Immunotherapy after hematopoietic stem cell transplantation using umbilical cord blood-derived products

Cancer Immunol Immunother. 2017 Feb;66(2):215-221. doi: 10.1007/s00262-016-1852-3. Epub 2016 Jun 6.

Abstract

Umbilical cord blood (UCB) is being increasingly used as a source of hematopoietic stem cells (HSC) for transplantation. UCB transplantation (UCBT) has some advantages such as less stringent HLA-matching requirements, fast availability of the graft and reduced incidence and severity of graft-versus-host disease. However, UCBT is also associated with a higher incidence of infection, graft failure, slow engraftment and slow immune reconstitution. UCB is mainly used as a source of HSC; however, it is also rich in immune cells that could be used to treat some of the main complications post-UCBT as well as other diseases, thus implicating the use of UCB for immunotherapy. Here, we aim to describe some of the therapies currently developed that use UCB as a cell source, focusing in particular on regulatory T cells and natural killer cells.

Keywords: Cell therapy; Hematopoietic stem cell transplantation; Natural killer cells; PIVAC 15; Regulatory T cells; Umbilical cord blood.

Publication types

  • Review

MeSH terms

  • Fetal Blood / chemistry
  • Fetal Blood / immunology*
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Immunotherapy / methods*
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Transplantation Conditioning / methods*