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儿童、青少年和年轻成人实体器官移植后移植后淋巴增殖性疾病的诊断和管理

英文原题:Diagnosis and management of post-transplant lymphoproliferative disease following solid organ transplantation in children, adolescents, and young adults.

查看英文原题

Diagnosis and management of post-transplant lymphoproliferative disease following solid organ transplantation in children, adolescents, and young adults.

PubMed 2023/02/03(内容时间) Best Pract Res Clin Haematol Q2 · IF 3.4(JCR 2025)

研究概要

移植后淋巴增殖性疾病(PTLD)仍然是儿童实体器官移植(SOT)的主要并发症。

中文摘要

移植后淋巴增殖性疾病(PTLD)仍然是儿童实体器官移植(SOT)后的主要并发症。大多数为EBV驱动的CD20+ B细胞增殖,对减少免疫抑制和抗CD20靶向免疫治疗有反应。本综述聚焦于儿童EBV+ PTLD的流行病学、EBV的作用、临床表现、当前治疗策略、过继性免疫治疗及未来研究。

展开英文摘要原文

Post-transplant Lymphoproliferative Disease (PTLD) remains a major complication of solid organ transplantation (SOT) in pediatric patients. The majority are Epstein-Barr Virus (EBV) driven CD20 + B-cell proliferations responsive to reduction to immunosuppression and anti-CD20 directed immunotherapy. This review focusses on the epidemiology, role of EBV, clinical presentation, current treatment strategies, adoptive immunotherapy and future research in EBV + PTLD in pediatric patients.

论文信息

作者
Rubinstein J、Toner K、Gross T、Wistinghausen B
第一作者单位
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Division of Oncology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 7018, Cincinnati, OH, 45229, USA. Electronic address: Jeremy.Rubinstein@cchmc.org.United States
通讯作者单位
Center for Cancer and Blood Disorder, Children's National Hospital, Washington, DC, USA; Center for Cancer and Immunology Research, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA. Electronic address: bwistingha@childrensnational.org.United States
文献类型
综述
期刊
Best practice & research. Clinical haematology2023 Mar
原文标识
PubMed 36907642 · DOI 10.1016/j.beha.2023.101446