Current and emerging approaches to enhance allogeneic HCT for nonmalignant disease
. | Current approaches . | Emerging 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 approaches . | Emerging 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.