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Other Immunomodulatory Treatment for Cytokine Storm Syndromes
1Department of Pediatric Rheumatology, Hacettepe University, Ankara, Turkey.
Insights
Cytokine storm syndromes (CSS) require effective management. This review covers alternative immunomodulatory therapies including biologics, stem cell transplantation, and cell-based treatments for CSS.
Area of Science:
- Immunology
- Hematology
- Critical Care Medicine
Background:
- Cytokine storm syndromes (CSS) encompass conditions like macrophage activation syndrome, hemophagocytic lymphohistiocytosis (HLH), and MIS-C.
- Effective management strategies are crucial for improving outcomes in CSS patients.
Purpose of the Study:
- To review alternative immunomodulatory therapies for Cytokine Storm Syndromes (CSS).
- To highlight current and emerging treatment options beyond standard care.
Main Methods:
- Literature review of immunomodulatory therapies for CSS.
- Analysis of treatment modalities including corticosteroids, biologics, and cell-based therapies.
Main Results:
- Biologics are integral to CSS treatment.
- Hematopoietic stem cell transplantation (HSCT) is a critical option for primary HLH.
- Alternative therapies include cyclosporine A, IVIG, IL-18BP, plasmapheresis, and MSCs.
Conclusions:
- A range of immunomodulatory therapies are available for CSS management.
- Personalized treatment approaches are essential for different CSS entities.
- Further research into novel therapies like IL-18BP and MSCs is warranted.
Abstract:
Cytokine storm syndromes (CSS) include different entities such as macrophage activation syndrome, primary and secondary hemophagocytic lymphohistiocytosis (HLH), and multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19. An effective management strategy is critical in CSS. While biologics have become an essential part of CSS treatment, hematopoietic stem cell transplantation (HSCT) has changed the fate of primary HLH patients. This chapter will focus on the available alternative immunomodulatory therapies in CSS, which include corticosteroids, cyclosporine A, intravenous immunoglobulin, interleukin 18 binding protein, therapeutic plasmapheresis, HSCT, and mesenchymal stromal cell-based therapies.
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