Target intelligence / Profile preview

Graft-versus-host disease (GVHD)

Target
GVHD
01

Overview

Graft-versus-host disease (GVHD) is a systemic immune-mediated complication of allogeneic (donor) hematopoietic stem cell or bone marrow transplantation, in which donor immune cells (primarily T lymphocytes) attack the recipient's tissues, recognizing them as foreign. GVHD can be acute or chronic, with acute forms typically affecting skin, liver, and gastrointestinal tract, while chronic forms can involve almost any organ. GVHD is managed with various immunosuppressive therapies, and steroid-refractory GVHD is a significant therapeutic challenge[1][2][3][5][7][10]. In summary, "Graft-versus-host disease" is not a molecular or protein target, but a complex immunologic disorder and major complication of transplantation. This entry is thus considered incorrect as a drug target per standard categorization.

Other names
GvHDGVHDGraft versus host diseaseGraft-vs-host disease
02

Mechanism of action

Immunosuppression (corticosteroids, calcineurin inhibitors, mycophenolate mofetil, sirolimus, azathioprine, antithymocyte globulin) Targeted inhibition of signaling pathways (ibrutinib – BTK inhibitor) Cell therapies modulating immune cell response (decidua or mesenchymal stromal cells)[1][2][4]

03

Biological functions

Immune responseInflammation
04

Disease associations

Other (specifically, transplant complication/post-transplant immune disorder)
05

Safety considerations

Increased risk of serious infection due to immunosuppression[1][3][7]Steroid resistance or refractory disease, particularly in acute GVHD[2]Drug-related toxicities and organ dysfunction[3]Chronic organ damage (skin, liver, GI tract, connective tissue, exocrine glands)[5][3]
06

Interacting drugs

Corticosteroids (prednisone, methylprednisolone)

7 more in the full profile.

07

Biomarkers

Elafin (skin involvement)[5]Routine tests: liver function, gastrointestinal markers, biopsy findings[7][10]

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