Clinical importance of HLA-DPB1 in haematopoietic cell transplantation

被引:18
作者
Shaw, B. E.
Gooley, T.
Madrigal, J. A.
Malkki, M.
Marsh, S. G. E.
Petersdorf, E. W.
机构
[1] Royal Free Hosp, Anthony Nolan Res Inst, London NW3 2QG, England
[2] City Hosp Nottingham, Dept Haematol, Nottingham, England
[3] Fred Hutchinson Canc Res Ctr, Div Clin Res, Seattle, WA 98104 USA
来源
TISSUE ANTIGENS | 2007年 / 69卷
关键词
HCT; HLA-DPBI; unrelated donor; SURVIVAL;
D O I
10.1111/j.1399-0039.2006.759_4.x
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
There is increasing evidence for a significant effect of human leukocyte antigen (HLA)-DPB1 mismatching on complications following unrelated donor haematopoietic cell transplantation (HCT). In this analysis of 5930 patient/donor pairs, we found that a DPB1 mismatch predicted significantly for an increased risk of acute graft-vs-host disease [hazard ratio (HR): 1.33; P-value = < 0.0001], while protecting against disease relapse (HR: 0.82, P-value = 0.01). These data support an immunogenic role for HLA-DPB1 in HCT and the need for pretransplant tissue typing at this locus.
引用
收藏
页码:36 / 41
页数:6
相关论文
共 12 条
[1]  
FILION A, 2004, BONE MARROW TRANSPLA, V33
[2]   Graft rejection after unrelated donor hematopoietic stera cell transplantation for thalassemia is associated with nonpermissive HLA-DPB1 disparity in host-versus-graft direction [J].
Fleischhauer, K ;
Locatelli, F ;
Zecca, M ;
Orofino, MG ;
Giardini, C ;
de Stefano, P ;
Pession, A ;
Iannone, AM ;
Carcassi, C ;
Zino, E ;
La Nasa, G .
BLOOD, 2006, 107 (07) :2984-2992
[3]  
HOROWITZ MM, 1990, BLOOD, V75, P555
[4]   DPB1 disparities contribute to severe GVHD and reduced patient survival after unrelated donor bone marrow transplantation [J].
Loiseau, P ;
Espérou, H ;
Busson, M ;
Sghiri, R ;
Tamouza, R ;
Hilarius, M ;
Raffoux, C ;
Devergie, A ;
Ribaud, P ;
Socié, G ;
Gluckman, E ;
Charron, D .
BONE MARROW TRANSPLANTATION, 2002, 30 (08) :497-502
[5]   The biological significance of HLA-DP gene variation in haematopoietic cell transplantation [J].
Petersdorf, EW ;
Gooley, T ;
Malkki, M ;
Anasetti, C ;
Martin, P ;
Woolfrey, A ;
Smith, A ;
Mickelson, E ;
Hansen, JA .
BRITISH JOURNAL OF HAEMATOLOGY, 2001, 112 (04) :988-994
[6]   The highest leukaemia-free survival after allogeneic bone marrow transplantation is seen in patients with grade I acute graft-versus-host disease [J].
Ringden, O ;
Hermans, J ;
Labopin, M ;
Apperley, J ;
Gorin, NC ;
Gratwohl, A .
LEUKEMIA & LYMPHOMA, 1996, 24 (1-2) :71-79
[7]   IMGT/HLA and IMGT/MHC: sequence databases for the study of the major histocompatibility complex [J].
Robinson, J ;
Waller, MJ ;
Parham, P ;
de Groot, N ;
Bontrop, R ;
Kennedy, LJ ;
Stoehr, P ;
Marsh, SGE .
NUCLEIC ACIDS RESEARCH, 2003, 31 (01) :311-314
[8]   HLA-DPB1 matching status has significant implications for recipients of unrelated donor stem cell transplants [J].
Shaw, BE ;
Marsh, SGE ;
Mayor, NP ;
Russell, NH ;
Madrigal, JA .
BLOOD, 2006, 107 (03) :1220-1226
[9]   The degree of matching at HLA-DPB1 predicts for acute graft-versus-host disease and disease relapse following haematopoietic stem cell transplantation [J].
Shaw, BE ;
Potter, MN ;
Mayor, NP ;
Pay, AL ;
Smith, C ;
Goldman, JM ;
Prentice, HG ;
Marsh, SGE ;
Madrigal, JA .
BONE MARROW TRANSPLANTATION, 2003, 31 (11) :1001-1008
[10]  
SHAW BE, 2004, BLOOD, V104, P827