PMID- 34210500 OWN - NLM STAT- MEDLINE DCOM- 20210715 LR - 20210715 IS - 2666-6367 (Electronic) IS - 2666-6367 (Linking) VI - 27 IP - 7 DP - 2021 Jul TI - Guidelines for the Prevention and Management of Graft-versus-Host Disease after Cord Blood Transplantation. PG - 540-544 LID - S2666-6367(21)00755-7 [pii] LID - 10.1016/j.jtct.2021.03.012 [doi] AB - The incidence of graft-versus-host disease (GVHD) after cord blood (CB) transplantation (CBT) is lower than expected given the marked degree of human leukocyte antigen (HLA)-mismatch of CB grafts. While the exact mechanism that underlies this biology remains unclear, it is hypothesized to be due to the low number of mostly immature T-cells infused as part of the graft1,2, and increased tolerance of CB-derived lymphocytes induced by the state of pregnancy. Nevertheless, acute GVHD (aGVHD) is a significant complication of CBT. In contrast, the incidence of chronic GVHD (cGVHD) following CBT is lower than what is observed following matched related or unrelated donor HSC transplantation (HSCT)3-6. This review outlines the guidelines for the prevention and management of acute and chronic GVHD following CBT. CI - Copyright (c) 2021 The American Society for Transplantation and Cellular Therapy. Published by Elsevier Inc. All rights reserved. FAU - Ponce, Doris M AU - Ponce DM AD - Adult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York; Weill Cornell Medical College; New York, New York. Electronic address: ponced@mskcc.org. FAU - Politikos, Ioannis AU - Politikos I AD - Adult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York; Weill Cornell Medical College; New York, New York. FAU - Alousi, Amin AU - Alousi A AD - Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Carpenter, Paul A AU - Carpenter PA AD - Fred Hutchinson Cancer Research Center, Division of Clinical Research, Department of Pediatrics, Seattle, Washington. FAU - Milano, Filippo AU - Milano F AD - Fred Hutchinson Cancer Research Center, Department of Oncology, Seattle, Washington. FAU - MacMillan, Margaret L AU - MacMillan ML AD - Blood and Marrow Transplantation & Cellular Therapy Program, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota. FAU - Barker, Juliet N AU - Barker JN AD - Adult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York; Weill Cornell Medical College; New York, New York. FAU - Horwitz, Mitchell E AU - Horwitz ME AD - Hematologic Malignancies and Cellular Therapies, Department of Medicine, Duke Cancer Institute, Durham, North Carolina. CN - American Society for Transplantation and Cellular Therapy Cord Blood Special Interest Group LA - eng PT - Practice Guideline PT - Review PL - United States TA - Transplant Cell Ther JT - Transplantation and cellular therapy JID - 101774629 RN - 0 (HLA Antigens) SB - IM MH - *Cord Blood Stem Cell Transplantation/adverse effects MH - *Graft vs Host Disease/prevention & control MH - HLA Antigens MH - *Hematopoietic Stem Cell Transplantation/adverse effects MH - Humans MH - Unrelated Donors OTO - NOTNLM OT - Cord blood transplant OT - Graft-versus-host disease EDAT- 2021/07/03 06:00 MHDA- 2021/07/16 06:00 CRDT- 2021/07/02 05:43 PHST- 2021/03/05 00:00 [received] PHST- 2021/03/07 00:00 [accepted] PHST- 2021/07/02 05:43 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/16 06:00 [medline] AID - S2666-6367(21)00755-7 [pii] AID - 10.1016/j.jtct.2021.03.012 [doi] PST - ppublish SO - Transplant Cell Ther. 2021 Jul;27(7):540-544. doi: 10.1016/j.jtct.2021.03.012.