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Mapping MHC-Resident Transplantation Determinants

Identifieur interne : 008F93 ( Main/Exploration ); précédent : 008F92; suivant : 008F94

Mapping MHC-Resident Transplantation Determinants

Auteurs : Mari Malkki [États-Unis] ; Ted A. Gooley [États-Unis] ; Mary M. Horowitz [États-Unis] ; Lena Absi [France] ; Frank T. Christiansen [Australie] ; Jan J. Cornelissen [Pays-Bas] ; Anne Dormoy [France] ; Valerie Dubois [France] ; Katia Gagne [France] ; Eliane Gluckman [France] ; Michael D. Haagenson [États-Unis] ; Machteld Oudshoorn [Pays-Bas] ; Stephen Spellman [États-Unis] ; Effie W. Petersdorf [États-Unis]

Source :

RBID : PMC:3182140

Abstract

Graft-versus-host disease (GVHD) accounts for increased morbidity and mortality after HLA-identical unrelated hematopoietic cell transplantation (HCT). To test the hypothesis that the MHC encodes functional variation other than the classical HLA genes, we measured risks associated with donor-recipient MHC microsatellite (Msat) marker mismatching in 819 HCT recipients and their HLA-A, -B, -C, -DRB1, -DQB1 allele-matched unrelated donors. Suggestive trends of association with transplant outcome were observed for five Msats. Donor-recipient mismatching for the extended class I D6S105, class III D6S2787 and class II D6S2749 markers was each associated with an increased risk of death (hazard ratio, 1.32; 95% confidence interval, 1.02–1.71; P = .03; hazard ratio, 1.26; 95% confidence interval, 1.03–1.53; P = .02; hazard ratio, 1.37; 95% confidence interval, 1.08–1.72; P = .007, respectively) whereas mismatching for the class I D6S2811 marker was associated with a decreased risk of death (hazard ratio, 0.80; 95% confidence interval, 0.66–0.98; P = .03). Mismatching for the class I D6S265 marker was associated with a decreased risk of grades III-IV acute GVHD (odds ratio, 0.67; 95% confidence interval, 0.45–0.98; P = .04). These results suggest that Msats may be informative for mapping MHC-resident genetic variation of clinical importance in HCT.


Url:
DOI: 10.1016/j.bbmt.2007.05.007
PubMed: 17640603
PubMed Central: 3182140


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Dormoy, Anne" sort="Dormoy, Anne" uniqKey="Dormoy A" first="Anne" last="Dormoy">Anne Dormoy</name>
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<name sortKey="Gagne, Katia" sort="Gagne, Katia" uniqKey="Gagne K" first="Katia" last="Gagne">Katia Gagne</name>
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<name sortKey="Gluckman, Eliane" sort="Gluckman, Eliane" uniqKey="Gluckman E" first="Eliane" last="Gluckman">Eliane Gluckman</name>
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<name sortKey="Haagenson, Michael D" sort="Haagenson, Michael D" uniqKey="Haagenson M" first="Michael D." last="Haagenson">Michael D. Haagenson</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for International Blood and Marrow Transplant Research, Minneapolis, MN</wicri:regionArea>
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<name sortKey="Oudshoorn, Machteld" sort="Oudshoorn, Machteld" uniqKey="Oudshoorn M" first="Machteld" last="Oudshoorn">Machteld Oudshoorn</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>National Marrow Donor Program, Minneapolis, MN</wicri:regionArea>
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<region type="state">Minnesota</region>
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<name sortKey="Petersdorf, Effie W" sort="Petersdorf, Effie W" uniqKey="Petersdorf E" first="Effie W." last="Petersdorf">Effie W. Petersdorf</name>
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<nlm:aff id="A1">The Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, USA</nlm:aff>
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<title level="j">Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation</title>
<idno type="ISSN">1083-8791</idno>
<idno type="eISSN">1523-6536</idno>
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<div type="abstract" xml:lang="en">
<p id="P1">Graft-versus-host disease (GVHD) accounts for increased morbidity and mortality after HLA-identical unrelated hematopoietic cell transplantation (HCT). To test the hypothesis that the MHC encodes functional variation other than the classical HLA genes, we measured risks associated with donor-recipient MHC microsatellite (Msat) marker mismatching in 819 HCT recipients and their HLA-A, -B, -C, -DRB1, -DQB1 allele-matched unrelated donors. Suggestive trends of association with transplant outcome were observed for five Msats. Donor-recipient mismatching for the extended class I D6S105, class III D6S2787 and class II D6S2749 markers was each associated with an increased risk of death (hazard ratio, 1.32; 95% confidence interval, 1.02–1.71;
<italic>P</italic>
= .03; hazard ratio, 1.26; 95% confidence interval, 1.03–1.53;
<italic>P</italic>
= .02; hazard ratio, 1.37; 95% confidence interval, 1.08–1.72;
<italic>P</italic>
= .007, respectively) whereas mismatching for the class I D6S2811 marker was associated with a decreased risk of death (hazard ratio, 0.80; 95% confidence interval, 0.66–0.98;
<italic>P</italic>
= .03). Mismatching for the class I D6S265 marker was associated with a decreased risk of grades III-IV acute GVHD (odds ratio, 0.67; 95% confidence interval, 0.45–0.98;
<italic>P</italic>
= .04). These results suggest that Msats may be informative for mapping MHC-resident genetic variation of clinical importance in HCT.</p>
</div>
</front>
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<li>France</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
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<li>Alsace (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Grand Est</li>
<li>Hollande-Méridionale</li>
<li>Minnesota</li>
<li>Pays de la Loire</li>
<li>Rhône-Alpes</li>
<li>Washington (État)</li>
<li>Wisconsin</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Leyde</li>
<li>Lyon</li>
<li>Nantes</li>
<li>Paris</li>
<li>Rotterdam</li>
<li>Strasbourg</li>
</settlement>
</list>
<tree>
<country name="États-Unis">
<region name="Washington (État)">
<name sortKey="Malkki, Mari" sort="Malkki, Mari" uniqKey="Malkki M" first="Mari" last="Malkki">Mari Malkki</name>
</region>
<name sortKey="Gooley, Ted A" sort="Gooley, Ted A" uniqKey="Gooley T" first="Ted A." last="Gooley">Ted A. Gooley</name>
<name sortKey="Haagenson, Michael D" sort="Haagenson, Michael D" uniqKey="Haagenson M" first="Michael D." last="Haagenson">Michael D. Haagenson</name>
<name sortKey="Horowitz, Mary M" sort="Horowitz, Mary M" uniqKey="Horowitz M" first="Mary M." last="Horowitz">Mary M. Horowitz</name>
<name sortKey="Petersdorf, Effie W" sort="Petersdorf, Effie W" uniqKey="Petersdorf E" first="Effie W." last="Petersdorf">Effie W. Petersdorf</name>
<name sortKey="Petersdorf, Effie W" sort="Petersdorf, Effie W" uniqKey="Petersdorf E" first="Effie W." last="Petersdorf">Effie W. Petersdorf</name>
<name sortKey="Spellman, Stephen" sort="Spellman, Stephen" uniqKey="Spellman S" first="Stephen" last="Spellman">Stephen Spellman</name>
</country>
<country name="France">
<noRegion>
<name sortKey="Absi, Lena" sort="Absi, Lena" uniqKey="Absi L" first="Lena" last="Absi">Lena Absi</name>
</noRegion>
<name sortKey="Dormoy, Anne" sort="Dormoy, Anne" uniqKey="Dormoy A" first="Anne" last="Dormoy">Anne Dormoy</name>
<name sortKey="Dubois, Valerie" sort="Dubois, Valerie" uniqKey="Dubois V" first="Valerie" last="Dubois">Valerie Dubois</name>
<name sortKey="Gagne, Katia" sort="Gagne, Katia" uniqKey="Gagne K" first="Katia" last="Gagne">Katia Gagne</name>
<name sortKey="Gluckman, Eliane" sort="Gluckman, Eliane" uniqKey="Gluckman E" first="Eliane" last="Gluckman">Eliane Gluckman</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Christiansen, Frank T" sort="Christiansen, Frank T" uniqKey="Christiansen F" first="Frank T." last="Christiansen">Frank T. Christiansen</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="Cornelissen, Jan J" sort="Cornelissen, Jan J" uniqKey="Cornelissen J" first="Jan J." last="Cornelissen">Jan J. Cornelissen</name>
</region>
<name sortKey="Oudshoorn, Machteld" sort="Oudshoorn, Machteld" uniqKey="Oudshoorn M" first="Machteld" last="Oudshoorn">Machteld Oudshoorn</name>
</country>
</tree>
</affiliations>
</record>

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