Download or read book Immune Reconstitution After Allogeneic Hematopoietic Stem Cell Transplantation in Children written by and published by . This book was released on 2019 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Immune Reconstruction After Allogeneic Bone Marrow Transplantation In Pediatric Patients written by Popa Delia Codruta and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTEXT: Allogeneic hematopoietic stem cell transplantation (HSCT) has become a well-defined therapeutic strategy for a wide variety of malignant and non-malignant diseases with curative potential. Immune reconstitution post-HSCT is a complex and dynamic process, achieved in stages, depending on the type of transplant, the characteristics of the donor and the recipient, and the occurrence and stage of the graft versus host disease (GvHD).OBJECTIVE: The objective of our study is to identify the correlations between regenerating cell lineage and the time required for complete reconstitution of the immune status depending on the type of allogeneic transplantation.DESIGN: We retrospectively evaluated 16 patients, who have been undergoing allogeneic transplantation between January 2015 and March 2018, and who survived at least 100 days after transplantation in the Pediatric Department, Fundeni Clinical Institute, Bucharest. We analyzed the immune status (B, T and NK cells) by immunophenotyping, using the following markers: Lambda, Kappa, CD56, CD5, CD19, TCRgd/CD16, CD3, CD38, CD20, CD8, CD4, CD45 at well-defined checkpoint intervals (3, 6, 9, 12, and 24 months after the transplant). Absolute values of each subgroup were calculated using the percentage of each subset and absolute count from the leukocytes. RESULTS: In this study, 16 patients have been undergoing allogeneic HSCT transplantation for malignant and non-malignant diseases. There were achieved 5 haploidentical HSCT, 8 HSTC from a matched unrelated donor (MUD), and 4 matched sibling donor (MSD). 5 patients experienced immune recovery during the first 6 months, the NK cells subset has reconstituted in the first 3 months, and the last one to recover was the T cells subset (CD4+). In our study group, the immune reconstitution rate was 20% for haploidentical transplantation, 37.5% for MUD and 25% for MSD. Moreover, delayed immune reconstitution has been associated with the occurrence/reactivation of viral infections (CMV, EBV, BKV, and JCV) with increased frequency in the post-grafting period.CONCLUSIONS: In our center, patients undergoing transplantation from MSD have the fastest immune reconstitution. The immune reconstitution of patients after allogeneic HSCT influences long-term survival by contributing to the management of infectious complications and of GvHD.
Download or read book Immune Reconstitution After Allogeneic Hematopoietic Stem Cell Transplantation written by Brigitta Omazic and published by . This book was released on 2004 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Immunological Challenges Following Pediatric Hematopoietic Transplantation written by Robert James Hayashi and published by Frontiers Media SA. This book was released on 2021-09-28 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The European Blood and Marrow Transplantation Textbook for Nurses written by Michelle Kenyon and published by Springer. This book was released on 2018-03-14 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This textbook, endorsed by the European Society for Blood and Marrow Transplantation (EBMT), provides adult and paediatric nurses with a full and informative guide covering all aspects of transplant nursing, from basic principles to advanced concepts. It takes the reader on a journey through the history of transplant nursing, including essential and progressive elements to help nurses improve their knowledge and benefit the patient experience, as well as a comprehensive introduction to research and auditing methods. This new volume specifically intended for nurses, complements the ESH-EBMT reference title, a popular educational resource originally developed in 2003 for physicians to accompany an annual training course also serving as an educational tool in its own right. This title is designed to develop the knowledge of nurses in transplantation. It is the first book of its kind specifically targeted at nurses in this specialist field and acknowledges the valuable contribution that nursing makes in this area. This volume presents information that is essential for the education of nurses new to transplantation, while also offering a valuable resource for more experienced nurses who wish to update their knowledge.
Download or read book EBMT HANDBOOK written by and published by . This book was released on 2025 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book How to improve immune reconstitution in allogeneic hematopoietic stem cell transplantation written by Antoine Toubert and published by Frontiers Media SA. This book was released on 2015-03-12 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: Allogeneic haematopoietic stem cell transplantation (allo-HSCT) is widely used in the treatment of haematological malignancies as a form of immunotherapy acting through a graft-versus-leukemia (GvL) reaction. This curative allogeneic response can be associated with severe drawbacks, such as frequent and severe graft-versus-host disease (GvHD) and a long-lasting immunodeficiency, especially now with the development of innovative strategies such as umbilical cord blood transplantation or transplants from haplo-identical family donors (Haplo-HSCT). In the long-term follow-up of these patients, severe post-transplant infections, relapse or secondary malignancies may be directly related to persistent immune defects. Reconstitution of the different lymphocyte populations (B, T, NK, NKT) and antigen presenting cells of myeloid origin (monocytes, macrophages and dendritic cells) should be considered not only quantitatively but especially qualitatively, in terms of functional subsets. Immune deficiency leading to an increased susceptibility to infections lasts for more than a year. Although infections that occur in the first month mostly result from a deficiency in both granulocytes and mononuclear cells (MNC), later post-engraftment infections are due to a deficiency in MNC subsets, primarily CD4 T-cells and B-cells. T-cell reconstitution has been extensively studied because of the central role of T-cells in mediating both GvHD, evidenced by the reduced incidence of this complication following T-Cell depletion, and a GvL effect as shown by DLI. In the recent years there has been renewed interest in the role of NK-cells, especially in the context of Haplo-HSCT, and in B-cell reconstitution. This Frontiers Research Topic will provide state of the art knowledge of the mechanisms of immune reconstitution in an allogeneic environment, in order to improve monitoring and therapeutic intervention in allo-HSCT patients.
Download or read book Hematopoietic Stem Cell Transplantation for the Pediatric Hematologist Oncologist written by Valerie I. Brown and published by Springer. This book was released on 2017-12-22 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive and state-of-the-art review on pediatric hematopoietic stem cell transplantation (HSCT). The book covers such topics as graft versus host disease (GVHD), HSC mobilization, stem cell selection, and HSCT-relevant laboratory assays and techniques. The text is specially formatted so that the scientific basis of HSCT and ethical considerations are integrated into the relevant clinical framework. Each chapter also includes diagrams, illustrations, and tables that summarize key points and concepts that can be used as a quick visual reference for the reader. Written by experts in the field, Hematopoietic Stem Cell Transplantation for the Pediatric Hematologist/Oncologist is a valuable resource on pediatric HSCT suited for pediatric hematologists-oncologists, fellows, advanced practitioners, clinical nurses, and other referring physicians.
Download or read book Cells of the Immune System written by Ota Fuchs and published by BoD – Books on Demand. This book was released on 2020-05-13 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: The cells of the immune system are lymphocytes (T-cells, B-cells and NK (natural killer) cells), neutrophils, eosinophils, and monocytes/macrophages. This book is an overview of some types of these cells and their role in recognizing and/or reacting against foreign material. The immune system is characterized by collaboration between cells and proteins. The development of all cells of the immune system begins in the bone marrow with a hematopoietic stem cell. Two chapters deal with neutrophils, three chapters with T-cells, four chapters with eosinophils, and other chapters review the immunomodulation of macrophages, the role of transcription factor KLF4 in regulating plasticity of myeloid-derived suppressor cells, immune reconstitution after allogeneic hematopoietic stem cell transplantation, and role of sorption detoxification in the therapy of acute radiation sickness.
Download or read book Critical Care of the Pediatric Immunocompromised Hematology Oncology Patient written by Christine N. Duncan and published by Springer. This book was released on 2019-02-01 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive overview of critical care of the pediatric immunocompromised hematology-oncology patient. The text focuses on unique aspects of the pediatric immunocompromised patient that predisposes the child to significant illness, and presents critical care management strategies specific to the patient population. In addition to chapters on oncology, primary immune deficiency, immunocompromised hematology, and hematopoietic cell transplant patients, the book covers the changing landscape of ICU care, pharmacologic considerations, and psychological and social aspects of the critical care of hematology-oncology patients. Written by experts from a range of disciplines, Critical Care of the Pediatric Immunocompromised Hematology/Oncology Patient: An Evidence-Based Guide is a valuable resource for clinicians and practitioners who treat this patient population.
Download or read book Assessment of Immune Reconstitution Following Hematopoietic Stem Cell Transplantation written by Meenakshi Singh and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a potential curative treatment for both congenital and hematological malignancies. Immune reconstitution after allogeneic hematopoietic stem cell transplantation is implicated in successful transplant outcomes such as overall survival and relapse-free survival. The reconstitution of immune cell subsets after HSCT occurs in different phases at different time points encompassing pre-engraftment, engraftment, and post-engraftment. The recovery of innate cellular immunity with the appearance of monocytes, dendritic cells, and natural killer cells in peripheral blood correlates with initiation of cellular engraftment. The cellular adaptive immunity is characterized by both thymic-independent expansion of T cells infused with graft and thymus-dependent expansion of naïve T cells derived from donor stem cells. The humoral immunity consists of B-cell reconstitution, which consists primarily of transitional and naïve subsets with the recovery of memory B cells that occur much later. In this review, we highlight the factors affecting immune reconstitution, the reconstitution of innate and adaptive immunity, techniques to assess immune reconstitution, and ways to enhance it.
Download or read book Hematopoietic Stem Cell Transplantation in Children Post transplant Immune Reconstitution Prevention Early Diagnosis and Treatment of Infectious Complications and Problems of Intensive Care in Children Undergoing HSCT written by Jacek Wachowiak and published by . This book was released on 2006 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Thomas Hematopoietic Cell Transplantation written by Stephen J. Forman and published by John Wiley & Sons. This book was released on 2015-12-14 with total page 1416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised for the fifth edition, this outstanding reference on bone marrow transplantation is an essential, field-leading resource. Extensive coverage of the field, from the scientific basis for stem-cell transplantation to the future direction of research Combines the knowledge and expertise of over 170 international specialists across 106 chapters Includes new chapters addressing basic science experiments in stem-cell biology, immunology, and tolerance Contains expanded content on the benefits and challenges of transplantation, and analysis of the impact of new therapies to help clinical decision-making Includes a fully searchable Wiley Digital Edition with downloadable figures, linked references, and more References for this new edition are online only, accessible via the Wiley Digital Edition code printed inside the front cover or at www.wiley.com/go/forman/hematopoietic.
Download or read book Haploidentical Transplantation written by Stefan O. Ciurea and published by Springer. This book was released on 2018-05-03 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, world-renowned experts in the field express well-reasoned opinions on a range of issues and controversies relating to haploidentical transplantation with the aim of providing practicing hematologists with clinically relevant and readily applicable information. Among the areas covered are graft manipulation and methods to control T-cell alloreactivity, the nature of the ideal graft and donor, haploidentical transplantation in pediatric and adult patients with malignant and nonmalignant diseases, immunologic reconstitution following transplantation, complications, and the prevention and treatment of relapse post transplantation. Attention is drawn to the implications of high-impact clinical trials whenever such trials are available. The readily intelligible text is complemented by numerous helpful tables, algorithms, and figures. The book will provide practical support for hematologists and transplant physicians as they attempt to provide optimal care in this exciting but increasingly complex medical specialty.
Download or read book Modelling Immune Reconstitution Following Paediatric Haematopoietic Stem Cell Transplantation and in HIV infected Children written by Rollo L. Hoare and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Chronic Graft Versus Host Disease written by Georgia B. Vogelsang and published by Cambridge University Press. This book was released on 2009-04-20 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic graft versus host disease (GVHD) is the most common complication of allogenic bone marrow transplantation. Because of the protracted clinical course of chronic GVHD, transplant centers and hematology/oncology offices are inadequately equipped to manage these immuno-incompetent patients with a multi-system disorder. Practitioners need to be able to recognize and effectively manage chronic GVHD as a late effect of more than half of allogenic transplantations. The text is oriented for the clinician, with chapters covering staging, organ site and system-specific manifestations, treatment options, and supportive care. Drs Georgia B. Vogelsang and Steven Z. Pavletic have been pioneers in the recognition of the multi-organ complexity of this disease and have gathered the input of a variety of subspecialist physicians for this book. This book fills the gap in practical literature on chronic GVHD, providing a comprehensive, up-to-date, and clinically relevant resource for anyone who deals with cancer patients post-transplant.
Download or read book Practical Hematopoietic Stem Cell Transplantation written by Andrew J. Cant and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical Hematopoietic Stem Cell Transplantation is the only comprehensive yet practical guide to the total care of the transplant patient. It provides a ready source of reference to help health care professionals involved in the management of patients requiring bone marrow and stem cell transplantations – covering many of the infections and complications that may arise. An essential, practical manual for all those working in the field of bone marrow and stem cell transplantation A balanced practical text aimed at the whole multi-disciplinary team Easy to use - practically organized - covering all aspects of pre and post transplant care – including social and psychological aspects Experienced and well respected editorial team Whether you are an established specialist in hematology/oncology, nursing specialist, trainee, or any other member of the hematopoietic stem cell transplant team, this book will answer all your questions about the medical, social and psychological pre and post transplant, patient care.
