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Gewählte Publikation:

Kokalj, A; Greinix, HT; Ciovica, M; Kittler, H; Kalhs, P; Knobler, RM; Volc-Platzer, B.
Effects of extracorporeal photoimmunotherapy on soluble IL-2Ralpha, TNF-RI, and CD8 in patients with steroid-resistant acute graft-versus-host disease.
Clin Immunol. 2002; 104(3):248-255 Doi: 10.1006/clim.2001.5240
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Co-Autor*innen der Med Uni Graz
Greinix Hildegard
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Abstract:
Extracorporeal photoimmunotherapy (ECP) has been successfully used as adjunct treatment for steroid-resistant graft-versus-host disease (GvHD) after allogeneic stem cell transplantation. We serially investigated serum levels of soluble interleukin-2 receptor-alpha (sIL-2Ralpha), soluble tumor necrosis factor receptor I (sTNF-RI), and soluble CD8 (sCD8) in 19 patients with steroid-resistant acute GvHD before and after each ECP treatment. Highest levels of sIL-2Ralpha and sTNF-RI correlated with severe acute GvHD and infections. Despite an immediate sIL-2Ralpha and sTNF-RI decrease after each treatment cycle, a mean surge of sTNF-RI>sIL-2Ralpha during the first three ECP cycles was observed in infections. A delayed surge, i.e., after the third ECP cycle, of sIL-2Ralpha and elevated post-ECP sCD8 levels was observed in patients developing chronic GvHD. While levels of sIL-2Ralpha and sTNF-RI correlate with the severity of acute GvHD and infections during the early ECP treatment period, the recurring increase of post-ECP sCD8 possibly may serve as parameter for developing chronic GvHD.
Find related publications in this database (using NLM MeSH Indexing)
Acute Disease -
Adult -
Antigens, CD - blood
Antigens, CD8 - blood
Bone Marrow Transplantation - adverse effects
Enzyme-Linked Immunosorbent Assay -
Female -
Graft vs Host Disease - immunology Graft vs Host Disease - therapy
Humans -
Immunotherapy -
Interleukin-2 Receptor alpha Subunit -
Male -
Middle Aged -
Phototherapy -
Receptors, Interleukin - blood
Receptors, Tumor Necrosis Factor - blood
Receptors, Tumor Necrosis Factor, Type I -
Stem Cell Transplantation - adverse effects

Find related publications in this database (Keywords)
immune-activation markers
acute GvHD
extracorporeal photoimmunotherapy
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