PMID- 28371460 OWN - NLM STAT- MEDLINE DCOM- 20180611 LR - 20180821 IS - 2059-2310 (Electronic) IS - 2059-2302 (Linking) VI - 89 IP - 5 DP - 2017 May TI - Hematopoietic stem cell transplantation and cellular therapy. PG - 267-277 LID - 10.1111/tan.13005 [doi] AB - Allogeneic stem cell transplantation is a form of immunotherapy that has increased the chances of survival for patients with relapsed leukemia and high risk leukemia in remission. The major obstacles are graft-vs-host disease (GVHD) involving vital organs and infections. A most efficacious prophylaxis of GVHD is by depleting of T cells from the graft. However, problems of T-depleted transplants are rejection, slow recovery of the immune system and high incidence of relapse of leukemia and myeloma. The major problem of allogeneic transplantation is the separation of a graft-vs-leukemia (GVL) effect from GVHD. This review will summarize the factors influencing GVHD, ways to exploit rapid advances in our knowledge of histocompatibility, chimerism and tolerance for fostering GVL over GVHD, and in particular the use of cellular therapies including donor lymphocyte infusions for disease control. CI - (c) 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Kolb, H-J AU - Kolb HJ AD - Helmholtz Zentrum Muenchen, Muenchen, Germany. AD - Ludwig Maximilians Universitaet Muenchen, Muenchen, Germany. AD - Klinikum Muenchen Schwabing Muenchen, Muenchen, Germany. AD - Department PediatricsTechnische Unoiversitaet Muenchen, Muenchen, Germany. LA - eng PT - Journal Article PT - Review PL - England TA - HLA JT - HLA JID - 101675570 RN - 0 (HLA Antigens) SB - IM MH - Animals MH - Cell- and Tissue-Based Therapy/methods MH - Gene Expression MH - Graft vs Host Disease/genetics/immunology/pathology/*prevention & control MH - *Graft vs Leukemia Effect MH - HLA Antigens/genetics/immunology MH - Haplotypes MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - *Immune Tolerance MH - Leukemia/genetics/immunology/pathology/*therapy MH - Lymphocyte Depletion MH - Recurrence MH - T-Lymphocytes/cytology/immunology/*transplantation MH - Transplantation Chimera MH - Transplantation, Homologous OTO - NOTNLM OT - allogeneic hematologic stem cell transplantation OT - leukemia OT - post-transplant relapse EDAT- 2017/04/04 06:00 MHDA- 2018/06/12 06:00 CRDT- 2017/04/04 06:00 PHST- 2017/02/16 00:00 [received] PHST- 2017/02/16 00:00 [accepted] PHST- 2017/04/04 06:00 [entrez] PHST- 2017/04/04 06:00 [pubmed] PHST- 2018/06/12 06:00 [medline] AID - 10.1111/tan.13005 [doi] PST - ppublish SO - HLA. 2017 May;89(5):267-277. doi: 10.1111/tan.13005.