The search for drug-targetable diagnostic, prognostic and predictive biomarkers in chronic graft-versus-host disease

Hong Gang Ren, Djamilatou Adom, Sophie Paczesny

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Introduction: Chronic graft-versus-host disease (cGVHD) continues to be the leading cause of late morbidity and mortality after allogeneic hematopoietic stem cell transplantation (allo-HSCT), which is an increasingly applied curative method for both benign and malignant hematologic disorders. Biomarker identification is crucial for the development of noninvasive and cost-effective cGVHD diagnostic, prognostic, and predictive test for use in clinic. Furthermore, biomarkers may help to gain a better insight on ongoing pathophysiological processes. The recent widespread application of omics technologies including genomics, transcriptomics, proteomics and cytomics provided opportunities to discover novel biomarkers. Areas covered: This review focuses on biomarkers identified through omics that play a critical role in target identification for drug development, and that were verified in at least two independent cohorts. It also summarizes the current status on omics tools used to identify these useful cGVHD targets. We briefly list the biomarkers identified and verified so far. We further address challenges associated to their exploitation and application in the management of cGVHD patients. Finally, insights on biomarkers that are drug targetable and represent potential therapeutic targets are discussed. Expert commentary: We focus on biomarkers that play an essential role in target identification.

Original languageEnglish (US)
Pages (from-to)389-404
Number of pages16
JournalExpert Review of Clinical Immunology
Volume14
Issue number5
DOIs
StatePublished - May 4 2018

Keywords

  • Chronic graft-versus-host disease (cGVHD)
  • allogeneic hematopoietic stem cell transplantation (allo-HSCT)
  • biomarkers
  • omics
  • therapy

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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