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Intravenous apoptotic cell infusion as a cell‐based therapy toward improving hematopoietic cell transplantation outcome
Author(s) -
Saas Philippe,
Gaugler Béatrice,
Perruche Sylvain
Publication year - 2010
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2010.05741.x
Subject(s) - hematopoietic cell , cell , apoptosis , hematopoietic stem cell transplantation , transplantation , haematopoiesis , medicine , cell therapy , stem cell , chemistry , biology , microbiology and biotechnology , biochemistry
Allogeneic hematopoietic cell transplantation (AHCT) is an efficient therapy for different malignant and nonmalignant hematological diseases. However, the use of this therapeutic approach is still limited by some severe toxic side effects, mainly graft‐versus‐host disease (GvHD). Today, the risk of fatal GvHD restrains the wider application of AHCT to many patients in need of an effective therapy for their high‐risk hematologic malignancies. Thus, new strategies, including cell‐based therapy approaches, are required. We propose to use intravenous donor apoptotic leukocyte infusion to improve AHCT outcome. In experimental AHCT models, we demonstrated that intravenous apoptotic leukocyte infusion, simultaneously with allogeneic bone marrow grafts, favors hematopoietic engraftment, prevents allo‐immunization, and delays acute GvHD onset. Here, we review the different mechanisms and the potential beneficial effects associated with the immunomodulatory properties of apoptotic cells in the AHCT setting.