Publications by authors named "Schneidawind D"

-rearranged (r) leukemia is characterized by a poor prognosis. Depending on the cell of origin, it differs in the aggressiveness and therapy response. For instance, in adults, volasertib blocking Polo-like kinase 1 (PLK-1) exhibited limited success.

View Article and Find Full Text PDF

Objectives: Allogeneic hematopoietic stem cell transplantation (HSCT) effectively treats high-risk myeloid neoplasms, but relapses post-HSCT, particularly in acute myeloid leukemia (AML) and myelodysplastic neoplasms (MDS), pose significant challenges. Donor lymphocyte infusion (DLI) has been utilized, but its effectiveness, especially in haploidentical settings, remains insufficiently clarified, and graft-versus-host disease (GvHD) poses a substantial risk.

Methods: In this retrospective cohort study, 57 patients with AML or MDS who received DLI after allogeneic HSCT at our center from 2002 to 2023 were analyzed.

View Article and Find Full Text PDF

With the rising number of patients receiving chimeric antigen receptor T-cells, the treatment of this therapy's complications is of growing concern to intensivists and neurologists. We used extracorporeal cytokine adsorption as an add-on therapy in a patient suffering from immune effector cell-associated neurotoxicity syndrome. Interleukin-6 level, which as a readily available parameter is generally used to evaluate course of disease, was rapidly reduced using this method.

View Article and Find Full Text PDF

Invariant natural killer T (iNKT) cells are a small fraction of T lymphocytes with strong cytotoxic and immunoregulatory properties. We previously showed that human culture-expanded iNKT cells prevent alloreactivity and lyse primary leukemia blasts. Here, iNKT cells have several advantages over T cells based on their immunoregulatory capabilities.

View Article and Find Full Text PDF

Locally advanced or metastatic head and neck squamous cell carcinoma (HNSCC) is associated with a poor prognosis. The introduction of PD-1 inhibitors has led to a significant improvement in survival, but only a subpopulation of patients responds to therapy. Current biomarkers cannot reliably identify these patients.

View Article and Find Full Text PDF

Allogeneic haematopoietic cell transplantation (allo-HCT) recipients exhibit an increased risk of COVID-19, particularly in the early post-transplant phase, due to insufficient vaccine responses. This retrospective study investigated the incidence of SARS-CoV-2 infection in allo-HCT recipients who received tixagevimab/cilgavimab pre-exposure prophylaxis (T/C PrEP) compared to those who did not. Logistic regression, adjusted for sex, age, SARS-CoV-2 vaccination status and immunosuppressive treatment, revealed a significant reduction in the likelihood of SARS-CoV-2 infection risk with T/C PrEP (adjusted odds ratio aOR = 0.

View Article and Find Full Text PDF
Article Synopsis
  • Relapse and graft-versus-host disease (GVHD) are major causes of death after hematopoietic cell transplantation (HCT), and invariant natural killer T (iNKT) cells may help prevent GVHD while fighting malignancies.
  • This study aimed to enhance the effectiveness of iNKT cells by creating CD19-CAR-iNKT cells that target lymphoma while maintaining their immune-regulatory properties.
  • Results showed that while CD19-CAR-iNKT cells can induce target cell death, they also face exhaustion; however, using checkpoint inhibitors like nivolumab boosted their effectiveness and reduced the risk of GVHD.
View Article and Find Full Text PDF

The Swiss Blood Stem Cell Transplantation and Cellular Therapy Group (SBST) leads a mandatory national registry for all hematopoietic stem cell transplants (HCT) and cellular therapies. After 25 years, information was available for 11,226 patients receiving an HCT (4031 allogeneic and 7195 autologous), including 925 pediatric patients. We compared patient characteristics and outcome by quinquennia 1997-2001, 2002-2006, 2007-2011, 2012-2016, and 2017-2021.

View Article and Find Full Text PDF

Dysregulated cholesterol homeostasis promotes tumorigenesis and progression. Therefore, metabolic reprogramming constitutes a new hallmark of cancer. However, until today, only few therapeutic approaches exist to target this pathway due to the often-observed negative feedback induced by agents like statins leading to controversially increased cholesterol synthesis upon inhibition.

View Article and Find Full Text PDF
Article Synopsis
  • Rearrangement (r) is linked to aggressive acute leukemias, highlighting a pressing need for new treatment methods, especially targeting the NOTCH1 pathway, which plays a key role in cancer development.* -
  • A new NOTCH1 inhibitor, CAD204520, has been shown to selectively disrupt the NOTCH1 pathway in leukemia cells, reducing their proliferation and promoting apoptosis, unlike traditional treatments like cytarabine.* -
  • The study suggests that targeting the NOTCH1 pathway could be a promising therapeutic approach for treating rearrangement-related leukemia, encouraging further clinical exploration of CAD204520.*
View Article and Find Full Text PDF

Hematopoietic cell transplantation from haploidentical donors (haploHCT) has facilitated treatment of AML and MDS by increasing donor availability and became more feasible since the introduction of post-transplant cyclophosphamide (ptCY). In our single-center retrospective analysis including 213 patients with AML or MDS, we compare the outcome of haploHCT (n = 40) with ptCY with HCT from HLA-identical MRD (n = 105) and MUD (n = 68). At 2 years after transplantation, overall survival (OS) after haploHCT was not significantly different (0.

View Article and Find Full Text PDF
Article Synopsis
  • Hematological toxicity is the most frequent side effect of CAR T-cell therapy, leading to severe and prolonged cytopenias that increase the risk of infections.
  • An international panel of CAR T-cell experts developed consensus recommendations for grading and managing immune effector cell-associated hematotoxicity (ICAHT) during a series of meetings organized by the European Society for Blood and Marrow Transplantation and the European Hematology Association.
  • The recommendations include a classification system for grading cytopenias, risk factors, diagnostic workups, and management tactics such as growth factor support and prophylaxis against infections.
View Article and Find Full Text PDF

MLL rearranged (MLLr) leukemias are associated with a poor prognosis and a limited response to conventional therapies. Moreover, chemotherapies result in severe side effects with significant impairment of the immune system. Therefore, the identification of novel treatment strategies is mandatory.

View Article and Find Full Text PDF

Cytomegalovirus (CMV) reactivation is common after allogeneic hematopoietic cell transplantation (HCT) and may result in fatal CMV disease. Invariant natural killer T (iNKT) cells are potent modulators of the immune system preventing graft-versus-host disease while promoting graft-versus-leukemia effects. It is thought that iNKT cells selectively influence mediators of both innate and adaptive immunity.

View Article and Find Full Text PDF

Objective: Systemic sclerosis (SSc) is a connective tissue disease with poorly understood pathogenesis and limited treatment options. Patient mortality is rooted predominantly in the development of pulmonary and cardiac complications. The overactivated immune system is assumed to sustain the inflammatory signature of this autoimmune disease.

View Article and Find Full Text PDF

Prophylactic donor lymphocyte infusions (DLI) are part of the sequential FLAMSA-reduced intensity conditioning (RIC) regimen to cure high risk myeloid neoplasia with allogeneic hematopoietic stem cell transplantation (HSCT). Although DLI themselves carry significant risks, their prophylactic use has not been analyzed in a time-dependent manner. One hundred and fourteen patients underwent FLAMSA-RIC HSCT between 2013 and 2020.

View Article and Find Full Text PDF

Graft-versus-host disease (GvHD) is a major cause of morbidity and mortality after allogeneic hematopoietic cell transplantation. We recently showed in murine studies and in vitro human models that adoptively transferred invariant natural killer T (iNKT) cells protect from GvHD and promote graft-versus-leukemia effects. The cellular mechanisms underlying GvHD prevention by iNKT cells in humans, however, remain unknown.

View Article and Find Full Text PDF

Invariant natural killer T cells (iNKT cells) are a small subset of T lymphocytes that are equipped with various immunoregulatory cytokines and cytotoxic effector molecules. Immune responses can be modulated efficiently by their interaction with other cells of the innate and adaptive immune system. Also, iNKT cells can promote apoptosis of malignant cells.

View Article and Find Full Text PDF

() rearrangements (r) play a crucial role in leukemogenesis. Dependent on age, major differences exist regarding disease frequency, main fusion partners and prognosis. In infants, up to 80% of acute lymphoid leukemia (ALL) bear a translocation and half of them are (4;11), resulting in a poor prognosis.

View Article and Find Full Text PDF
Article Synopsis
  • The study explores how LPS (lipopolysaccharide) can influence the development of neutrophils from stem cells when taken orally, without needing G-CSF (granulocyte colony-stimulating factor).
  • It establishes that TLR4 (Toll-like receptor 4) is essential for detecting LPS that affects neutrophil production in the body.
  • The findings highlight the importance of the gut microbiome in regulating neutrophil levels, which may be particularly relevant for patients undergoing chemotherapy or antibiotic treatment, as these therapies can alter the microbiome's structure.
View Article and Find Full Text PDF

Epigenetic dysregulation plays a pivotal role in mixed-lineage leukemia ( pathogenesis, therefore serving as a suitable therapeutic target. S-adenosylmethionine (SAM) is the universal methyl donor in human cells and is synthesized by methionine adenosyltransferase 2A (MAT2A), which is deregulated in different cancer types. Here, we used our human CRISPR/Cas9--rearranged (CRISPR/Cas9-r) leukemia model, faithfully mimicking r patients' pathology with indefinite growth potential , to evaluate the unknown role of MAT2A.

View Article and Find Full Text PDF

Objective: Systemic sclerosis (SSc) is a connective tissue disease with a significant morbidity and reduced survival of patients. Effective treatment and clinical control of the disease remain challenging. In particular, the development of pulmonary and cardiac fibrosis and pulmonary hypertension are severe complications responsible for excessive mortality.

View Article and Find Full Text PDF