Table 2.

Current and emerging approaches to enhance allogeneic HCT for nonmalignant disease

Current approachesEmerging approaches
Conditioning regimens Use of traditional agents in combinations that limit toxicities Antibody-based conditioning (anti-CD117, anti-CD45) 
Graft sources Unmanipulated BM, PBSC, or UCB Ex vivo UCB expansion (nicotinamide) 
GVHD prophylaxis CNI-based prophylactic regimens Addition of ATG PTCy-based prophylactic regimens Traditional T-cell depletion Wider adoption of PTCy-based regimens Novel targeted agents (CD24, CD26, α4β7 integrin, JAK1 or JAK 1/2, T-cell costimulation) Novel depletion approaches (CD3+/CD19+, TCRαβ+, CD45RA+) Infusion of ex vivo expanded or highly purified regulatory T-cells after CD34+ selected HCT 
Current approachesEmerging approaches
Conditioning regimens Use of traditional agents in combinations that limit toxicities Antibody-based conditioning (anti-CD117, anti-CD45) 
Graft sources Unmanipulated BM, PBSC, or UCB Ex vivo UCB expansion (nicotinamide) 
GVHD prophylaxis CNI-based prophylactic regimens Addition of ATG PTCy-based prophylactic regimens Traditional T-cell depletion Wider adoption of PTCy-based regimens Novel targeted agents (CD24, CD26, α4β7 integrin, JAK1 or JAK 1/2, T-cell costimulation) Novel depletion approaches (CD3+/CD19+, TCRαβ+, CD45RA+) Infusion of ex vivo expanded or highly purified regulatory T-cells after CD34+ selected HCT 

JAK, Janus kinase.

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