Tolerance regeneration by T regulatory cells in autologous haematopoietic stem cell transplantation for autoimmune diseases

Autologous haematopoietic stem cell transplantation shows increasing promise as a therapeutic option for patients with treatment-refractory autoimmune disease, particularly systemic sclerosis and multiple sclerosis. However, this intensive chemotherapy-based procedure is not always possible due to p...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2020-05, Vol.55 (5), p.857-866
Hauptverfasser: Hendrawan, Kevin, Visweswaran, Malini, Ma, David D. F., Moore, John J.
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container_issue 5
container_start_page 857
container_title Bone marrow transplantation (Basingstoke)
container_volume 55
creator Hendrawan, Kevin
Visweswaran, Malini
Ma, David D. F.
Moore, John J.
description Autologous haematopoietic stem cell transplantation shows increasing promise as a therapeutic option for patients with treatment-refractory autoimmune disease, particularly systemic sclerosis and multiple sclerosis. However, this intensive chemotherapy-based procedure is not always possible due to potential treatment toxicities and comorbidities. The biological mechanisms of how this procedure induces long-term remission in autoimmune disease are increasingly understood. The focus of this review is on recent research findings on the role of CD4+ T regulatory cells (Tregs) in resetting the immune system leading to the eradication of the autoimmune disease after transplantation. Discovery of the precise mechanisms of this process will allow development of novel Treg-based therapies and thus avoid the need for intensive chemotherapy-based treatment for these autoimmune diseases in the future.
doi_str_mv 10.1038/s41409-019-0710-2
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source Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals
subjects 631/250/1854/2813
631/250/1904
Autografts
Autoimmune diseases
B cells
Cancer
CD4 antigen
Cell Biology
Chemotherapy
Disease
Health aspects
Health services
Hematology
Hematopoietic stem cells
Immune system
Immunological tolerance
Immunoregulation
Internal Medicine
Lymphocytes T
Medical treatment
Medicine
Medicine & Public Health
Multiple sclerosis
Public Health
Regeneration
Remission
Review Article
Scleroderma
Scleroderma (Disease)
Stem cell research
Stem cell transplantation
Stem Cells
Systemic scleroderma
Systemic sclerosis
Therapeutic applications
Toxicity
Transplantation
title Tolerance regeneration by T regulatory cells in autologous haematopoietic stem cell transplantation for autoimmune diseases
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