In two recent publications, we demonstrated that after allogeneic stimulation, regulatory T cells (Tregs) increase expression of aldehyde dehydrogenase (ALDH), the major in vivo mechanism of cyclophosphamide detoxification, thereby becoming cyclophosphamide resistant. Differential ALDH expression may explain why cyclophosphamide has pro- and anti-inflammatory effects that are temporally and contextually dependent.
Keywords: aldehyde dehydrogenase, ALDH, allogeneic, BMT, cyclophosphamide, post-transplantation cyclophosphamide, regulatory T cell, tolerance, Treg.