PMID- 19766472 OWN - NLM STAT- MEDLINE DCOM- 20100115 LR - 20091013 IS - 1879-0372 (Electronic) IS - 0952-7915 (Linking) VI - 21 IP - 5 DP - 2009 Oct TI - Immune reconstitution after haematopoietic stem cell transplantation: obstacles and anticipated progress. PG - 544-8 LID - 10.1016/j.coi.2009.08.001 [doi] AB - Improvement of immune reconstitution after haematopoietic stem cell transplantation (HSCT) is a key issue determining the clinical outcome of this widely used therapeutic approach. To this end, new strategies have been prompted by recent discoveries in immunology. In the setting of human leukocyte antigen (HLA) geno(pheno)identical HSCT, better prevention and treatment of acute and chronic graft-versus-host disease (GvHD) could significantly attenuate the thymic epithelium damage responsible for delayed and incomplete T-cell reconstitution. In a haploidentical setting, methods that would significantly accelerate neothymopoiesis in the months following injection of highly purified CD34+ cells are warranted. If these objectives could be achieved, the haploidentical procedure would become more readily available to patients affected by acquired or inherited disorders of the haematopoietic system. FAU - Cavazzana-Calvo, Marina AU - Cavazzana-Calvo M AD - Assistance Publique Hopitaux de Paris (AP-HP), Department of Biotherapy, Hopital Necker Enfants-Malades, Paris, France. m.cavazzana@nck.aphp.fr FAU - Andre-Schmutz, Isabelle AU - Andre-Schmutz I FAU - Dal Cortivo, Liliane AU - Dal Cortivo L FAU - Neven, Benedicte AU - Neven B FAU - Hacein-Bey-Abina, Salima AU - Hacein-Bey-Abina S FAU - Fischer, Alain AU - Fischer A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20090918 PL - England TA - Curr Opin Immunol JT - Current opinion in immunology JID - 8900118 RN - 0 (Antigens, CD34) SB - IM MH - Adoptive Transfer MH - Antigens, CD34/immunology MH - Graft vs Host Disease/*immunology/prevention & control/therapy MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - T-Lymphocytes/cytology/*immunology/transplantation MH - Thymus Gland/cytology/immunology MH - Transplantation Immunology RF - 30 EDAT- 2009/09/22 06:00 MHDA- 2010/01/16 06:00 CRDT- 2009/09/22 06:00 PHST- 2009/06/08 00:00 [received] PHST- 2009/08/07 00:00 [revised] PHST- 2009/08/07 00:00 [accepted] PHST- 2009/09/22 06:00 [entrez] PHST- 2009/09/22 06:00 [pubmed] PHST- 2010/01/16 06:00 [medline] AID - S0952-7915(09)00170-8 [pii] AID - 10.1016/j.coi.2009.08.001 [doi] PST - ppublish SO - Curr Opin Immunol. 2009 Oct;21(5):544-8. doi: 10.1016/j.coi.2009.08.001. Epub 2009 Sep 18.