bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 22, 2024
ABSTRACT
Inflammatory
bowel
diseases
are
chronic
inflammatory
conditions
with
growing
prevalence
in
western
populations.
Iron
is
an
essential
component
of
erythrocytes
hemoglobin.
Under
the
influence
elevated
hepcidin
production,
iron
sequestered
cells
during
inflammation
which,
turn,
leads
to
restriction
for
red
blood
synthesis.
As
a
consequence,
deficiency
and
anemia
most
prevalent
extraintestinal
complications
IBD
patients.
Patients
thus
treated
oral
supplements
that
have
limited
efficacy
as
absorption
blunted
intestinal
inflammation.
Moreover,
supplementation
can
cause
previous
studies
shown
worsens
response.
However,
comparative
analysis
effects
low,
adequate
high
dietary
content
matching
given
patients
has
not
been
performed
mice.
We
therefore
tested
impact
deprivation
murine
model
colitis
induced
by
dextran
sodium
sulfate.
found
both
were
accompanied
more
severe
earlier
signs
gastrointestinal
bleeding
compared
mice
fed
diet.
The
manipulation
led
comparable
oxidative
stress
pronounced
dysbiosis
colon
control
differed
depending
on
content.
Analysis
these
line
susceptibility
colonic
questioning
benefit/risk
balance
Cancer Cell,
Год журнала:
2025,
Номер
43(2), С. 269 - 291.e19
Опубликована: Фев. 1, 2025
Highlights•Drugs
currently
used
against
irAEs
reduce
anti-tumor
immunity•ECP
induces
adiponectin
production
in
inflamed
organs
while
sparing
tumor
tissue•ECP
high
response
rates
patients
with
ICI-induced
irAEsSummaryImmune-related
adverse
events
(irAEs)
cancer
receiving
immune
checkpoint
inhibitors
(ICIs)
cause
morbidity
and
necessitate
cessation
of
treatment.
Comparing
irAE
treatments,
we
find
that
immunity
is
preserved
mice
after
extracorporeal
photopheresis
(ECP)
but
reduced
glucocorticosteroids,
TNFα
blockade,
α4β7-integrin
inhibition.
Local
elicits
a
tissue-specific
effect
by
reducing
pro-inflammatory
T
cell
frequencies
the
colon
tumor-specific
development.
A
prospective
phase-1b/2
trial
(EudraCT-No.2021-002073-26)
14
reveals
low
ECP-related
toxicity.
Overall
rate
for
all
92%
(95%
confidence
interval
[CI]:
63.97%–99.81%);
colitis-specific
complete
remission
100%
CI:
63.06%–100%).
Glucocorticosteroid
dosages
could
be
ECP
therapy.
The
ECP-adiponectin
axis
reduces
intestinal
tissue-resident
memory
activation
CD4+IFN-γ+
cells
colitis
without
evidence
loss
immunity.
In
conclusion,
identify
as
an
immunomodulatory
molecule
controls
blocking
immunity.Graphical
abstract
Nature Medicine,
Год журнала:
2024,
Номер
30(8), С. 2277 - 2287
Опубликована: Июнь 6, 2024
Acute
graft-versus-host
disease
(aGVHD)
of
the
lower
gastrointestinal
(GI)
tract
is
a
major
cause
morbidity
and
mortality
in
patients
receiving
allogeneic
hematopoietic
stem
cell
transplantation
(allo-HSCT).
Vedolizumab
gut-selective
anti-α
Molecular Medicine,
Год журнала:
2025,
Номер
31(1)
Опубликована: Янв. 3, 2025
Abstract
Hematopoietic
stem
cell
transplantation
(HSCT)
is
a
highly
effective
therapy
for
malignant
blood
illnesses
that
pose
high
risk,
as
well
diseases
are
at
risk
due
to
other
variables,
such
genetics.
However,
the
prevalence
of
graft-versus-host
disease
(GVHD)
has
impeded
its
widespread
use.
Ensuring
stability
microbial
varieties
and
associated
metabolites
crucial
supporting
metabolic
processes,
preventing
pathogen
intrusion,
modulating
immune
system.
Consequently,
it
significantly
affects
overall
well-being
susceptibility
host
disease.
Patients
undergoing
allogeneic
hematopoietic
(allo-HSCT)
may
experience
disruption
in
balance
between
system
gut
bacteria
when
treated
with
medicines
foreign
cells.
This
can
lead
secondary
intestinal
inflammation
GVHD.
Thus,
GM
both
reliable
indicator
post-transplant
mortality
means
enhancing
GVHD
prevention
treatment
after
allo-HSCT.
be
achieved
through
various
strategies,
including
nutritional
support,
probiotics,
selective
use
antibiotics,
fecal
microbiota
(FMT)
target
microbes.
review
examines
research
advancements
practical
following
These
findings
offer
novel
insights
into
International Journal of Hematology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 12, 2025
Abstract
In
the
randomized,
double-blind,
phase
3
GRAPHITE
study
(NCT03657160),
anti-α
4
β
7
integrin
antibody
vedolizumab
showed
greater
efficacy
than
placebo
for
prevention
of
lower-gastrointestinal
(GI)
acute
graft-versus-host
disease
(aGVHD)
after
unrelated
allogenic
hematopoietic
stem
cell
transplantation
(allo-HSCT).
This
post
hoc
analysis
assessed
and
safety
versus
lower-GI
aGVHD
in
Japanese
non-Japanese
patients,
when
added
to
standard
GVHD
prophylaxis
(calcineurin
inhibitor
+
methotrexate/mycophenolate
mofetil
/
−
anti-thymocyte
globulin
[ATG]).
The
included
35
(18
vedolizumab-treated,
17
placebo-treated)
298
(150
148
patients.
Lower-GI
aGVHD-free
survival
by
day
180
allo-HSCT
(primary
endpoint)
was
94%
vedolizumab-treated
81%
placebo-treated
patients
(HR
0.36;
95%
CI
0.03–4.01;
P
=
0.2)
84%
70%
0.47;
0.28–0.78;
0.002).
number
events
5
key
secondary
endpoints
(lower-GI
relapse-free
survival,
Grade
C–D
non-relapse
mortality,
overall
B–D
survival)
lower
vedolizumab-
No
concerns
were
identified
use
as
FASEB BioAdvances,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 17, 2025
Abstract
Inflammatory
bowel
diseases
are
chronic
inflammatory
conditions
with
growing
prevalence
in
western
populations.
Iron
is
an
essential
component
of
erythrocytes
hemoglobin.
Under
the
influence
elevated
hepcidin
production,
iron
sequestered
cells
during
inflammation
which,
turn,
leads
to
restriction
for
red
blood
cell
synthesis.
As
a
consequence,
deficiency
and
anemia
most
prevalent
extraintestinal
complications
IBD
patients.
commonly
treated
oral
supplements,
limited
efficacy
as
absorption
blunted
intestinal
inflammation.
Moreover,
supplementation
can
cause
complications,
previous
studies
have
shown
that
it
worsen
response.
However,
comparative
analysis
effects
low,
adequate,
high
dietary
content
matching
given
patients
has
not
been
performed
mice.
We
therefore
tested
impact
deprivation
murine
model
colitis
induced
by
dextran
sodium
sulfate.
found
both
were
accompanied
more
severe
earlier
signs
gastrointestinal
bleeding
compared
mice
fed
iron‐adequate
diet.
The
manipulation
led
profound
dysbiosis
colon
control
differed
depending
on
content.
Analysis
this
line
pronounced
susceptibility
colonic
inflammation,
thus
questioning
benefit/risk
balance
Best Practice & Research Clinical Haematology,
Год журнала:
2024,
Номер
37(3), С. 101567 - 101567
Опубликована: Июль 26, 2024
Allogeneic
hematologic
stem
cell
transplantation
is
a
cornerstone
in
modern
hematological
treatment,
yet
its
efficacy
compromised
by
acute
Graft-versus-Host
Disease.
In
Disease,
conditioning
regimen
induced
epithelial
damage
leads
to
release
of
and
pathogen
associated
molecular
patters
which
turns
triggers
activation
alloreactive
donor
T
cells,
ultimately
resulting
destruction
healthy
tissue.
Advances
major
histocompatibility
complex
typing
preclinical
studies
using
tissue
specific
deletion
have
illuminated
the
contributions
both,
hematopoietic
non-hematopoietic
cells
Disease
pathophysiology.
Concurrently,
high-throughput
sequencing
techniques
enabled
researchers
recognize
significant
impact
intestinal
microbiome
newly
discovered
metabolites
pathophysiology
this
review,
we
discuss
implications
expression
on
effect
metabolic
alterations
that
contribute
By
combining
these
findings,
hope
untangle
complexity
paving
way
for
development
novel
more
effective
treatmen
options
patients.
Annals of Hematology,
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 29, 2024
Acute
Graft
versus
Host
Disease
(aGvHD)
is
a
common
immunological
complication
occurring
in
patients
undergoing
allogeneic
hematopoietic
stem
cell
transplantation
(allo-HSCT).
Moreover,
aGvHD
associated
with
higher
risk
of
infections
and
metabolic
complications,
affecting
non-relapse
mortality.
Progress
has
changed
the
prophylactic
therapeutic
strategies
improved
patient
outcomes.
The
standard
first-line
therapy
remains
steroids,
response
rate
about
50%.
Janus
Kinase
2
(JAK2)
inhibitor,
ruxolitinib,
an
effective
second-line
therapy.
management
who
developed
disease
that
refractory
to
steroids
especially
severe
gastrointestinal
forms
aGvHD,
not
validated
unmet
medical
need.
In
article,
we
present
current
clinical
practice,
as
well
latest
advances
targeting
pathophysiological
pathways
GvHD
gut
microbiota,
which
may
be
potential
future