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The reparative immunologic consequences of stem cell transplantation as a cellular therapy for refractory Crohn's disease.

Daniela GuisadoSayali TalwareXiaoli WangAndrew DavisElbek FozilovAaron EtraJean Frederic ColombelChristoph SchanielChristopher TastadJohn E LevineJames L M FerraraLing-Shiang ChuangKsenija SabicShishir SinghBridget K MarcellinoRonald HoffmanJudy H ChoLouis J Cohen
Published in: bioRxiv : the preprint server for biology (2024)
These studies indicate that SCT serves as a myeloid-directed cellular therapy re-establishing homeostatic intestinal macrophages that support intestinal healing and suggest refractory CD evolves from impairment of restorative functions in myeloid cells. Furthermore, we report heterogeneity among HSCs from CD patients which may drive SCT outcomes and suggests an unrecognized impact of CD pathophysiology on HSC in the marrow niche.
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