摘要
急性移植物抗宿主病 (aGVHD)是异基因造血干细胞移植的主要并发症 ,严重限制其应用。细胞因子网络在aGVHD的发病中起重要作用 ,其作用机制在小鼠模型中已经得到清楚的阐述 ,而人类aGVHD的发病机制尚需进一步探讨。动态监测移植后血清细胞因子sIL 2R ,TNF α和IFN γ等的表达或检测移植前细胞因子的基因表达可以对aGVHD进行预测 ,从而有助于采取针对性的预防措施。GVHD有移植物抗白血病作用 (GVL)。GVHD和GVL是可分的。细胞因子IL 2 ,IL 12 ,IL 11,KGF和G
Acute graft-versus-host disease (aGVHD) is the major complication of allogeneic stem cell transplantation (allo-HSCT), significantly limits the application of the therapy. Current evidence suggests that dysregulated cytokine production is responsible for many manifestations of aGVHD. The mechanisms have been most clearly delineated in mouse models, detailed analysis of human tissue is required. Monitoring serum levels of cytokine sIL-2R, TNF-α and IFN-γ after transplantation or cytokine gene expression before transplantation can predict prognossis of aGVHD. GVHD have graft-versus-leukemia (GVL) effect, and GVL can be seperated from GVHD. IL-2, IL-12, IL-11, KGF and G-CSF could possess the roles of reducing GVHD while preserving GVL.
出处
《中国实验血液学杂志》
CAS
CSCD
2000年第4期312-316,共5页
Journal of Experimental Hematology
基金
国家自然科学基金 (编号 3 9870 710 )
上海市卫生系统"百人计划"(编号 98BR0 2 9)资助
关键词
细胞因子
急性移植物抗宿主病
移植物抗白血病
cytokine graft-versus-host disease graft-versus-leukemia allogeneic stem cell transplantation
