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10.1111/bjh.14034

http://scihub22266oqcxt.onion/10.1111/bjh.14034
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27030315!4917459!27030315
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suck abstract from ncbi

pmid27030315      Br+J+Haematol 2016 ; 174 (1): 102-16
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  • Post-transplant bendamustine reduces GvHD while preserving GvL in experimental haploidentical bone marrow transplantation #MMPMID27030315
  • Stokes J; Hoffman EA; Zeng Y; Larmonier N; Katsanis E
  • Br J Haematol 2016[Jul]; 174 (1): 102-16 PMID27030315show ga
  • Advances in haploidentical bone marrow transplantation (h-BMT) have drastically broadened the treatment options for patients requiring BMT. The possibility of significantly reducing the complications resulting from graft-versus-host disease (GvHD) with the administration of post-transplant cyclophosphamide (PT-CY) has substantially improved the efficacy and applicability of T cell-replete h-BMT. However, higher frequency of disease recurrence remains a major challenge in h-BMT with PT-CY. There is a critical need to identify novel strategies to prevent GvHD while sparing the graft-versus-leukaemia (GvL) effect in h-BMT. To this end, we evaluated the impact of bendamustine (BEN), given post-transplant, on GvHD and GvL using clinically relevant murine h-BMT models. We provide results indicating that post-transplant bendamustine (PT-BEN) alleviates GvHD, significantly improving survival, while preserving engraftment and GvL effects. We further document that PT-BEN can mitigate GvHD even in the absence of Treg. Our results also indicate that PT-BEN is less myelosuppressive than PT-CY, significantly increasing the number and proportion of CD11b(+) Gr-1(hi) cells, while decreasing lymphoid cells. In vitro we observed that BEN enhances the suppressive function of myeloid-derived suppressor cells (MDSCs) while impairing the proliferation of T- and B-cells. These results advocate for the consideration of PT-BEN as a new therapeutic platform for clinical implementation in h-BMT.
  • |Animals[MESH]
  • |Bendamustine Hydrochloride/*administration & dosage/pharmacology[MESH]
  • |Bone Marrow Transplantation/*methods[MESH]
  • |Cyclophosphamide/pharmacology[MESH]
  • |Graft vs Host Disease/drug therapy/*prevention & control[MESH]
  • |Graft vs Leukemia Effect/*drug effects[MESH]
  • |Histocompatibility/immunology[MESH]
  • |Immunosuppression Therapy[MESH]
  • |Mice[MESH]


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