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2015 ; 100
(6
): 709-19
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T-cell and natural killer cell therapies for hematologic malignancies after
hematopoietic stem cell transplantation: enhancing the graft-versus-leukemia
effect
#MMPMID26034113
Cruz CR
; Bollard CM
Haematologica
2015[Jun]; 100
(6
): 709-19
PMID26034113
show ga
Hematopoietic stem cell transplantation has revolutionized the treatment of
hematologic malignancies, but infection, graft-versus-host disease and relapse
are still important problems. Calcineurin inhibitors, T-cell depletion
strategies, and immunomodulators have helped to prevent graft-versus-host
disease, but have a negative impact on the graft-versus-leukemia effect. T cells
and natural killer cells are both thought to be important in the
graft-versus-leukemia effect, and both cell types are amenable to ex vivo
manipulation and clinical manufacture, making them versatile immunotherapeutics.
We provide an overview of these immunotherapeutic strategies following
hematopoietic stem cell transplantation, with discussions centered on natural
killer and T-cell biology. We discuss the contributions of each cell type to
graft-versus-leukemia effects, as well as the current research directions in the
field as related to adoptive cell therapy after hematopoietic stem cell
transplantation.