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National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease

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TLDR
In this article, the authors proposed a new clinical scoring system (0-3) that describes the extent and severity of chronic graft-versus-host disease for each organ or site at any given time, taking functional impact into account.
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This article is published in Biology of Blood and Marrow Transplantation.The article was published on 2015-03-01 and is currently open access. It has received 2883 citations till now. The article focuses on the topics: Graft-versus-host disease & Transplantation.

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Journal ArticleDOI

Graft-versus-host disease

TL;DR: The understanding of the risk factors and causes of GHVD, the cellular and cytokine networks implicated in its pathophysiology, and current strategies to prevent and treat the disease are reviewed.
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Interleukin-2 and Regulatory T Cells in Graft-versus-Host Disease

TL;DR: Daily low-dose interleukin-2 was safely administered in patients with active chronic GVHD that was refractory to glucocorticoid therapy and was associated with preferential, sustained Treg cell expansion in vivo and amelioration of the manifestations of chronic GvHD in a substantial proportion of patients.
Journal ArticleDOI

Peripheral-Blood Stem Cells versus Bone Marrow from Unrelated Donors

TL;DR: A phase 3, multicenter, randomized trial of transplantation of peripheral-blood stem cells versus bone marrow from unrelated donors did not detect significant survival differences, and exploratory analyses of secondary end points indicated that peripheral- Blood stem cells may reduce the risk of graft failure, whereas bone marrow may reduceThe risk of chronic GVHD.
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First-in-man clinical results of the treatment of patients with graft versus host disease with human ex vivo expanded CD4+CD25+CD127- T regulatory cells.

TL;DR: The therapy allowed for significant alleviation of the symptoms and reduction of pharmacologic immunosuppression in the case of chronic GvHD, while in the cases of grade IV acute Gv HD it only transiently improved the condition, for the longest time within all Immunosuppressants used nonetheless.
References
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Journal ArticleDOI

Chronic graft-versus-host syndrome in man: A long-term clinicopathologic study of 20 seattle patients

TL;DR: Three patients had limited chronic GVHD with relatively favorable prognosis characterized by localized skin involvement and/or hepatic disease without chronic aggressive histology, but most patients, however, had extensive disease with a progressive course.
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Donor characteristics as risk factors in recipients after transplantation of bone marrow from unrelated donors: the effect of donor age

TL;DR: Age should be considered when selecting among comparably HLA-matched volunteer donors and the use of younger donors may lower the incidence of GVHD and improve survival after bone marrow transplantation.
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Graft-versus-host disease after nonmyeloablative versus conventional hematopoietic stem cell transplantation.

TL;DR: The results show that nonablative HSCT is associated with a syndrome of acute GVHD occurring after day 100 in many patients, and should be taken into consideration in the design of prospective studies comparing GV HD resulting from the two types of transplantation procedures.
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Severity of chronic graft-versus-host disease: association with treatment-related mortality and relapse

TL;DR: A grading system predictive for survival was developed by using data from 1827 HLA-matched sibling allotransplant recipients reported to the International Bone Marrow Transplant Registry, and Karnofsky performance score, diarrhea, weight loss, and cutaneous and oral involvement were found to be independent prognostic variables, from which a grading scheme was generated.
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