"Phage Transplantation in Allotransplantation": Possible Treatment in Graft-Versus-Host Disease?

Front Immunol. 2018 Apr 27:9:941. doi: 10.3389/fimmu.2018.00941. eCollection 2018.

Abstract

Graft-versus-host disease, both acute and chronic (aGvHD, cGvHD) remains a major complication in patients undergoing hematopoietic cell transplantation (HCT) and a significant therapeutic challenge, as many patients do not respond adequately to presently available therapy. Increasing antimicrobial resistance has greatly revived interest in using bacterial viruses (phages) to combat antibiotic-resistant bacteria. In recent years, evidence has accumulated indicating that phages also have anti-inflammatory and immunomodulatory activities. This article suggests how these anti-bacterial and immunomodulatory activities of phages may be translated into a novel treatment of acute GvHD.

Keywords: GvHD; hematopoietic cell transplantation; immunomodulation; inflammation; phage; phage therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Bacteriophages / physiology*
  • Graft vs Host Disease / diagnosis
  • Graft vs Host Disease / etiology*
  • Graft vs Host Disease / therapy*
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Immunomodulation
  • Microbiota
  • Neutrophils / immunology
  • Neutrophils / metabolism
  • Phage Therapy* / methods
  • Transplantation, Homologous
  • Treatment Outcome