Hematopoietic Stem Cell Transplant for Blood Cancer

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Hematology".

Deadline for manuscript submissions: closed (1 September 2019)

Special Issue Editors


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Guest Editor
Department of Oncology and Pathology, Karolinska Institutet, Department of Hematology, Oslo University Hospital and Clinical Immunology, Karolinska University Hospital, Huddinge, SE-141 86 Stockholm
Interests: stem cell transplantation; immunotherapy; GVHD

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Guest Editor
Hematology Department, Fondazione Policlinico Universitario Agostino Gemelli, Universita' Cattolica deI Sacro Cuore, Rome, Italy
Interests: stem cell transplantation; immunotherapy; myeloid leukemia; myelodysplastic syndrome

Special Issue Information

Dear Colleagues,

Allogeneic hematopoietic stem cell transplantation is today a standard treatment for several hematological malignancies and non-malignant disorders. The number of allogeneic transplants is steadily increasing world-wide. This field has been driven by substantial research activity enabling both improved clinical outcome and quality of life. Conditioning therapy has been refined and today there is increased focus on a personal medicine approach with more individualized therapy. Optimizing the stem cell source and increasing donor options have also contributed to the development these last years. Lower treatment toxicity, better surveillance and improved treatments of infections have greatly decreased transplant-related mortality leading to improved overall survival. However, relapse of the underlying disease is still an area which needs improvement. There is much optimism around the new and exciting developments in immunotherapy such as CAR T cell therapy, checkpoint inhibitor and antibody-mediated therapies.

In summary, a better understanding how to further develop new tools to combat relapse and further refine the transplant procedure is necessary to offer this treatment to an increased number of patients with improved outcome and sustained quality of life.

Prof. Dr. Jonas Mattsson
Prof. Dr. Andrea Bacigalupo
Guest Editors

Manuscript Submission Information

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Keywords

  • allogeneic
  • stem cell transplantation
  • GVHD
  • Relapse
  • conditioning therapy
  • immunotherapy
  • CAR T cell
  • haplo

Published Papers (2 papers)

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Review

16 pages, 2286 KiB  
Review
Clinical Relevance of Immunobiology in Umbilical Cord Blood Transplantation
by Hyun Don Yun, Ankur Varma, Mohammad J. Hussain, Sunita Nathan and Claudio Brunstein
J. Clin. Med. 2019, 8(11), 1968; https://doi.org/10.3390/jcm8111968 - 14 Nov 2019
Cited by 23 | Viewed by 6688
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 [...] Read more.
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. Full article
(This article belongs to the Special Issue Hematopoietic Stem Cell Transplant for Blood Cancer)
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17 pages, 1729 KiB  
Review
Clinical Approach to the Patient in Critical State Following Immunotherapy and/or Stem Cell Transplantation: Guideline for the On-Call Physician
by Catalin Constantinescu, Constantin Bodolea, Sergiu Pasca, Patric Teodorescu, Delia Dima, Ioana Rus, Tiberiu Tat, Patriciu Achimas-Cadariu, Alina Tanase, Ciprian Tomuleasa and Hermann Einsele
J. Clin. Med. 2019, 8(6), 884; https://doi.org/10.3390/jcm8060884 - 20 Jun 2019
Cited by 12 | Viewed by 6098
Abstract
The initial management of the hematology patient in a critical state is crucial and poses a great challenge both for the hematologist and the intensive care unit (ICU) physician. After years of clinical practice, there is still a delay in the proper recognition [...] Read more.
The initial management of the hematology patient in a critical state is crucial and poses a great challenge both for the hematologist and the intensive care unit (ICU) physician. After years of clinical practice, there is still a delay in the proper recognition and treatment of critical situations, which leads to late admission to the ICU. There is a much-needed systematic ABC (Airway, Breathing, Circulation) approach for the patients being treated on the wards as well as in the high dependency units because the underlying hematological disorder, as well as disease-related complications, have an increasing frequency. Focusing on score-based decision-making on the wards (Modified Early Warning Score (MEWS), together with Quick Sofa score), active sepsis screening with inflammation markers (C-reactive protein, procalcitonin, and presepsin), and assessment of microcirculation, organ perfusion, and oxygen supply by using paraclinical parameters from the ICU setting (lactate, central venous oxygen saturation (ScVO2), and venous-to-arterial carbon dioxide difference), hematologists can manage the immediate critical patient and improve the overall outcome. Full article
(This article belongs to the Special Issue Hematopoietic Stem Cell Transplant for Blood Cancer)
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