Cargando…

Mesenchymal stromal cells for acute graft‐versus‐host disease: response at 1 week predicts probability of survival

Mesenchymal stromal cells (MSCs) have been successfully used for the treatment of steroid‐resistant graft‐versus‐host‐disease (GvHD). However, the lack of early predictors of clinical responses impacts on the time at which to add further treatment and consequently the design of informative clinical...

Descripción completa

Detalles Bibliográficos
Autores principales: Galleu, Antonio, Milojkovic, Dragana, Deplano, Simona, Szydlo, Richard, Loaiza, Sandra, Wynn, Robert, Marks, David I., Richardson, Deborah, Orchard, Kim, Kanfer, Edward, Tholouli, Eleni, Saif, Muhammad, Sivaprakasam, Ponni, Lawson, Sarah, Bloor, Adrian, Pagliuca, Antonio, Potter, Victoria, Mehra, Varun, Snowden, John A., Vora, Ajay, Kishore, Bhuvan, Hunter, Hannah, Apperley, Jane F., Dazzi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916615/
https://www.ncbi.nlm.nih.gov/pubmed/30637732
http://dx.doi.org/10.1111/bjh.15749
Descripción
Sumario:Mesenchymal stromal cells (MSCs) have been successfully used for the treatment of steroid‐resistant graft‐versus‐host‐disease (GvHD). However, the lack of early predictors of clinical responses impacts on the time at which to add further treatment and consequently the design of informative clinical trials. Here, we present the UK experience of one of the largest cohorts of GvHD patients undergoing MSC infusions so far reported. We show that clinical responses assessed as early as 1 week after MSC infusion predict patients’ overall survival. In our cohort, cell dose, patients’ age and type of organ involvement are crucial factors associated with clinical responses.