Tregs and GvHD prevention by extracorporeal photopheresis: observations from a clinical trial.

Allogeneic hematopoietic stem cell transplantation Extracorporeal photopheresis Graft-versus-host disease T regulatory cells

Journal

Experimental hematology & oncology
ISSN: 2162-3619
Titre abrégé: Exp Hematol Oncol
Pays: England
ID NLM: 101590676

Informations de publication

Date de publication:
16 Feb 2021
Historique:
received: 21 12 2020
accepted: 09 02 2021
entrez: 17 2 2021
pubmed: 18 2 2021
medline: 18 2 2021
Statut: epublish

Résumé

The aim of the present study was to evaluate the circulating T regulatory cells (Tregs) in patients undergoing extracorporeal photopheresis (ECP) for the prevention of chronic graft-versus-host disease (GvHD) and to search for any correlation between Tregs counts and chronic GvHD occurrence. Among n = 12 patients with complete longitudinal data, the median cumulative values of absolute peripheral Tregs counts were 21.64 and 63.49 cells/µL for patients who developed chronic GvHD and those who did not develop it, respectively (p = 0.05). The analysis of the median absolute counts of peripheral HLA-DR + Tregs provided similar results, showing that 20% (1 out of 5) and 100% (7 out of 7) of patients with HLA-DR + Tregs values of > 5 cells/µL were in the GvHD and non-GvHD groups, respectively (p = 0.01). In conclusion, the present results support the involvement of Tregs in the prevention of chronic GvHD in patients receiving ECP and suggest Tregs count as a potential biomarker of ECP effectiveness. Future strategies are needed to enhance Tregs expansion and/or activity in conjunction with ECP for an effective chronic GvHD prevention.

Identifiants

pubmed: 33593442
doi: 10.1186/s40164-021-00210-9
pii: 10.1186/s40164-021-00210-9
pmc: PMC7887801
doi:

Types de publication

Letter

Langues

eng

Pagination

14

Commentaires et corrections

Type : ErratumIn

Références

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Auteurs

Roberto Crocchiolo (R)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy. roberto.crocchiolo@ospedaleniguarda.it.

Clara Cesana (C)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Debora Girgenti (D)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Giambattista Bertani (G)

Ematologia, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Claudia Barba (C)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Giuseppa Liga (G)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Ursula Ferri (U)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Lara Crucitti (L)

Ematologia, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Giovanni Grillo (G)

Ematologia, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Silvano Rossini (S)

Servizio Di Immunoematologia E Medicina Trasfusionale, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milano, Italy.

Roberto Cairoli (R)

Ematologia, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Classifications MeSH