2018
DOI: 10.1155/2018/9451950
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Graft versus Host Disease: From Basic Pathogenic Principles to DNA Damage Response and Cellular Senescence

Abstract: Graft versus host disease (GVHD), a severe immunogenic complication of allogeneic hematopoietic stem cell transplantation (HSCT), represents the most frequent cause of transplant-related mortality (TRM). Despite a huge progress in HSCT techniques and posttransplant care, GVHD remains a significant obstacle in successful HSCT outcome. This review presents a complex summary of GVHD pathogenesis with focus on references considering basic biological processes such as DNA damage response and cellular senescence.

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Cited by 29 publications
(23 citation statements)
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References 136 publications
(145 reference statements)
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“…Nevertheless, the immune system employs apoptosis not only as a self-restricting regulatory mechanism but also as an effector mechanism of immune-competent cells which can selectively eliminate virus-infected, transformed cells [111], and also normal cells in case of autoimmune inflammation [97], or in post-transplantion disorders [112]. TRAIL also represents an effector of immune-surveillance function and contribute to apoptosis of tumor and virus-infected cells [84].…”
Section: The Impact Of Central and Peripheral Inflammatory/ Immune Rementioning
confidence: 99%
“…Nevertheless, the immune system employs apoptosis not only as a self-restricting regulatory mechanism but also as an effector mechanism of immune-competent cells which can selectively eliminate virus-infected, transformed cells [111], and also normal cells in case of autoimmune inflammation [97], or in post-transplantion disorders [112]. TRAIL also represents an effector of immune-surveillance function and contribute to apoptosis of tumor and virus-infected cells [84].…”
Section: The Impact Of Central and Peripheral Inflammatory/ Immune Rementioning
confidence: 99%
“…Graft-versus-host disease (GVHD) is a complication of allogeneic hematopoietic stem cell transplantation (HSCT) that occurs due to the presence of donor's immunocompetent cells; this condition is considered a major obstacle of HSCT avoiding successful treatment of hematological diseases; that is why novel approaches such as MSCs to overcome this challenge must be considered [ 107 , 108 ].…”
Section: Current Mesenchymal Stem Cell Research For Clinical Applimentioning
confidence: 99%
“…The pathophysiology of GvHD happens in several phases with the initial phase beginning due to the damaged intestinal epithelium by the conditioning regimens ( Figure 1 a). The loose intestinal integrity after conditioning allows the release of intestinal microbes, pathogen-associated molecular patterns (PAMPs), damage-associated molecular patterns (DAMPs), and pro-inflammatory cytokines to cross the epithelial barrier and enter the blood circulation [ 39 , 40 , 41 ]. Subsequently, translocation of these pathogenic components activates APCs by triggering toll-like receptor (TLR) signaling pathways ( Figure 1 b) [ 42 , 43 , 44 ].…”
Section: Pathogenesis Of Acute Graft-versus-host Diseasementioning
confidence: 99%