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Review
. 2006 Mar;57(3):225-44.
doi: 10.1016/j.critrevonc.2005.07.001. Epub 2005 Oct 3.

Shared biology of GVHD and GVT effects: potential methods of separation

Daniel H Fowler  1
Affiliations
Review

Shared biology of GVHD and GVT effects: potential methods of separation

Daniel H Fowler. Crit Rev Oncol Hematol. 2006 Mar.

Abstract

The difficult separation of clinical graft-versus-tumor (GVT) effects from graft-versus-host disease (GVHD) reflects their shared biology VSports手机版. Experimental approaches to mediate GVT effects while limiting GVHD include: (1) allograft T cell depletion followed by immune enhancement; (2) modulation of T cell dose or T cell subset composition; (3) donor lymphocyte infusion; (4) reduced-intensity host preparation; (5) modulation of Th1/Th2 and Tc1/Tc2 cell balance; (6) cytokine therapy or neutralization; (7) T regulatory cell therapy; (8) co-stimulatory pathway modulation; (9) chemokine pathway modulation; (10) induction of antigen-specific T cells; (11) alloreactive NK cell therapy; and (12) targeted pharmaceutical inhibition of proteosome, mammalian target of rapamycin, and histone deacetylase pathways. Clearly, a multitude of approaches exist that hold promise for separating GVT effects from GVHD. Future success in this endeavor will require a strong commitment towards translational research and continued advances in cell, vaccine, cytokine, monoclonal antibody, and targeted molecular therapy. .

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