Turkish Journal of Medical Sciences
DOI
10.3906/sag-1911-112
Abstract
Background/aim: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) has been used for the treatment of various refractory solid tumors during the last two decades. After the demonstration of graft-versus-leukemia (GvL) effect in a leukemic murine model following allo-HSCT from other strains of mice, graft-versus-tumor (GvT) effect in a solid tumor after allo-HSCT has also been reported in a murine model in 1984. Several trials have reported the presence of a GvT effect in patients with various refractory solid tumors, including renal, ovarian and colon cancers, as well as soft tissue sarcomas [1]. The growing data on haploidentical transplants also indicate GvT effect in some pediatric refractory solid tumors. Novel immunotherapy-based treatment modalities aim at inducing an allo-reactivity against the metastatic solid tumor via a GvT effect. Recipient derived immune effector cells (RDICs) in the antitumor reactivity following allo-HSCT have also been considered as an emerging therapy for advanced refractory solid tumors. Conclusion: This review summarizes the background, rationale, and clinical results of immune-based strategies using GvT effect for the treatment of various metastatic and refractory solid tumors, as well as innovative approaches such as haploidentical HSCT, CAR-T cell therapies and tumor infiltrating lymphocytes (TIL).
Keywords
Graft-versus-tumor effect, recipient derived immune effector cells, allogeneic hematopoietic stem cell transplantation, solid tumors
First Page
1697
Last Page
1706
Recommended Citation
ŞAHİN, UĞUR and DEMİRER, TANER
(2020)
"Graft-versus-cancereffect and innovative approaches in thetreatment of refractorysolid tumors,"
Turkish Journal of Medical Sciences: Vol. 50:
No.
10, Article 14.
https://doi.org/10.3906/sag-1911-112
Available at:
https://journals.tubitak.gov.tr/medical/vol50/iss10/14