4.8 Review

Reconstitution of the immune system and clinical correlates after stem cell transplantation for systemic sclerosis

Journal

FRONTIERS IN IMMUNOLOGY
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2022.941011

Keywords

systemic sclerosis; hematopoietic stem cell transplantation; immune reconstitution; immune monitoring; immune tolerance; cellular therapy

Categories

Funding

  1. Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) [001, 88887.598001/2021-00, 88887.597494/2021-00]
  2. Sao Paulo Research Foundation (FAPESP) [2013/08135-2, 2017/09420-3]
  3. Fundacao de Apoio ao Ensino, Pesquisa e Assistencia (FAEPA)

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This review examines the immune monitoring studies after autologous hematopoietic stem cell transplantation (auto-HSCT) for systemic sclerosis (SSc) patients and their correlation with clinical outcomes. This understanding is essential for further improving clinical applications and enhancing patient outcomes.
Systemic sclerosis (SSc) is a chronic autoimmune disease that includes fibrosis, diffuse vasculopathy, inflammation, and autoimmunity. Autologous hematopoietic stem cell transplantation (auto-HSCT) is considered for patients with severe and progressive SSc. In recent decades, knowledge about patient management and clinical outcomes after auto-HSCT has significantly improved. Mechanistic studies have contributed to increasing the comprehension of how profound and long-lasting are the modifications to the immune system induced by transplantation. This review revisits the immune monitoring studies after auto-HSCT for SSc patients and how they relate to clinical outcomes. This understanding is essential to further improve clinical applications of auto-HSCT and enhance patient outcomes.

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