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  1. Article ; Online: Transcutaneous ultrasound-mediated gene delivery into canine livers achieves therapeutic levels of factor VIII expression.

    Manson, Megan A / Zhang, Feng / Novokhodko, Alexander / Chen, Chun-Yu / Parker, Maura / Loeb, Keith R / Kajimoto, Masaki / Campbell, Carley / Storb, Rainer F / Miao, Carol H

    Blood advances

    2022  Volume 6, Issue 12, Page(s) 3557–3568

    Abstract: A safe, effective, and inclusive gene therapy will significantly benefit a large population of patients with hemophilia. We used a minimally invasive transcutaneous ultrasound-mediated gene delivery (UMGD) strategy combined with microbubbles (MBs) to ... ...

    Abstract A safe, effective, and inclusive gene therapy will significantly benefit a large population of patients with hemophilia. We used a minimally invasive transcutaneous ultrasound-mediated gene delivery (UMGD) strategy combined with microbubbles (MBs) to enhance gene transfer into 4 canine livers. A mixture of high-expressing, liver-specific human factor VIII (hFVIII) plasmid and MBs was injected into the hepatic vein via balloon catheter under fluoroscopy guidance with simultaneous transcutaneous UMGD treatment targeting a specific liver lobe. Therapeutic levels of hFVIII expression were achieved in all 4 dogs, and hFVIII levels were maintained at a detectable level in 3 dogs throughout the 60-day experimental period. Plasmid copy numbers correlated with hFVIII antigen levels, and plasmid-derived messenger RNA (mRNA) was detected in treated livers. Liver transaminase levels and histology analysis indicated minimal liver damage and a rapid recovery after treatment. These results indicate that liver-targeted transcutaneous UMGD is promising as a clinically feasible therapy for hemophilia A and other diseases.
    MeSH term(s) Animals ; Dogs ; Factor VIII/genetics ; Factor VIII/therapeutic use ; Gene Transfer Techniques ; Genetic Therapy/methods ; Hemophilia A/genetics ; Hemophilia A/therapy ; Hemophilia A/veterinary ; Hemostatics ; Humans ; Liver/metabolism
    Chemical Substances Hemostatics ; Factor VIII (9001-27-8)
    Language English
    Publishing date 2022-04-15
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2915908-8
    ISSN 2473-9537 ; 2473-9529
    ISSN (online) 2473-9537
    ISSN 2473-9529
    DOI 10.1182/bloodadvances.2021006016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevention of graft-vs.-host disease.

    Rezvani, Andrew R / Storb, Rainer F

    Expert opinion on pharmacotherapy

    2012  Volume 13, Issue 12, Page(s) 1737–1750

    Abstract: Introduction: Allogeneic hematopoietic cell transplantation (HCT) is a curative treatment for many malignant and non-malignant hematologic disorders. However, graft-vs.-host disease (GVHD) remains a major complication of allogeneic HCT and limits the ... ...

    Abstract Introduction: Allogeneic hematopoietic cell transplantation (HCT) is a curative treatment for many malignant and non-malignant hematologic disorders. However, graft-vs.-host disease (GVHD) remains a major complication of allogeneic HCT and limits the success of this approach.
    Areas covered: This paper reviews recent developments in the prevention of acute and chronic GVHD. In the setting of acute GVHD prevention, recent trials of T-cell depletion using Fresenius-ATG are reviewed, as well as studies testing total lymphoid irradiation, mesenchymal stromal cells, rituximab, statins, sirolimus and other investigational agents. In the setting of chronic GVHD, results with Fresenius-ATG are reviewed, as well as B-cell depletion with rituximab, and the potential role of the B-cell regulatory cytokine BAFF in chronic GVHD is also discussed. Finally, the emerging role of resident skin and gut bacterial flora-the so-called microbiome-in the pathogenesis of GVHD is covered.
    Expert opinion: Current methods of acute GVHD prevention are highly successful, and a number of investigational approaches promise to further reduce the risk of this complication. By contrast, chronic GVHD is more poorly understood and more difficult to prevent. Future studies are required to delineate the roles of these approaches and to abrogate GVHD without sacrificing the beneficial immunologic graft-vs.-tumor effect.
    MeSH term(s) Animals ; Graft vs Host Disease/prevention & control ; Hematopoietic Stem Cell Transplantation ; Humans ; Metagenome ; Transplantation, Homologous/immunology
    Language English
    Publishing date 2012-07-07
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2001535-5
    ISSN 1744-7666 ; 1465-6566
    ISSN (online) 1744-7666
    ISSN 1465-6566
    DOI 10.1517/14656566.2012.703652
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Role of comorbidities in optimizing decision-making for allogeneic hematopoietic cell transplantation.

    Sorror, Mohamed L / Storb, Rainer F

    Mediterranean journal of hematology and infectious diseases

    2010  Volume 2, Issue 2, Page(s) e2010015

    Abstract: Allogeneic conventional hematopoietic cell transplantation (HCT) following high-dose, myeloablative conditioning regimens has been used since the 1970's as potentially curative treatment for patients with malignant, hematological disorders. The ... ...

    Abstract Allogeneic conventional hematopoietic cell transplantation (HCT) following high-dose, myeloablative conditioning regimens has been used since the 1970's as potentially curative treatment for patients with malignant, hematological disorders. The toxicities of conditioning regimens have limited conventional HCT to relatively young patients in otherwise good medical condition. With the development of less toxic nonmyeloablative regimens and improvements in supportive care, increasing numbers of older and medically infirm patients have been treated by allogeneic HCT. Until recently, there has been almost no effort to evaluate the prevalence of comorbidities among HCT recipients and their impact on outcomes. We first evaluated the Charlson Comorbidity Index (CCI) developed for patients with solid malignancies, for this purpose. While useful, it lacked sensitivity and specificity for the HCT setting. We next introduced the HCT-specific comorbidity index (HCT-CI) which was based on objective laboratory data to better define comorbidities. Here, we describe this development and illustrate the usefulness of the HCT-CI in predicting HCT outcomes in patients with myeloid and lymphoid malignancies undergoing allogeneic transplantation.
    Language English
    Publishing date 2010-06-09
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2674750-9
    ISSN 2035-3006 ; 2035-3006
    ISSN (online) 2035-3006
    ISSN 2035-3006
    DOI 10.4084/MJHID.2010.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Contribution of measurable residual disease status to prediction accuracy of relapse and survival in adults with acute myeloid leukemia undergoing allogeneic hematopoietic cell transplantation.

    Rodríguez-Arbolí, Eduardo / Othus, Megan / Orvain, Corentin / Zarling, Lucas C / Sandmaier, Brenda M / Milano, Filippo / Schoch, Gary / Davis, Chris / Deeg, H Joachim / Appelbaum, Frederick R / Storb, Rainer / Walter, Roland B

    Haematologica

    2023  Volume 108, Issue 1, Page(s) 273–277

    MeSH term(s) Adult ; Humans ; Hematopoietic Stem Cell Transplantation ; Leukemia, Myeloid, Acute/diagnosis ; Leukemia, Myeloid, Acute/therapy ; Chronic Disease ; Recurrence ; Neoplasm, Residual ; Retrospective Studies ; Transplantation Conditioning
    Language English
    Publishing date 2023-01-01
    Publishing country Italy
    Document type Letter ; Research Support, N.I.H., Extramural
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2022.281631
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Separation of graft-vs.-tumor effects from graft-vs.-host disease in allogeneic hematopoietic cell transplantation.

    Rezvani, Andrew R / Storb, Rainer F

    Journal of autoimmunity

    2008  Volume 30, Issue 3, Page(s) 172–179

    Abstract: Allogeneic hematopoietic cell transplantation (HCT) is an increasingly widely used treatment modality in hematological malignancies. Alloreactivity mediated by donor T cells (and, in some settings, by donor natural killer cells) can produce durable ... ...

    Abstract Allogeneic hematopoietic cell transplantation (HCT) is an increasingly widely used treatment modality in hematological malignancies. Alloreactivity mediated by donor T cells (and, in some settings, by donor natural killer cells) can produce durable immunologic control or eradication of residual malignancy after allogeneic HCT. However, graft-vs.-tumor (GVT) effects are variably effective and are often accompanied by deleterious alloreactivity against normal host tissue, manifesting as graft-vs.-host disease (GVHD). A major focus of current research in HCT is the separation of beneficial GVT effects from GVHD. Here we review a number of approaches currently under investigation to specifically augment GVT effects, including the identification of minor histocompatibility antigens (mHA), adoptive immunotherapy with tumor-specific or mHA-specific cytotoxic T lymphocytes, vaccination of the donor or recipient to stimulate tumor-specific immunity, and adoptive transfer of natural killer cells. In addition, we review strategies being investigated to specifically suppress GVHD while sparing GVT, including the manipulation and infusion of regulatory T cells, the use of novel pharmacologic and biologic agents, and the use of mesenchymal stem cells. Ultimately, advances in separation of GVT from GVHD will further enhance the potential of allogeneic HCT as a curative treatment for hematological malignancies.
    MeSH term(s) Adoptive Transfer ; Animals ; Graft vs Host Disease/immunology ; Graft vs Host Disease/prevention & control ; Graft vs Tumor Effect/immunology ; Hematologic Neoplasms/immunology ; Hematologic Neoplasms/therapy ; Hematopoietic Stem Cell Transplantation ; Humans ; Killer Cells, Natural/immunology ; Killer Cells, Natural/transplantation ; Mesenchymal Stem Cell Transplantation ; Minor Histocompatibility Antigens/immunology ; T-Lymphocytes, Regulatory/immunology ; T-Lymphocytes, Regulatory/transplantation ; Transplantation Conditioning ; Transplantation Immunology ; Transplantation, Homologous
    Chemical Substances Minor Histocompatibility Antigens
    Language English
    Publishing date 2008-01-31
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639452-8
    ISSN 0896-8411
    ISSN 0896-8411
    DOI 10.1016/j.jaut.2007.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Validation of the hematopoietic cell transplantation-specific comorbidity index (HCT-CI) in single and multiple institutions: limitations and inferences.

    Sorror, Mohamed L / Storer, Barry / Storb, Rainer F

    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation

    2009  Volume 15, Issue 6, Page(s) 757–758

    MeSH term(s) Cohort Studies ; Comorbidity ; Hematopoietic Stem Cell Transplantation ; Humans ; Multicenter Studies as Topic ; Patients/classification ; Treatment Outcome
    Language English
    Publishing date 2009-04-11
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural ; Validation Study ; Comment
    ZDB-ID 1474865-4
    ISSN 1523-6536 ; 1083-8791
    ISSN (online) 1523-6536
    ISSN 1083-8791
    DOI 10.1016/j.bbmt.2009.02.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Phase I/II multisite trial of optimally dosed clofarabine and low-dose TBI for hematopoietic cell transplantation in acute myeloid leukemia.

    Krakow, Elizabeth F / Gyurkocza, Boglarka / Storer, Barry E / Chauncey, Thomas R / McCune, Jeannine S / Radich, Jerald P / Bouvier, Michelle E / Estey, Elihu H / Storb, Rainer / Maloney, David G / Sandmaier, Brenda M

    American journal of hematology

    2019  Volume 95, Issue 1, Page(s) 48–56

    Abstract: Clofarabine is an immunosuppressive purine nucleoside analog that may have better anti-leukemic activity than fludarabine. We performed a prospective phase I/II multisite trial of clofarabine with 2 Gy total body irradiation as non-myeloablative ... ...

    Abstract Clofarabine is an immunosuppressive purine nucleoside analog that may have better anti-leukemic activity than fludarabine. We performed a prospective phase I/II multisite trial of clofarabine with 2 Gy total body irradiation as non-myeloablative conditioning for allogeneic hematopoietic cell transplantation in adults with acute myeloid leukemia who were unfit for more intense regimens. Our main objective was to improve the 6-month relapse rate following non-myeloablative conditioning, while maintaining historic rates of non-relapse mortality (NRM) and engraftment. Forty-four patients, 53 to 74 (median: 69) years, were treated with clofarabine at 150 to 250 mg/m
    MeSH term(s) Aged ; Antimetabolites, Antineoplastic/administration & dosage ; Clofarabine/administration & dosage ; Female ; Hematopoietic Stem Cell Transplantation/methods ; Humans ; Leukemia, Myeloid, Acute/mortality ; Leukemia, Myeloid, Acute/therapy ; Male ; Middle Aged ; Recurrence ; Survival Analysis ; Transplantation Conditioning/methods ; Treatment Outcome ; Whole-Body Irradiation/methods
    Chemical Substances Antimetabolites, Antineoplastic ; Clofarabine (762RDY0Y2H)
    Language English
    Publishing date 2019-11-08
    Publishing country United States
    Document type Clinical Trial, Phase I ; Clinical Trial, Phase II ; Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.25665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: CCR5 expression on cells from HLA-matched unrelated marrow donors and graft-versus-host disease.

    Ma, Qing / Gooley, Ted A / Storb, Rainer F

    Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation

    2009  Volume 16, Issue 1, Page(s) 132–133

    MeSH term(s) Adolescent ; Adult ; Alleles ; Bone Marrow Transplantation/adverse effects ; Female ; Graft vs Host Disease/complications ; Graft vs Host Disease/genetics ; Graft vs Host Disease/immunology ; Histocompatibility Testing ; Homozygote ; Humans ; Living Donors ; Male ; Middle Aged ; Receptors, CCR5/genetics ; Retrospective Studies ; Transplantation, Homologous ; Treatment Outcome ; Young Adult
    Chemical Substances Receptors, CCR5
    Language English
    Publishing date 2009-07-12
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural
    ZDB-ID 1474865-4
    ISSN 1523-6536 ; 1083-8791
    ISSN (online) 1523-6536
    ISSN 1083-8791
    DOI 10.1016/j.bbmt.2009.05.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Utility of the Treatment-Related Mortality (TRM) score to predict outcomes of adults with acute myeloid leukemia undergoing allogeneic hematopoietic cell transplantation.

    Zarling, Lucas C / Othus, Megan / Sandmaier, Brenda M / Milano, Filippo / Schoch, Gary / Davis, Chris / Bleakley, Marie / Deeg, H Joachim / Appelbaum, Frederick R / Storb, Rainer / Walter, Roland B

    Leukemia

    2022  Volume 36, Issue 6, Page(s) 1563–1574

    Abstract: There is long-standing interest in estimating non-relapse mortality (NRM) after allogeneic hematopoietic cell transplantation (HCT) for AML, but existing tools have limited discriminative capacity. Using single-institution data from 861 adults with AML, ... ...

    Abstract There is long-standing interest in estimating non-relapse mortality (NRM) after allogeneic hematopoietic cell transplantation (HCT) for AML, but existing tools have limited discriminative capacity. Using single-institution data from 861 adults with AML, we retrospectively examined the Treatment-Related Mortality (TRM) score, originally developed to predict early mortality following induction chemotherapy, as a predictor of post-HCT outcome. NRM risks increased stepwise across the four TRM score quartiles (at 3 years: 9% [95% confidence interval: 5-13%] in Q1 vs. 28% [22-34%] in Q4). The 3-year risk of relapse was lower in patients with lower TRM score (26% [20-32%] in Q1 vs. 37% [30-43%] in Q4). Consequently, relapse-free survival (RFS) and overall survival (OS) estimates progressively decreased (RFS at 3 years: 66% [59-72%] in Q1 vs. 36% [29-42%] in Q4; OS at 3 years: 72% [66-78%] in Q1 vs. 39% [33-46%] in Q4). With a C-statistic of 0.661 (continuous variable) or 0.642 (categorized by quartile), the TRM score predicted NRM better than the Pretransplantation Assessment of Mortality (PAM) score (0.603) or the HCT-CI/age composite score (0.576). While post-HCT outcome prediction remains challenging, these findings suggest that the TRM score may be useful for risk stratification for adults with AML undergoing allogeneic HCT.
    MeSH term(s) Adult ; Disease-Free Survival ; Hematopoietic Stem Cell Transplantation/adverse effects ; Humans ; Leukemia, Myeloid, Acute/therapy ; Prognosis ; Recurrence ; Retrospective Studies ; Transplantation Conditioning ; Transplantation, Homologous
    Language English
    Publishing date 2022-04-19
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 807030-1
    ISSN 1476-5551 ; 0887-6924
    ISSN (online) 1476-5551
    ISSN 0887-6924
    DOI 10.1038/s41375-022-01574-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Allogeneic hematopoietic cell transplantation: the state of the art.

    Gyurkocza, Boglarka / Rezvani, Andrew / Storb, Rainer F

    Expert review of hematology

    2010  Volume 3, Issue 3, Page(s) 285–299

    Abstract: Allogeneic hematopoietic cell transplantation (HCT) is a potentially curative procedure for a variety of hematologic malignancies. The field has evolved substantially over the past decade, with advances in patient and donor selection, stem cell sources, ... ...

    Abstract Allogeneic hematopoietic cell transplantation (HCT) is a potentially curative procedure for a variety of hematologic malignancies. The field has evolved substantially over the past decade, with advances in patient and donor selection, stem cell sources, supportive care, prevention of complications and reduced-toxicity preparative regimens. As a result, the indications for HCT and the pool of eligible patients have expanded significantly. In this article, we provide an overview of the major aspects of allogeneic HCT, and focus specifically on areas of active research and on novel approaches to challenges in the field. Specifically, we will discuss approaches to reduce the toxicity of the preparative regimen, with the goal of increasing the safety and applicability of HCT. The availability of suitable donors may be an obstacle to wider application of HCT. We review three major approaches to broadening the donor pool: the use of HLA-mismatched unrelated donors, umbilical cord blood and HLA-haploidentical family donors. Graft-versus-host disease remains a major cause of morbidity and mortality after HCT. We review recent advances in the understanding of this phenomenon, and novel prophylactic and therapeutic approaches that hold the promise of further improving the safety of the procedure. We conclude with a speculative outline of the next 5 years of research in the field of HCT.
    MeSH term(s) Clinical Trials as Topic ; Disease-Free Survival ; Donor Selection/trends ; Fetal Blood ; Graft vs Host Disease/drug therapy ; Graft vs Host Disease/prevention & control ; HLA Antigens/immunology ; Hematologic Diseases/immunology ; Hematologic Diseases/therapy ; Hematopoietic Stem Cell Transplantation/adverse effects ; Hematopoietic Stem Cell Transplantation/methods ; Hematopoietic Stem Cell Transplantation/trends ; Humans ; Tissue Donors ; Transplantation Conditioning/adverse effects ; Transplantation Conditioning/methods ; Transplantation, Homologous
    Chemical Substances HLA Antigens
    Language English
    Publishing date 2010-09-25
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2516804-6
    ISSN 1747-4094 ; 1747-4086
    ISSN (online) 1747-4094
    ISSN 1747-4086
    DOI 10.1586/ehm.10.21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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