Immune reconstitution: an important component of a successful allogeneic transplantation

The recipients of allogeneic haematopoietic stem cell transplants are characterised by an immunodeficiency of varying severity and duration. Their immunocompromised state is due in part to: (1) an impaired recapitulation of lymphoid ontogeny, (2) a lack of sustained transfer of donor immunity, (3) t...

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Veröffentlicht in:Immunology Letters 2000-11, Vol.74 (3), p.177-181
1. Verfasser: Paloczi, Katalin
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description The recipients of allogeneic haematopoietic stem cell transplants are characterised by an immunodeficiency of varying severity and duration. Their immunocompromised state is due in part to: (1) an impaired recapitulation of lymphoid ontogeny, (2) a lack of sustained transfer of donor immunity, (3) the effects of graft versus host disease and its therapy, and (4) a reduction in thymic function. Recipients can have delays in the production of naive T lymphocytes following transplantation which result in defects in the production of new antigen specific T lymphocytes and an inability to produce antibodies, especially to carbohydrate antigens. T-cell proliferation as well as immunoglobulin production remains impaired usually until the second half of the first year post-transplant. Other factors that can influence immunological reconstitution include the donor–recipient relationship (histocompatible or matched unrelated donor), intervening infections and recipient age, among others.
doi_str_mv 10.1016/S0165-2478(00)00270-4
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subjects Adult
Antibody Formation
B-Lymphocyte Subsets - immunology
BMT
Cell Lineage
Graft Survival - immunology
Graft vs Host Disease - immunology
Hematopoietic Stem Cell Transplantation
Histocompatibility
Humans
Immunity, Cellular
Immunocompetence
Lymphocyte Activation
Lymphocyte Count
Lymphoid ontogeny
Reconstitution
T-Lymphocyte Subsets - immunology
Time Factors
Transplantation Conditioning
Transplantation, Homologous - immunology
Vaccination
title Immune reconstitution: an important component of a successful allogeneic transplantation
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