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Through noninvasive monitoring of leukocyte motion in skin capillaries of patients after hematopoietic cell transplantation, we found increased leukocyte rolling and adhesion prior to clinical signs of disease. In this longitudinal pilot study, we explored the feasibility to detect changes in leukocyte-endothelial interactions that precede acute graft-versus-host disease in patients after hematopoietic cell transplantation. We present the pattern of change in leukocyte rolling and adhesion in three patients over the course of the first 100 days post-transplant. Our preliminary data show increased leukocyte-endothelial interactions prior to clinical signs of any organ acute graft-versus-host disease.
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Inga Saknite, Michael Byrne, Madan Jagasia, Eric R. Tkaczyk, "Confocal video microscopy reveals altered leukocyte-endothelial interactions in skin preceding acute graft-versus-host disease (Conference Presentation)," Proc. SPIE 11211, Photonics in Dermatology and Plastic Surgery 2020, 112110G (6 March 2020); https://doi.org/10.1117/12.2543808