Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis

Daniela A Moraes,1 Maria Carolina Oliveira2 1Division of Clinical Immunology, Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; 2Center for Cell-Based Therapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazi...

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Main Authors: Moraes DA, Oliveira MC
Format: Article
Language:English
Published: Dove Medical Press 2021-11-01
Series:Journal of Blood Medicine
Subjects:
Online Access:https://www.dovepress.com/life-after-autologous-hematopoietic-stem-cell-transplantation-for-syst-peer-reviewed-fulltext-article-JBM
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author Moraes DA
Oliveira MC
author_facet Moraes DA
Oliveira MC
author_sort Moraes DA
collection DOAJ
description Daniela A Moraes,1 Maria Carolina Oliveira2 1Division of Clinical Immunology, Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; 2Center for Cell-Based Therapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilCorrespondence: Maria Carolina OliveiraDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirão Preto, SP, 14048-900, BrazilEmail mcarolor@usp.brAbstract: Stem cell transplantation has been investigated as treatment for severe and progressive systemic sclerosis (SSc) for the past 25 years. To date, more than 1000 SSc patients have been transplanted worldwide. Overall and event-free survival have increased over the years, reflecting stricter patient selection criteria and better clinical management strategies. This review addresses long-term outcomes of transplanted SSc patients, considering phase I/II and randomized clinical trials, as well as observational studies and those assessing specific aspects of the disease. Clinical outcomes are discussed comparatively between studies, highlighting advances, drawbacks and controversies in the field. Areas for future development are also discussed.Keywords: systemic sclerosis, stem cell transplantation, long-term outcomes, progression-free survival
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spelling doaj.art-b81e961720494f009ba5679a8878dfd42022-12-21T23:13:44ZengDove Medical PressJournal of Blood Medicine1179-27362021-11-01Volume 1295196470397Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic SclerosisMoraes DAOliveira MCDaniela A Moraes,1 Maria Carolina Oliveira2 1Division of Clinical Immunology, Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; 2Center for Cell-Based Therapy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilCorrespondence: Maria Carolina OliveiraDepartment of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirão Preto, SP, 14048-900, BrazilEmail mcarolor@usp.brAbstract: Stem cell transplantation has been investigated as treatment for severe and progressive systemic sclerosis (SSc) for the past 25 years. To date, more than 1000 SSc patients have been transplanted worldwide. Overall and event-free survival have increased over the years, reflecting stricter patient selection criteria and better clinical management strategies. This review addresses long-term outcomes of transplanted SSc patients, considering phase I/II and randomized clinical trials, as well as observational studies and those assessing specific aspects of the disease. Clinical outcomes are discussed comparatively between studies, highlighting advances, drawbacks and controversies in the field. Areas for future development are also discussed.Keywords: systemic sclerosis, stem cell transplantation, long-term outcomes, progression-free survivalhttps://www.dovepress.com/life-after-autologous-hematopoietic-stem-cell-transplantation-for-syst-peer-reviewed-fulltext-article-JBMsystemic sclerosisstem cell transplantationlong-term outcomesprogression-free survival
spellingShingle Moraes DA
Oliveira MC
Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
Journal of Blood Medicine
systemic sclerosis
stem cell transplantation
long-term outcomes
progression-free survival
title Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
title_full Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
title_fullStr Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
title_full_unstemmed Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
title_short Life after Autologous Hematopoietic Stem Cell Transplantation for Systemic Sclerosis
title_sort life after autologous hematopoietic stem cell transplantation for systemic sclerosis
topic systemic sclerosis
stem cell transplantation
long-term outcomes
progression-free survival
url https://www.dovepress.com/life-after-autologous-hematopoietic-stem-cell-transplantation-for-syst-peer-reviewed-fulltext-article-JBM
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