CELL


TRANSPLANTATION Article 06 January 2021 HOW ADOPTIVE TRANSFER OF COMPONENTS OF THE DONOR IMMUNE SYSTEM BOOSTS GVL AND PREVENTS GVHD IN HLA-HAPLOIDENTICAL HEMATOPOIETIC TRANSPLANTATION FOR


ACUTE LEUKEMIA Article 11 January 2024 REMOVAL OF CD276+ CELLS FROM HAPLOIDENTICAL MEMORY T-CELL GRAFTS SIGNIFICANTLY LOWERS THE RISK OF GVHD Article Open access 11 May 2021 REFERENCES *


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1993; 151: 4803–4810. CAS  Google Scholar  Download references ACKNOWLEDGEMENTS This work was carried out at the Danny Cunniff Leukemia Research Laboratory. We wish to thank the Gabrielle


Rich Leukemia Research Foundation; the Cancer Treatment Research Foundation; the Novotny Trust; the Szydlowsky Foundation; The Fig Tree Foundation; Ronne & Donald Hess and the


Silverstein Families for their continuous support of our basic and clinical research. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Bone Marrow Transplantation and Cancer


Immunotherapy, Hadassah – Hebrew University Medical Center, Jerusalem, Israel E Hirshfeld, L Weiss, J Kasir, M Zeira, S Slavin & M Y Shapira Authors * E Hirshfeld View author


publications You can also search for this author inPubMed Google Scholar * L Weiss View author publications You can also search for this author inPubMed Google Scholar * J Kasir View author


publications You can also search for this author inPubMed Google Scholar * M Zeira View author publications You can also search for this author inPubMed Google Scholar * S Slavin View author


publications You can also search for this author inPubMed Google Scholar * M Y Shapira View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING


AUTHOR Correspondence to M Y Shapira. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Hirshfeld, E., Weiss, L., Kasir, J. _et al._ Post transplant


persistence of host cells augments the intensity of acute graft-versus-host disease and level of donor chimerism, an explanation for graft-versus-host disease and rapid displacement of host


cells seen following non-myeloablative stem cell transplantation?. _Bone Marrow Transplant_ 38, 359–364 (2006). https://doi.org/10.1038/sj.bmt.1705449 Download citation * Received: 24 April


2006 * Revised: 06 June 2006 * Accepted: 23 June 2006 * Published: 24 July 2006 * Issue Date: 01 September 2006 * DOI: https://doi.org/10.1038/sj.bmt.1705449 SHARE THIS ARTICLE Anyone you


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Springer Nature SharedIt content-sharing initiative KEYWORDS * graft-versus-host disease * non-myeloablative stem cell transplantation * chimerism * antigen presentation