Pharmaceutical and Cellular Strategies to Treat GVHD

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: closed (20 December 2021) | Viewed by 8338

Special Issue Editors


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Guest Editor
Ministry of Health of Russian Federation, Moscow, Russia
Interests: cancer immunology; stem cell biology; cancer biology; immunotherapy, bioimplants; sepsis immunopathogenesis

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Guest Editor
Associate Professor, Department of Physiology, NUS Immunology Program, Yong Loo Lin School of Medicine, Centre for Life Sciences, Level 3 (Immunology), #03-06J, 28 Medical Drive, Singapore
Interests: tumor microenvironment; tumor immunology; innate immunity; stress and inflammation

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Guest Editor
Russian National Center for Oncology, Russia
Interests: pediatric oncology-hematology; high-dose chemotherapу; Graft-versus-host disease; transplantation of hematopoietic cells

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Guest Editor
Ministry of Health of Russian Federation, Moscow, Russia
Interests: pediatric oncology-hematology; high-dose chemotherapу; Graft-versus-host disease; transplantation of hematopoietic cells

Special Issue Information

Dear Colleagues,

Graft-versus-host disease (GVHD) is a  systemic disorder characterized by inflammation in different organs, with the specificity of epithelial cell apoptosis and crypt drop out.

Currently, intravenously administered glucocorticoids, such as prednisone, are the standard of care in acute GVHD and chronic GVHD. Other substances that have been studied for GvHD treatment include, for example: sirolimus, pentostatin, etanercept, and alemtuzumab. In August 2017 the US FDA approved ibrutinib to treat chronic GVHD after failure of other systemic treatments.

The Special Issue Pharmaceutical and Cellular Strategies to Treat GVHD will present reviews and original papers describing novel drugs and therapeutics up-to-date that hold promise for improved prevention and treatment of GVHD. The suggested papers will discuss different approaches to improve pharmaceutical strategies for prevention and treatment of GVHD (comparing methods of GVHD prevention and lymphodepletion); outline new therapeutic approaches involving innovative agents and hematopoietic stem-cell transplantation (HSCT) for pathogenetic GVHD therapy; compare the effectiveness of chemotherapy and HSCT, including promising technologies that may improve the results of treatment of patients with hematologic malignancies. Keywords: GVHD, Autoimmune Diseases, MSC, HSCT, Oncohematology, Prevention, Treatment, Chemotherapy

Prof. Mikhail Kiselevsky
Dr. Lina Hsiu Kim Lim
Prof. Svetlana Varfolomeeva
Dr. Kirill Kirgizov
Guest Editors

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Keywords

  • GVHD
  • Autoimmune Diseases
  • MSC
  • HSCT
  • Oncohematology
  • Prevention
  • Treatment
  • Chemotherapy

Published Papers (3 papers)

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Research

14 pages, 2037 KiB  
Communication
Chondroitin Sulfate and Fucosylated Chondroitin Sulfate as Stimulators of Hematopoiesis in Cyclophosphamide-Induced Mice
by Nadezhda E. Ustyuzhanina, Natalia Yu. Anisimova, Maria I. Bilan, Fedor V. Donenko, Galina E. Morozevich, Dmitriy V. Yashunskiy, Anatolii I. Usov, Nara G. Siminyan, Kirill I. Kirgisov, Svetlana R. Varfolomeeva, Mikhail V. Kiselevskiy and Nikolay E. Nifantiev
Pharmaceuticals 2021, 14(11), 1074; https://0-doi-org.brum.beds.ac.uk/10.3390/ph14111074 - 24 Oct 2021
Cited by 14 | Viewed by 2172
Abstract
The immunosuppression and inhibition of hematopoiesis are considered to be reasons for the development of complications after intensive chemotherapy and allogeneic hematopoietic stem cell transplantation. Chondroitin sulfate (CS), isolated from the fish Salmo salar, and fucosylated chondroitin sulfate (FCS [...] Read more.
The immunosuppression and inhibition of hematopoiesis are considered to be reasons for the development of complications after intensive chemotherapy and allogeneic hematopoietic stem cell transplantation. Chondroitin sulfate (CS), isolated from the fish Salmo salar, and fucosylated chondroitin sulfate (FCS), isolated from the sea cucumber Apostichopus japonicus, were studied for their roles as stimulators of hematopoiesis in a model of cyclophosphamide-induced immunosuppression in mice. The recombinant protein r G-CSF was applied as a reference. The studied polysaccharides were shown to stimulate the release of white and red blood cells, as well as platelets from bone marrow in immunosuppressed mice, while r G-CSF was only responsible for the significant increase in the level of leucocytes. The analysis of different populations of leucocytes in blood indicated that r G-CSF mainly stimulated the production of neutrophils, whereas in the cases of the studied saccharides, increases in the levels of monocytes, lymphocytes and neutrophils were observed. The normalization of the level of the pro-inflammatory cytokine IL-6 in the serum and the recovery of cell populations in the spleen were observed in immunosuppressed mice following treatment with the polysaccharides. An increase in the proliferative activity of hematopoietic cells CD34(+)CD45(+) was observed following ex vivo polysaccharide exposure. Further study on related oligosaccharides regarding their potential as promising drugs in the complex prophylaxis and therapy of hematopoiesis inhibition after intensive chemotherapy and allogeneic hematopoietic stem cell transplantation seems to be warranted. Full article
(This article belongs to the Special Issue Pharmaceutical and Cellular Strategies to Treat GVHD)
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11 pages, 680 KiB  
Article
Extracorporeal Photopheresis in Children with Chronic Graft-Versus-Host Disease
by Andrey Kozlov, Maria Estrina, Olesia Paina, Tatiana Bykova, Anna Osipova, Polina Kozhokar, Zhemal Rakhmanova, Irina Solodova, Elena Morozova, Alexander Alyansky, Irina Kulagina, Asmik Gevorgian, Anna Dotsenko, Ivan Moiseev, Alexey Chukhlovin, Alexander Kulagin, Sergey Bondarenko, Elena Semenova and Ludmila Zubarovskaya
Pharmaceuticals 2021, 14(8), 808; https://0-doi-org.brum.beds.ac.uk/10.3390/ph14080808 - 17 Aug 2021
Cited by 1 | Viewed by 2445
Abstract
Chronic graft versus host disease (cGVHD) remains a major complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT). It significantly decreases survival and quality of life. The present study demonstrates retrospective data on extracorporeal photopheresis (ECP) in children with cGVHD. A total of 42 [...] Read more.
Chronic graft versus host disease (cGVHD) remains a major complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT). It significantly decreases survival and quality of life. The present study demonstrates retrospective data on extracorporeal photopheresis (ECP) in children with cGVHD. A total of 42 children with steroid-refractory cGVHD were enrolled in the study. The majority of patients had acute leukemia (n = 32, 76%). All patients received ECP as second (n = 18, 43%) or third (n = 24, 57%) line of therapy. Initial ECP schedule consisted of bimonthly regimen for two consecutive days with possibility of further tapering according to response. Any concurrent treatment administered before ECP could be continued if considered necessary. Complete response to ECP was registered in seven (17%) patients and partial response in 24 (57%). Overall response according to organ involvement was as follows: skin (n = 24, 75%), mucous membranes (n = 16, 73%), liver (n = 8, 80%), gut (n = 4, 80%), lungs (n = 2, 22%) and joints (n = 2, 67%). Five-year overall, progression-free and failure-free survival was 57%, 56% and 30%, respectively. Non-relapse mortality at 5 years was 14%. We didn’t observe any clinically significant complications in children that could be attributed to the procedure. ECP remains important and safe treatment option in children with cGVHD. Full article
(This article belongs to the Special Issue Pharmaceutical and Cellular Strategies to Treat GVHD)
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8 pages, 545 KiB  
Article
Relationship between CYP3A5 Polymorphism and Tacrolimus Blood Concentration Changes in Allogeneic Hematopoietic Stem Cell Transplant Recipients during Continuous Infusion
by Naoki Yoshikawa, Hidemi Takeshima, Masaaki Sekine, Keiichi Akizuki, Tomonori Hidaka, Kazuya Shimoda and Ryuji Ikeda
Pharmaceuticals 2021, 14(4), 353; https://0-doi-org.brum.beds.ac.uk/10.3390/ph14040353 - 10 Apr 2021
Cited by 4 | Viewed by 2785
Abstract
A polymorphism in the gene encoding the metabolic enzyme cytochrome P450 family 3 subfamily A member 5 (CYP3A5) is a particularly influential factor in the use of tacrolimus in Japanese patients. Those who are homozygotic for the *3 mutation lack CYP3A5 activity, which [...] Read more.
A polymorphism in the gene encoding the metabolic enzyme cytochrome P450 family 3 subfamily A member 5 (CYP3A5) is a particularly influential factor in the use of tacrolimus in Japanese patients. Those who are homozygotic for the *3 mutation lack CYP3A5 activity, which results in substantial individual differences in tacrolimus metabolism. The aim of this study was to analyze the relationship between individual differences in tacrolimus blood concentration changes and CYP3A5 polymorphisms in allogeneic hematopoietic stem cell transplantation recipients during the period of increasing blood concentration of the drug following treatment onset. This was a prospective observational cohort study, involving 20 patients administered tacrolimus by continuous infusion. The subjects were divided into the *1/*3 and *3/*3 groups based on CYP3A5 polymorphism analysis. The tacrolimus blood concentration/dose (C/D) ratio increased from day 1 and was largely stable on day 5, and a significant difference was observed between the *1/*3 and *3/*3 groups in the time course of the C/D ratio during this period (p < 0.05). This study reveals the effects of CYP3A5 polymorphism on continuous changes in tacrolimus blood concentration. Full article
(This article belongs to the Special Issue Pharmaceutical and Cellular Strategies to Treat GVHD)
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