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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Dove Medical Press
2014
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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) |
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Cytology QH573-671 Herrmann RP Sturm MJ Adult human mesenchymal stromal cells and the treatment of graft versus host disease |
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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 |
work_keys_str_mv |
AT herrmannrp adulthumanmesenchymalstromalcellsandthetreatmentofgraftversushostdisease AT sturmmj adulthumanmesenchymalstromalcellsandthetreatmentofgraftversushostdisease |
_version_ |
1718401675234902016 |