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The potential use of thalidomide in the therapy of graft-versus-host disease—A review of clinical and laboratory information

Identifieur interne : 000676 ( Istex/Corpus ); précédent : 000675; suivant : 000677

The potential use of thalidomide in the therapy of graft-versus-host disease—A review of clinical and laboratory information

Auteurs : Philip M. D. Wood ; Stephen J. Proctor

Source :

RBID : ISTEX:FD9EEE2DDA9371B6FD6BD981A5BDF8A6390CE334

English descriptors

Abstract

Abstract: This article reviews the historical development of thalidomide as an immunosuppressive agent and the current state of knowledge of thalidomide as an anti-graft-versus-host disease (GVHD) agent. The evidence suggests that metabolites of thalidomide act at an early stage in the antigen recognition-activation pathway of graft T lymphocytes and down regulate normal lymphocyte responses. This effect seems to have beneficial effects in both acute and chronic GVHD, but the optimal mode of use in the clinical setting remains to be determined.

Url:
DOI: 10.1016/0145-2126(90)90024-4

Links to Exploration step

ISTEX:FD9EEE2DDA9371B6FD6BD981A5BDF8A6390CE334

Le document en format XML

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<ce:text>Correspondence to: Dr S. J. Proctor, University Department of Haematology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne, NE1 4LP, U.K.</ce:text>
</ce:correspondence>
</ce:author-group>
<ce:date-received day="11" month="12" year="1989"></ce:date-received>
<ce:date-accepted day="23" month="12" year="1989"></ce:date-accepted>
<ce:abstract>
<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>This article reviews the historical development of thalidomide as an immunosuppressive agent and the current state of knowledge of thalidomide as an anti-graft-versus-host disease (GVHD) agent. The evidence suggests that metabolites of thalidomide act at an early stage in the antigen recognition-activation pathway of graft T lymphocytes and down regulate normal lymphocyte responses. This effect seems to have beneficial effects in both acute and chronic GVHD, but the optimal mode of use in the clinical setting remains to be determined.</ce:simple-para>
</ce:abstract-sec>
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<ce:keywords>
<ce:section-title>Keywords</ce:section-title>
<ce:keyword>
<ce:text>Thalidomide</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>graft-versus-host disease</ce:text>
</ce:keyword>
</ce:keywords>
<ce:keywords class="abr">
<ce:section-title>Abbreviations</ce:section-title>
<ce:keyword>
<ce:text>
<ce:italic>GVHD</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>graft-versus-host disease</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>IL</ce:italic>
-2</ce:text>
<ce:keyword>
<ce:text>interleukin 2</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>mAbs</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>monoclonal antibodies</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>MHC</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>major histocompatability complex</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>MLC</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>mixed lymphocyte cultures</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>PHA</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>phytohaemagglutinin</ce:text>
</ce:keyword>
</ce:keyword>
<ce:keyword>
<ce:text>
<ce:italic>Con A</ce:italic>
</ce:text>
<ce:keyword>
<ce:text>concanavalin
<ce:italic>A</ce:italic>
</ce:text>
</ce:keyword>
</ce:keyword>
</ce:keywords>
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<affiliation>Leukaemia Research Fund Remission Unit, University Department of Haematology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, U.K.</affiliation>
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<affiliation>Leukaemia Research Fund Remission Unit, University Department of Haematology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, U.K.</affiliation>
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<abstract lang="en">Abstract: This article reviews the historical development of thalidomide as an immunosuppressive agent and the current state of knowledge of thalidomide as an anti-graft-versus-host disease (GVHD) agent. The evidence suggests that metabolites of thalidomide act at an early stage in the antigen recognition-activation pathway of graft T lymphocytes and down regulate normal lymphocyte responses. This effect seems to have beneficial effects in both acute and chronic GVHD, but the optimal mode of use in the clinical setting remains to be determined.</abstract>
<note type="content">Section title: Review</note>
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<genre>Keywords</genre>
<topic>Thalidomide</topic>
<topic>graft-versus-host disease</topic>
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<genre>Abbreviations</genre>
<topic>GVHD : graft-versus-host disease</topic>
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