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Updated: Sep 10, 2025

High Throughput Sequential ELISA for Validation of Biomarkers of Acute Graft-Versus-Host Disease
Published on: October 31, 2012
DecodingAcute GVHD: The role of serum biomarkers and imaging in diagnosis and management
Rohit Singh1, Happy Agarwal1, Ryan Bynum1
1Stephenson Cancer Center, Department of Surgery, University of Oklahoma, Oklahoma City, OK 73104, USA.
Insights
Graft-versus-host disease (GVHD) remains a significant HCT complication. This review explores diagnostic biomarkers and imaging to improve early GVHD identification, severity prediction, and prognosis.
Area of Science:
- Hematology
- Immunology
- Transplantation Medicine
Background:
- Graft-versus-host disease (GVHD) is a primary obstacle to successful hematopoietic stem cell transplantation (HCT).
- Despite therapeutic advancements, GVHD remains a leading cause of mortality post-HCT.
- Current diagnostic methods for GVHD lack sufficient accuracy and timeliness, hindering effective early intervention.
Purpose of the Study:
- To review current diagnostic serum biomarkers for predicting GVHD onset, severity, and prognosis.
- To discuss advancements in imaging techniques for GVHD assessment.
- To highlight the differential diagnosis of GVHD from other conditions.
Main Methods:
- Literature review of diagnostic serum biomarkers for GVHD.
- Analysis of imaging advancements in GVHD detection and monitoring.
- Exploration of differential diagnostic criteria for GVHD.
Main Results:
- Existing diagnostic tools for GVHD present challenges in accuracy and early detection.
- Emerging serum biomarkers and imaging technologies show promise for improved GVHD prediction.
- Distinguishing GVHD from other pathologies remains a clinical challenge.
Conclusions:
- There is a critical need for validated biomarkers and advanced imaging to enhance early GVHD diagnosis.
- Improved diagnostic strategies are essential for timely treatment and better HCT outcomes.
- Further research is required to establish reliable markers for GVHD management.
Abstract:
Graft-versus-host disease (GVHD) is one of the major barriers to the clinical success of hematopoietic stem cell transplantation (HCT). Despite improvements in GVHD incidence with the use of post-transplant cyclophosphamide, cord blood transplantation, and improvement in donor identification and matching, it remains a major cause of death in HCT. Early and accurate identification of GVHD is required to improve HCT outcomes. Diagnosis ambiguity continues to be problematic, despite improvements in PCR based stool studies, immunohistochemical markers in tissue biopsy, and improvement in histopathological examination. Unfortunately, therefore, early diagnosis of GVHD suffers from the lack of established diagnostic biomarkers which could improve prompt identification and treatment of GVHD at a time when therapeutic outcome is most impactful. This review discusses available diagnostic serum biomarkers and imaging advancements available to predict onset, severity, and prognosis in GVHD. Additionally, this review highlights the differential diagnosis of GVHD from other related pathological conditions.
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