Journal
BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION
Volume 10, Issue 9, Pages 579-590Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.bbmt.2004.05.008
Keywords
graft-versus-lymphoma effects; immunobiology
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The indubitable existence of a graft-versus-lymphoma (GVL) effect is difficult to prove directly. This article reviews the difficulties in interpreting the current literature in this field and, with a number of caveats, argues for the existence of a clinically meaningful GVL effect in follicular, mantle cell, small lymphocytic, and Hodgkin lymphomas. The evidence, however, for a potent GVL effect in diffuse large-cell lymphoma and Burkitt lymphoma is not convincing. Policies for allografting in lymphoma, are proposed on the basis of this evidence. The immunobiology of GVL effects is discussed-in particular, the expression of HLA class I and II and co-stimulatory molecules on lymphomas that influence the generation of alloreactive T cells-together with future directions in immunotherapy that may help to eradicate chemoresistant disease. (C) 2004 American Society for Blood and Marrow Transplantation.
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