B Cell Reconstitution and Influencing Factors After Hematopoietic Stem Cell Transplantation in Children

Overview

Journal Front Immunol

Specialty Allergy & Immunology

Date 2019 Apr 30

PMID 31031769

Citations 27

Authors

Nicolaas G van der Maas

Dagmar Berghuis

Mirjam van der Burg

Arjan C Lankester

Affiliations

Soon will be listed here.

Abstract

B cell reconstitution after hematopoietic stem cell transplantation (HSCT) is variable and influenced by different patient, donor, and treatment related factors. In this review we describe B cell reconstitution after pediatric allogeneic HST, including the kinetics of reconstitution of the different B cell subsets and the development of the B cell repertoire, and discuss the influencing factors. Observational studies show important roles for stem cell source, conditioning regimen, and graft vs. host disease in B cell reconstitution. In addition, B cell recovery can play an important role in post-transplant infections and vaccine responses to encapsulated bacteria, such as pneumococcus. A substantial number of patients experience impaired B cell function and/or dependency on Ig substitution after allogeneic HSCT. The underlying mechanisms are largely unresolved. The integrated aspects of B cell recovery after HSCT, especially BCR repertoire reconstitution, are awaiting further investigation using modern techniques in order to gain more insight into B cell reconstitution and to develop strategies to improve humoral immunity after allogeneic HSCT.

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