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Erschienen in: Cancer Immunology, Immunotherapy 11/2005

01.11.2005 | Review

T cell-mediated graft-versus-leukemia reactions after allogeneic stem cell transplantation

verfasst von: Johannes Schetelig, Alexander Kiani, Marc Schmitz, Gerhard Ehninger, Martin Bornhäuser

Erschienen in: Cancer Immunology, Immunotherapy | Ausgabe 11/2005

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Abstract

Allogeneic hematopoietic stem cell transplantation represents the only curative approach for many hematological malignancies. During the last years the impact of the conditioning regimen has been re-assessed. With the advent of reduced-intensity conditioning the paradigm has changed from cytoreduction executed by high-dose radio-chemotherapy to immunological surveillance of leukemia by donor cells. Distinct subsets of T cells and NK cells contribute to graft-versus-leukemia reactions. So far, cytotoxic T lymphocytes are the mainstay of allogeneic immunotherapy. Here, we summarise the current knowledge of T cell-mediated graft-versus-leukemia reactions and present results from pre-clinical and clinical studies of T cell-based adoptive immunotherapy. We address the issues of feasibility and specificity of adoptive immunotransfer from a clinical point of view and discuss the prerequisites for successful clinical applications. Finally, the prospects for immunological research that have evolved with the increasing use of reduced-intensity conditioning and allogeneic stem cell transplantation are highlighted.
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Metadaten
Titel
T cell-mediated graft-versus-leukemia reactions after allogeneic stem cell transplantation
verfasst von
Johannes Schetelig
Alexander Kiani
Marc Schmitz
Gerhard Ehninger
Martin Bornhäuser
Publikationsdatum
01.11.2005
Erschienen in
Cancer Immunology, Immunotherapy / Ausgabe 11/2005
Print ISSN: 0340-7004
Elektronische ISSN: 1432-0851
DOI
https://doi.org/10.1007/s00262-005-0681-6

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