Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation

Hematopoietic stem cell transplantation (HSCT) is the most potent curative therapy for many malignant and non-malignant disorders. Unfortunately, a major complication of HSCT is graft-versus-host disease (GVHD), which is mediated by tissue damage resulting from the conditioning regimens before the t...

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Main Authors: Abdulraouf eRamadan, Sophie ePaczesny
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00014/full
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author Abdulraouf eRamadan
Sophie ePaczesny
author_facet Abdulraouf eRamadan
Sophie ePaczesny
author_sort Abdulraouf eRamadan
collection DOAJ
description Hematopoietic stem cell transplantation (HSCT) is the most potent curative therapy for many malignant and non-malignant disorders. Unfortunately, a major complication of HSCT is graft-versus-host disease (GVHD), which is mediated by tissue damage resulting from the conditioning regimens before the transplantation and the alloreaction of dual immune components (activated donor T cells and recipient’s antigen-presenting cells). This tissue damage leads to the release of alarmins and the triggering of pathogen-recognition receptors that activate the innate immune system and subsequently the adaptive immune system. Alarmins, which are of endogenous origin, together with the exogenous pathogen-associated molecular patterns (PAMPs) elicit similar responses of danger signals and represent the group of damage-associated molecular patterns (DAMPs). Effector cells of innate and adaptive immunity that are activated by PAMPs or alarmins can secrete other alarmins and amplify the immune responses. These complex interactions and loops between alarmins and PAMPs are particularly potent at inducing and then aggravating the GVHD reaction. In this review, we highlight the role of these tissue damaging molecules and their signaling pathways. Interestingly, some DAMPs and PAMPs are organ specific and GVHD-induced and have been shown to be interesting biomarkers. Some of these molecules even represent potential targets for novel therapeutic approaches.
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spelling doaj.art-167be5653dc947dea6dbb849fa6157e02022-12-22T02:17:55ZengFrontiers Media S.A.Frontiers in Immunology1664-32242015-01-01610.3389/fimmu.2015.00014120447Various forms of tissue damage and danger signals following hematopoietic stem cell transplantationAbdulraouf eRamadan0Sophie ePaczesny1Indiana UniversityIndiana UniversityHematopoietic stem cell transplantation (HSCT) is the most potent curative therapy for many malignant and non-malignant disorders. Unfortunately, a major complication of HSCT is graft-versus-host disease (GVHD), which is mediated by tissue damage resulting from the conditioning regimens before the transplantation and the alloreaction of dual immune components (activated donor T cells and recipient’s antigen-presenting cells). This tissue damage leads to the release of alarmins and the triggering of pathogen-recognition receptors that activate the innate immune system and subsequently the adaptive immune system. Alarmins, which are of endogenous origin, together with the exogenous pathogen-associated molecular patterns (PAMPs) elicit similar responses of danger signals and represent the group of damage-associated molecular patterns (DAMPs). Effector cells of innate and adaptive immunity that are activated by PAMPs or alarmins can secrete other alarmins and amplify the immune responses. These complex interactions and loops between alarmins and PAMPs are particularly potent at inducing and then aggravating the GVHD reaction. In this review, we highlight the role of these tissue damaging molecules and their signaling pathways. Interestingly, some DAMPs and PAMPs are organ specific and GVHD-induced and have been shown to be interesting biomarkers. Some of these molecules even represent potential targets for novel therapeutic approaches.http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00014/fullinnate immunitybiomarkersDAMPsdanger signalsGvHDPAMPS
spellingShingle Abdulraouf eRamadan
Sophie ePaczesny
Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
Frontiers in Immunology
innate immunity
biomarkers
DAMPs
danger signals
GvHD
PAMPS
title Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
title_full Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
title_fullStr Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
title_full_unstemmed Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
title_short Various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
title_sort various forms of tissue damage and danger signals following hematopoietic stem cell transplantation
topic innate immunity
biomarkers
DAMPs
danger signals
GvHD
PAMPS
url http://journal.frontiersin.org/Journal/10.3389/fimmu.2015.00014/full
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AT sophieepaczesny variousformsoftissuedamageanddangersignalsfollowinghematopoieticstemcelltransplantation