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- Title
Immune Reconstitution after Haploidentical Donor and Umbilical Cord Blood Allogeneic Hematopoietic Cell Transplantation.
- Authors
Elmariah, Hany; Brunstein, Claudio G.; Bejanyan, Nelli; Focosi, Daniele
- Abstract
Allogeneic hematopoietic cell transplantation (HCT) is the only potentially curative therapy for a variety of hematologic diseases. However, this therapeutic platform is limited by an initial period when patients are profoundly immunocompromised. There is gradual immune recovery over time, that varies by transplant platform. Here, we review immune reconstitution after allogeneic HCT with a specific focus on two alternative donor platforms that have dramatically improved access to allogeneic HCT for patients who lack an HLA-matched related or unrelated donor: haploidentical and umbilical cord blood HCT. Despite challenges, interventions are available to mitigate the risks during the immunocompromised period including antimicrobial prophylaxis, modified immune suppression strategies, graft manipulation, and emerging adoptive cell therapies. Such interventions can improve the potential for long-term overall survival after allogeneic HCT.
- Subjects
HEMATOPOIETIC stem cell transplantation; CORD blood; BLOOD diseases; IMMUNOSUPPRESSION; CELLULAR therapy
- Publication
Life (2075-1729), 2021, Vol 11, Issue 2, p102
- ISSN
2075-1729
- Publication type
Article
- DOI
10.3390/life11020102