Adult human mesenchymal stromal cells and the treatment of graft versus host disease

Richard P Herrmann, Marian J Sturm Cell and Tissue Therapies, Western Australia, Royal Perth Hospital, Wellington Street, Perth, WA, Australia Abstract: Graft versus host disease is a difficult and potentially lethal complication of hematopoietic stem cell transplantation. It occurs with minor hum...

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Autores principales: Herrmann RP, Sturm MJ
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:8009406fc0f44d53917fb549c9e756092021-12-02T03:36:18ZAdult human mesenchymal stromal cells and the treatment of graft versus host disease1178-6957https://doaj.org/article/8009406fc0f44d53917fb549c9e756092014-02-01T00:00:00Zhttp://www.dovepress.com/adult-human-mesenchymal-stromal-cells-and-the-treatment-of-graft-versu-a15988https://doaj.org/toc/1178-6957 Richard P Herrmann, Marian J Sturm Cell and Tissue Therapies, Western Australia, Royal Perth Hospital, Wellington Street, Perth, WA, Australia Abstract: Graft versus host disease is a difficult and potentially lethal complication of hematopoietic stem cell transplantation. It occurs with minor human leucocyte antigen (HLA) mismatch and is normally treated with corticosteroid and other immunosuppressive therapy. When it is refractory to steroid therapy, mortality approaches 80%. Mesenchymal stromal cells are rare cells found in bone marrow and other tissues. They can be expanded in culture and possess complex and diverse immunomodulatory activity. Moreover, human mesenchymal stromal cells carry low levels of class 1 and no class 2 HLA antigens, making them immunoprivileged and able to be used without HLA matching. Their use in steroid-refractory graft versus host disease was first described in 2004. Subsequently, they have been used in a number of Phase I and II trials in acute and chronic graft versus host disease trials with success. We discuss their mode of action, the results, their production, and potential dangers with a view to future application. Keywords: mesenchymal stromal cells, graft versus host disease, acute, chronicHerrmann RPSturm MJDove Medical PressarticleCytologyQH573-671ENStem Cells and Cloning: Advances and Applications, Vol 2014, Iss default, Pp 45-52 (2014)
institution DOAJ
collection DOAJ
language EN
topic Cytology
QH573-671
spellingShingle Cytology
QH573-671
Herrmann RP
Sturm MJ
Adult human mesenchymal stromal cells and the treatment of graft versus host disease
description Richard P Herrmann, Marian J Sturm Cell and Tissue Therapies, Western Australia, Royal Perth Hospital, Wellington Street, Perth, WA, Australia Abstract: Graft versus host disease is a difficult and potentially lethal complication of hematopoietic stem cell transplantation. It occurs with minor human leucocyte antigen (HLA) mismatch and is normally treated with corticosteroid and other immunosuppressive therapy. When it is refractory to steroid therapy, mortality approaches 80%. Mesenchymal stromal cells are rare cells found in bone marrow and other tissues. They can be expanded in culture and possess complex and diverse immunomodulatory activity. Moreover, human mesenchymal stromal cells carry low levels of class 1 and no class 2 HLA antigens, making them immunoprivileged and able to be used without HLA matching. Their use in steroid-refractory graft versus host disease was first described in 2004. Subsequently, they have been used in a number of Phase I and II trials in acute and chronic graft versus host disease trials with success. We discuss their mode of action, the results, their production, and potential dangers with a view to future application. Keywords: mesenchymal stromal cells, graft versus host disease, acute, chronic
format article
author Herrmann RP
Sturm MJ
author_facet Herrmann RP
Sturm MJ
author_sort Herrmann RP
title Adult human mesenchymal stromal cells and the treatment of graft versus host disease
title_short Adult human mesenchymal stromal cells and the treatment of graft versus host disease
title_full Adult human mesenchymal stromal cells and the treatment of graft versus host disease
title_fullStr Adult human mesenchymal stromal cells and the treatment of graft versus host disease
title_full_unstemmed Adult human mesenchymal stromal cells and the treatment of graft versus host disease
title_sort adult human mesenchymal stromal cells and the treatment of graft versus host disease
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/8009406fc0f44d53917fb549c9e75609
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