PMID- 32983569 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 2056-5623 (Print) IS - 2056-5623 (Electronic) IS - 2056-5623 (Linking) VI - 6 IP - 8 DP - 2020 Aug 10 TI - Should we use extracorporeal photopheresis more often? Evidence from graft-versus-host disease patients monitored with Treg as a biomarker. PG - FSO623 LID - 10.2144/fsoa-2020-0107 [doi] LID - FSO623 AB - BACKGROUND: Chronic graft-versus-host disease (cGvHD) is a major complication after allogeneic hematopoietic cell transplantation. Extracorporeal photopheresis (ECP) is an immunotherapy treatment for cGvHD, although suitable response biomarkers are lacking. MATERIALS & METHODS: We analyzed data from six cGvHD patients undergoing ECP at a reference center from 826 to 2866 days. Circulating Tregs were enumerated, patient's clinical evolution, immunosuppression dose and adverse events (AEs) registered. RESULTS: We observed an increase in Tregs, a decrease in immunosuppression dosage and symptoms improvement. Mild AEs occurred at a very low rate. CONCLUSION: In these patients, the improvement of cGvHD, with low AEs, confirms a place for ECP as treatment. Improvements were accompanied by an increase in circulating Tregs, suggesting their role as a biomarker. CI - (c) 2020 Sergio Machado Lopes. FAU - Lopes, Sergio Machado AU - Lopes SM AUID- ORCID: 0000-0002-4002-1071 AD - Department of Cellular Therapy, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. AD - Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal. FAU - Roncon, Susana AU - Roncon S AD - Department of Cellular Therapy, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Pinho, Ana Catarina AU - Pinho AC AD - Department of Cellular Therapy, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Bordalo, Filipa AU - Bordalo F AD - Department of Cellular Therapy, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Antunes, Luis AU - Antunes L AUID- ORCID: 0000-0002-3098-0711 AD - Department of Bone Marrow Transplant, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Campilho, Fernando AU - Campilho F AD - Department of Epidemiology, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Campos, Antonio AU - Campos A AD - Department of Epidemiology, Instituto Portugues de Oncologia do Porto, 4200-072, Porto, Portugal. FAU - Costa-Pereira, Altamiro AU - Costa-Pereira A AD - Center for Health Technology & Services Research (CINTESIS), Department of Community Medicine, Information & Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, 4200-319, Porto, Portugal. LA - eng PT - Journal Article DEP - 20200810 PL - England TA - Future Sci OA JT - Future science OA JID - 101665030 PMC - PMC7491011 OTO - NOTNLM OT - ECP OT - GvHD OT - Treg OT - extracorporeal photopheresis OT - immunotherapy COIS- Financial & competing interests disclosure The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. No writing assistance was utilized in the production of this manuscript. EDAT- 2020/09/29 06:00 MHDA- 2020/09/29 06:01 PMCR- 2020/08/10 CRDT- 2020/09/28 05:42 PHST- 2020/09/28 05:42 [entrez] PHST- 2020/09/29 06:00 [pubmed] PHST- 2020/09/29 06:01 [medline] PHST- 2020/08/10 00:00 [pmc-release] AID - 10.2144/fsoa-2020-0107 [doi] PST - epublish SO - Future Sci OA. 2020 Aug 10;6(8):FSO623. doi: 10.2144/fsoa-2020-0107.