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Clinical Relevance of Immunobiology in Umbilical Cord Blood Transplantation
Journal article   Open access   Peer reviewed

Clinical Relevance of Immunobiology in Umbilical Cord Blood Transplantation

Hyun Don Yun, Ankur Varma, Mohammad J. Hussain, Sunita Nathan and Claudio Brunstein
Journal of clinical medicine, Vol.8(11), p.1968
11/14/2019
DOI: 10.3390/jcm8111968
PMCID: PMC6912281
PMID: 31739455
url
https://doi.org/10.3390/jcm8111968View
Published (Version of record) Open Access

Abstract

Umbilical cord blood transplantation (UCBT) has been an important donor source for allogeneic hematopoietic stem cell transplantation, especially for patients who lack suitable matched donors. UCBT provides unique practical advantages, such as lower risks of graft-versus-host-disease (GVHD), permissive HLA mismatch, and ease of procurement. However, there are clinical challenges in UCBT, including high infection rates and treatment-related mortality in selected patient groups. These clinical advantages and challenges are tightly linked with cell-type specific immune reconstitution (IR). Here, we will review IR, focusing on T and NK cells, and the impact of IR on clinical outcomes. Better understanding of the immune biology in UCBT will allow us to further advance this field with improved clinical practice.
General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology

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