Acquired Omenn-Like Syndrome, a Novel Posttransplant Autoaggression Syndrome Reversed by Rapamycin
Author(s) -
Donald C. Vinh,
Khalid Bin Dhuban,
Helen Mason,
Duncan Lejtenyi,
Sungmi Jung,
Donald C. Sheppard,
Damien Faury,
Nada Jabado,
Ciriaco A. Piccirillo
Publication year - 2011
Publication title -
clinical and vaccine immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.649
H-Index - 77
eISSN - 1556-6811
pISSN - 1556-679X
DOI - 10.1128/cvi.05456-11
Subject(s) - hematopoietic stem cell transplantation , medicine , transplantation , hematopoietic cell , immunology , foxp3 , haematopoiesis , surgery , biology , stem cell , immune system , genetics
Graft-versus-host disease is uncommon in autologous hematopoietic cell transplantation (HCT) and is typically brief and mild. We report unusual, protracted, and severe Omenn syndrome-like autoaggression following autologous HCT. We identified a profound FOXP3+ regulatory T cell defect that coincided with hyperinflammatory T cell responses which were reversible with rapamycinin vitro .
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