Hematopoietic stem cell transplantation for primary immunodeficiency.

IF 2.6 3区 医学 Q2 ALLERGY
Nouf Alsaati, Alexandra Grier, Elisa Ochfeld, Susan McClory, Jennifer Heimall
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引用次数: 0

Abstract

Primary immunodeficiencies, also commonly called inborn errors of immunity (IEI), are commonly due to developmental or functional defects in peripheral blood cells derived from hematopoietic stem cells. In light of this, for the past 50 years, hematopoietic stem cell transplantation (HSCT) has been used as a definitive therapy for IEI. The fields of both clinical immunology and transplantation medicine have had significant advances. This, in turn, has allowed for both an increasing ability to determine a monogenic etiology for many IEIs and an increasing ability to successfully treat these patients with HSCT. Therefore, it has become more common for the practicing allergist/immunologist to diagnose and manage a broad range of patients with IEI before and after HSCT. This review aims to provide practical guidance for the clinical allergist/immunologist on the basics of HSCT and known outcomes in selected forms of IEI, the importance of pre-HSCT supportive care, and the critical importance of and guidance for life-long immunologic and medical monitoring of these patients.

造血干细胞移植治疗原发性免疫缺陷症。
原发性免疫缺陷,通常也称为先天性免疫错误(IEI),通常是由于造血干细胞衍生的外周血细胞发育或功能缺陷造成的。有鉴于此,过去 50 年来,造血干细胞移植(HSCT)一直被用作 IEI 的最终疗法。临床免疫学和移植医学领域都取得了重大进展。这反过来又使得确定许多 IEI 的单基因病因的能力不断提高,同时也使造血干细胞移植成功治疗这些患者的能力不断提高。因此,过敏/免疫专科医生在造血干细胞移植前后诊断和治疗各种 IEI 患者已变得越来越普遍。本综述旨在就造血干细胞移植的基础知识、特定形式 IEI 的已知结果、造血干细胞移植前支持性护理的重要性以及对这些患者进行终身免疫和医疗监测的重要性和指导,为临床过敏/免疫科医生提供实用指导。
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来源期刊
CiteScore
5.70
自引率
35.70%
发文量
106
审稿时长
6-12 weeks
期刊介绍: Allergy & Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists. The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma. Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.
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