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<title xml:lang="en">HLA-C expression levels define permissible mismatches in hematopoietic cell transplantation</title>
<author>
<name sortKey="Petersdorf, Effie W" sort="Petersdorf, Effie W" uniqKey="Petersdorf E" first="Effie W." last="Petersdorf">Effie W. Petersdorf</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">Department of Medicine, University of Washington School of Medicine, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gooley, Theodore A" sort="Gooley, Theodore A" uniqKey="Gooley T" first="Theodore A." last="Gooley">Theodore A. Gooley</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Malkki, Mari" sort="Malkki, Mari" uniqKey="Malkki M" first="Mari" last="Malkki">Mari Malkki</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bacigalupo, Andrea P" sort="Bacigalupo, Andrea P" uniqKey="Bacigalupo A" first="Andrea P." last="Bacigalupo">Andrea P. Bacigalupo</name>
<affiliation>
<nlm:aff id="aff3">Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliera Universitaria San Martino, Genova, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cesbron, Anne" sort="Cesbron, Anne" uniqKey="Cesbron A" first="Anne" last="Cesbron">Anne Cesbron</name>
<affiliation>
<nlm:aff id="aff4">Laboratoire d'Histocompatibilité et d'Immunogénétique, Etablissement Français du Sang Pays de Loire, Nantes, France;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Du Toit, Ernette" sort="Du Toit, Ernette" uniqKey="Du Toit E" first="Ernette" last="Du Toit">Ernette Du Toit</name>
<affiliation>
<nlm:aff id="aff5">University of Cape Town, Cape Town and South African Bone Marrow Registry, Cape Town, South Africa;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ehninger, Gerhard" sort="Ehninger, Gerhard" uniqKey="Ehninger G" first="Gerhard" last="Ehninger">Gerhard Ehninger</name>
<affiliation>
<nlm:aff id="aff6">Universitätsklinikum Carl Gustav Carus, Dresden, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Egeland, Torstein" sort="Egeland, Torstein" uniqKey="Egeland T" first="Torstein" last="Egeland">Torstein Egeland</name>
<affiliation>
<nlm:aff id="aff7">Department of Immunology, Oslo University Hospital, Oslo, Norway;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fischer, Gottfried F" sort="Fischer, Gottfried F" uniqKey="Fischer G" first="Gottfried F." last="Fischer">Gottfried F. Fischer</name>
<affiliation>
<nlm:aff id="aff8">Department for Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gervais, Thibaut" sort="Gervais, Thibaut" uniqKey="Gervais T" first="Thibaut" last="Gervais">Thibaut Gervais</name>
<affiliation>
<nlm:aff id="aff9">Cliniques St. Luc, Université Catholique de Louvain, Brussels, Belgium;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Haagenson, Michael D" sort="Haagenson, Michael D" uniqKey="Haagenson M" first="Michael D." last="Haagenson">Michael D. Haagenson</name>
<affiliation>
<nlm:aff id="aff10">Center for International Blood and Marrow Transplant Research, Minneapolis, MN;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horowitz, Mary M" sort="Horowitz, Mary M" uniqKey="Horowitz M" first="Mary M." last="Horowitz">Mary M. Horowitz</name>
<affiliation>
<nlm:aff id="aff11">Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hsu, Katharine" sort="Hsu, Katharine" uniqKey="Hsu K" first="Katharine" last="Hsu">Katharine Hsu</name>
<affiliation>
<nlm:aff id="aff12">Memorial Sloan-Kettering Cancer Center, New York, NY;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jindra, Pavel" sort="Jindra, Pavel" uniqKey="Jindra P" first="Pavel" last="Jindra">Pavel Jindra</name>
<affiliation>
<nlm:aff id="aff13">University Hospital, Pilsen, Czech Republic;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Madrigal, Alejandro" sort="Madrigal, Alejandro" uniqKey="Madrigal A" first="Alejandro" last="Madrigal">Alejandro Madrigal</name>
<affiliation>
<nlm:aff id="aff14">Anthony Nolan Research Institute, The Royal Free Hampstead NHS Trust, London, United Kingdom;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oudshoorn, Machteld" sort="Oudshoorn, Machteld" uniqKey="Oudshoorn M" first="Machteld" last="Oudshoorn">Machteld Oudshoorn</name>
<affiliation>
<nlm:aff id="aff15">Leiden University Medical Center and Europdonor Foundation, Leiden, The Netherlands;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ringden, Olle" sort="Ringden, Olle" uniqKey="Ringden O" first="Olle" last="Ringdén">Olle Ringdén</name>
<affiliation>
<nlm:aff id="aff16">Division of Therapeutic Immunology, Center for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Huddinge, Sweden;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schroeder, Marlis L" sort="Schroeder, Marlis L" uniqKey="Schroeder M" first="Marlis L." last="Schroeder">Marlis L. Schroeder</name>
<affiliation>
<nlm:aff id="aff17">Cancer Care Manitoba, University of Manitoba, Winnipeg, MB, Canada;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spellman, Stephen R" sort="Spellman, Stephen R" uniqKey="Spellman S" first="Stephen R." last="Spellman">Stephen R. Spellman</name>
<affiliation>
<nlm:aff id="aff10">Center for International Blood and Marrow Transplant Research, Minneapolis, MN;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tiercy, Jean Marie" sort="Tiercy, Jean Marie" uniqKey="Tiercy J" first="Jean-Marie" last="Tiercy">Jean-Marie Tiercy</name>
<affiliation>
<nlm:aff id="aff18">National Reference Laboratory for Histocompatibility, Department of Genetics and Laboratory Medicine, University Hospital Geneva, Geneva, Switzerland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Velardi, Andrea" sort="Velardi, Andrea" uniqKey="Velardi A" first="Andrea" last="Velardi">Andrea Velardi</name>
<affiliation>
<nlm:aff id="aff19">European Group for Blood and Marrow Transplantation and University of Perugia, Perugia, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Witt, Campbell S" sort="Witt, Campbell S" uniqKey="Witt C" first="Campbell S." last="Witt">Campbell S. Witt</name>
<affiliation>
<nlm:aff id="aff20">Department of Clinical Immunology, Royal Perth Hospital, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="O Uigin, Colm" sort="O Uigin, Colm" uniqKey="O Uigin C" first="Colm" last="O Uigin">Colm O Uigin</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Apps, Richard" sort="Apps, Richard" uniqKey="Apps R" first="Richard" last="Apps">Richard Apps</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff22">Ragon Institute of the Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Boston, MA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carrington, Mary" sort="Carrington, Mary" uniqKey="Carrington M" first="Mary" last="Carrington">Mary Carrington</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff22">Ragon Institute of the Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Boston, MA</nlm:aff>
</affiliation>
</author>
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<idno type="RBID">PMC:4271183</idno>
<idno type="doi">10.1182/blood-2014-09-599969</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">HLA-C expression levels define permissible mismatches in hematopoietic cell transplantation</title>
<author>
<name sortKey="Petersdorf, Effie W" sort="Petersdorf, Effie W" uniqKey="Petersdorf E" first="Effie W." last="Petersdorf">Effie W. Petersdorf</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">Department of Medicine, University of Washington School of Medicine, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gooley, Theodore A" sort="Gooley, Theodore A" uniqKey="Gooley T" first="Theodore A." last="Gooley">Theodore A. Gooley</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Malkki, Mari" sort="Malkki, Mari" uniqKey="Malkki M" first="Mari" last="Malkki">Mari Malkki</name>
<affiliation>
<nlm:aff id="aff1">Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bacigalupo, Andrea P" sort="Bacigalupo, Andrea P" uniqKey="Bacigalupo A" first="Andrea P." last="Bacigalupo">Andrea P. Bacigalupo</name>
<affiliation>
<nlm:aff id="aff3">Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliera Universitaria San Martino, Genova, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cesbron, Anne" sort="Cesbron, Anne" uniqKey="Cesbron A" first="Anne" last="Cesbron">Anne Cesbron</name>
<affiliation>
<nlm:aff id="aff4">Laboratoire d'Histocompatibilité et d'Immunogénétique, Etablissement Français du Sang Pays de Loire, Nantes, France;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Du Toit, Ernette" sort="Du Toit, Ernette" uniqKey="Du Toit E" first="Ernette" last="Du Toit">Ernette Du Toit</name>
<affiliation>
<nlm:aff id="aff5">University of Cape Town, Cape Town and South African Bone Marrow Registry, Cape Town, South Africa;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ehninger, Gerhard" sort="Ehninger, Gerhard" uniqKey="Ehninger G" first="Gerhard" last="Ehninger">Gerhard Ehninger</name>
<affiliation>
<nlm:aff id="aff6">Universitätsklinikum Carl Gustav Carus, Dresden, Germany;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Egeland, Torstein" sort="Egeland, Torstein" uniqKey="Egeland T" first="Torstein" last="Egeland">Torstein Egeland</name>
<affiliation>
<nlm:aff id="aff7">Department of Immunology, Oslo University Hospital, Oslo, Norway;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fischer, Gottfried F" sort="Fischer, Gottfried F" uniqKey="Fischer G" first="Gottfried F." last="Fischer">Gottfried F. Fischer</name>
<affiliation>
<nlm:aff id="aff8">Department for Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gervais, Thibaut" sort="Gervais, Thibaut" uniqKey="Gervais T" first="Thibaut" last="Gervais">Thibaut Gervais</name>
<affiliation>
<nlm:aff id="aff9">Cliniques St. Luc, Université Catholique de Louvain, Brussels, Belgium;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Haagenson, Michael D" sort="Haagenson, Michael D" uniqKey="Haagenson M" first="Michael D." last="Haagenson">Michael D. Haagenson</name>
<affiliation>
<nlm:aff id="aff10">Center for International Blood and Marrow Transplant Research, Minneapolis, MN;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Horowitz, Mary M" sort="Horowitz, Mary M" uniqKey="Horowitz M" first="Mary M." last="Horowitz">Mary M. Horowitz</name>
<affiliation>
<nlm:aff id="aff11">Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hsu, Katharine" sort="Hsu, Katharine" uniqKey="Hsu K" first="Katharine" last="Hsu">Katharine Hsu</name>
<affiliation>
<nlm:aff id="aff12">Memorial Sloan-Kettering Cancer Center, New York, NY;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jindra, Pavel" sort="Jindra, Pavel" uniqKey="Jindra P" first="Pavel" last="Jindra">Pavel Jindra</name>
<affiliation>
<nlm:aff id="aff13">University Hospital, Pilsen, Czech Republic;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Madrigal, Alejandro" sort="Madrigal, Alejandro" uniqKey="Madrigal A" first="Alejandro" last="Madrigal">Alejandro Madrigal</name>
<affiliation>
<nlm:aff id="aff14">Anthony Nolan Research Institute, The Royal Free Hampstead NHS Trust, London, United Kingdom;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oudshoorn, Machteld" sort="Oudshoorn, Machteld" uniqKey="Oudshoorn M" first="Machteld" last="Oudshoorn">Machteld Oudshoorn</name>
<affiliation>
<nlm:aff id="aff15">Leiden University Medical Center and Europdonor Foundation, Leiden, The Netherlands;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ringden, Olle" sort="Ringden, Olle" uniqKey="Ringden O" first="Olle" last="Ringdén">Olle Ringdén</name>
<affiliation>
<nlm:aff id="aff16">Division of Therapeutic Immunology, Center for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Huddinge, Sweden;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schroeder, Marlis L" sort="Schroeder, Marlis L" uniqKey="Schroeder M" first="Marlis L." last="Schroeder">Marlis L. Schroeder</name>
<affiliation>
<nlm:aff id="aff17">Cancer Care Manitoba, University of Manitoba, Winnipeg, MB, Canada;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spellman, Stephen R" sort="Spellman, Stephen R" uniqKey="Spellman S" first="Stephen R." last="Spellman">Stephen R. Spellman</name>
<affiliation>
<nlm:aff id="aff10">Center for International Blood and Marrow Transplant Research, Minneapolis, MN;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tiercy, Jean Marie" sort="Tiercy, Jean Marie" uniqKey="Tiercy J" first="Jean-Marie" last="Tiercy">Jean-Marie Tiercy</name>
<affiliation>
<nlm:aff id="aff18">National Reference Laboratory for Histocompatibility, Department of Genetics and Laboratory Medicine, University Hospital Geneva, Geneva, Switzerland;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Velardi, Andrea" sort="Velardi, Andrea" uniqKey="Velardi A" first="Andrea" last="Velardi">Andrea Velardi</name>
<affiliation>
<nlm:aff id="aff19">European Group for Blood and Marrow Transplantation and University of Perugia, Perugia, Italy;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Witt, Campbell S" sort="Witt, Campbell S" uniqKey="Witt C" first="Campbell S." last="Witt">Campbell S. Witt</name>
<affiliation>
<nlm:aff id="aff20">Department of Clinical Immunology, Royal Perth Hospital, Perth, Australia;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="O Uigin, Colm" sort="O Uigin, Colm" uniqKey="O Uigin C" first="Colm" last="O Uigin">Colm O Uigin</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Apps, Richard" sort="Apps, Richard" uniqKey="Apps R" first="Richard" last="Apps">Richard Apps</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff22">Ragon Institute of the Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Boston, MA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carrington, Mary" sort="Carrington, Mary" uniqKey="Carrington M" first="Mary" last="Carrington">Mary Carrington</name>
<affiliation>
<nlm:aff wicri:cut="; and" id="aff21">Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff22">Ragon Institute of the Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Boston, MA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Blood</title>
<idno type="ISSN">0006-4971</idno>
<idno type="eISSN">1528-0020</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<title>Key Points</title>
<p>
<list list-type="bullet">
<list-item>
<p>The expression level of patient HLA-C allotypes affects GVHD and mortality after HCT from HLA-C-mismatched unrelated donors.</p>
</list-item>
<list-item>
<p>Transplant outcome can be improved by avoiding high-risk HLA-C-mismatched donors when no matched stem cell source is available.</p>
</list-item>
</list>
</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Blood</journal-id>
<journal-id journal-id-type="iso-abbrev">Blood</journal-id>
<journal-id journal-id-type="hwp">bloodjournal</journal-id>
<journal-id journal-id-type="pmc">blood</journal-id>
<journal-id journal-id-type="publisher-id">Blood</journal-id>
<journal-title-group>
<journal-title>Blood</journal-title>
</journal-title-group>
<issn pub-type="ppub">0006-4971</issn>
<issn pub-type="epub">1528-0020</issn>
<publisher>
<publisher-name>American Society of Hematology</publisher-name>
<publisher-loc>Washington, DC</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25323824</article-id>
<article-id pub-id-type="pmc">4271183</article-id>
<article-id pub-id-type="publisher-id">2014/599969</article-id>
<article-id pub-id-type="doi">10.1182/blood-2014-09-599969</article-id>
<article-categories>
<subj-group subj-group-type="hwp-journal-coll">
<subject>17</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Transplantation</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>HLA-C expression levels define permissible mismatches in hematopoietic cell transplantation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Petersdorf</surname>
<given-names>Effie W.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gooley</surname>
<given-names>Theodore A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Malkki</surname>
<given-names>Mari</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bacigalupo</surname>
<given-names>Andrea P.</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cesbron</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Du Toit</surname>
<given-names>Ernette</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ehninger</surname>
<given-names>Gerhard</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Egeland</surname>
<given-names>Torstein</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fischer</surname>
<given-names>Gottfried F.</given-names>
</name>
<xref ref-type="aff" rid="aff8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gervais</surname>
<given-names>Thibaut</given-names>
</name>
<xref ref-type="aff" rid="aff9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haagenson</surname>
<given-names>Michael D.</given-names>
</name>
<xref ref-type="aff" rid="aff10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Horowitz</surname>
<given-names>Mary M.</given-names>
</name>
<xref ref-type="aff" rid="aff11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hsu</surname>
<given-names>Katharine</given-names>
</name>
<xref ref-type="aff" rid="aff12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jindra</surname>
<given-names>Pavel</given-names>
</name>
<xref ref-type="aff" rid="aff13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Madrigal</surname>
<given-names>Alejandro</given-names>
</name>
<xref ref-type="aff" rid="aff14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oudshoorn</surname>
<given-names>Machteld</given-names>
</name>
<xref ref-type="aff" rid="aff15">15</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ringdén</surname>
<given-names>Olle</given-names>
</name>
<xref ref-type="aff" rid="aff16">16</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schroeder</surname>
<given-names>Marlis L.</given-names>
</name>
<xref ref-type="aff" rid="aff17">17</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spellman</surname>
<given-names>Stephen R.</given-names>
</name>
<xref ref-type="aff" rid="aff10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tiercy</surname>
<given-names>Jean-Marie</given-names>
</name>
<xref ref-type="aff" rid="aff18">18</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Velardi</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="aff19">19</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Witt</surname>
<given-names>Campbell S.</given-names>
</name>
<xref ref-type="aff" rid="aff20">20</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>O’Huigin</surname>
<given-names>Colm</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Apps</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
<xref ref-type="aff" rid="aff22">22</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Carrington</surname>
<given-names>Mary</given-names>
</name>
<xref ref-type="aff" rid="aff21">21</xref>
<xref ref-type="aff" rid="aff22">22</xref>
</contrib>
<on-behalf-of>for the International Histocompatibility Working Group in Hematopoietic Cell Transplantation</on-behalf-of>
<aff id="aff1">
<label>1</label>
Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA;</aff>
<aff id="aff2">
<label>2</label>
Department of Medicine, University of Washington School of Medicine, Seattle, WA;</aff>
<aff id="aff3">
<label>3</label>
Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliera Universitaria San Martino, Genova, Italy;</aff>
<aff id="aff4">
<label>4</label>
Laboratoire d'Histocompatibilité et d'Immunogénétique, Etablissement Français du Sang Pays de Loire, Nantes, France;</aff>
<aff id="aff5">
<label>5</label>
University of Cape Town, Cape Town and South African Bone Marrow Registry, Cape Town, South Africa;</aff>
<aff id="aff6">
<label>6</label>
Universitätsklinikum Carl Gustav Carus, Dresden, Germany;</aff>
<aff id="aff7">
<label>7</label>
Department of Immunology, Oslo University Hospital, Oslo, Norway;</aff>
<aff id="aff8">
<label>8</label>
Department for Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria;</aff>
<aff id="aff9">
<label>9</label>
Cliniques St. Luc, Université Catholique de Louvain, Brussels, Belgium;</aff>
<aff id="aff10">
<label>10</label>
Center for International Blood and Marrow Transplant Research, Minneapolis, MN;</aff>
<aff id="aff11">
<label>11</label>
Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI;</aff>
<aff id="aff12">
<label>12</label>
Memorial Sloan-Kettering Cancer Center, New York, NY;</aff>
<aff id="aff13">
<label>13</label>
University Hospital, Pilsen, Czech Republic;</aff>
<aff id="aff14">
<label>14</label>
Anthony Nolan Research Institute, The Royal Free Hampstead NHS Trust, London, United Kingdom;</aff>
<aff id="aff15">
<label>15</label>
Leiden University Medical Center and Europdonor Foundation, Leiden, The Netherlands;</aff>
<aff id="aff16">
<label>16</label>
Division of Therapeutic Immunology, Center for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Huddinge, Sweden;</aff>
<aff id="aff17">
<label>17</label>
Cancer Care Manitoba, University of Manitoba, Winnipeg, MB, Canada;</aff>
<aff id="aff18">
<label>18</label>
National Reference Laboratory for Histocompatibility, Department of Genetics and Laboratory Medicine, University Hospital Geneva, Geneva, Switzerland;</aff>
<aff id="aff19">
<label>19</label>
European Group for Blood and Marrow Transplantation and University of Perugia, Perugia, Italy;</aff>
<aff id="aff20">
<label>20</label>
Department of Clinical Immunology, Royal Perth Hospital, Perth, Australia;</aff>
<aff id="aff21">
<label>21</label>
Cancer and Inflammation Program, SAIC Frederick, Inc., Frederick National Laboratories for Cancer Research, Frederick, MD; and</aff>
<aff id="aff22">
<label>22</label>
Ragon Institute of the Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Boston, MA</aff>
</contrib-group>
<pub-date pub-type="ppub">
<day>18</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epreprint">
<day>16</day>
<month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>18</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>124</volume>
<issue>26</issue>
<fpage>3996</fpage>
<lpage>4003</lpage>
<history>
<date date-type="received">
<day>08</day>
<month>9</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>10</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© 2014 by The American Society of Hematology</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="3996.pdf"></self-uri>
<related-article id="d35e383" related-article-type="article-reference" ext-link-type="doi" xlink:href="10.1182/blood-2014-10-607853">Fernández-Viña</related-article>
<abstract abstract-type="executive-summary">
<title>Key Points</title>
<p>
<list list-type="bullet">
<list-item>
<p>The expression level of patient HLA-C allotypes affects GVHD and mortality after HCT from HLA-C-mismatched unrelated donors.</p>
</list-item>
<list-item>
<p>Transplant outcome can be improved by avoiding high-risk HLA-C-mismatched donors when no matched stem cell source is available.</p>
</list-item>
</list>
</p>
</abstract>
<abstract>
<p>Life-threatening graft-versus-host disease (GVHD) limits the use of HLA-C-mismatched unrelated donors in transplantation. Clinicians lack criteria for donor selection when HLA-C-mismatched donors are a patient’s only option for cure. We examined the role for HLA-C expression levels to identify permissible HLA-C mismatches. The median fluorescence intensity, a proxy of HLA-C expression, was assigned to each HLA-C allotype in 1975 patients and their HLA-C-mismatched unrelated transplant donors. The association of outcome with the level of expression of patients’ and donors’ HLA-C allotypes was evaluated in multivariable models. Increasing expression level of the patient’s mismatched HLA-C allotype was associated with increased risks of grades III to IV acute GVHD, nonrelapse mortality, and mortality. Increasing expression level among HLA-C mismatches with residue 116 or residue 77/80 mismatching was associated with increased nonrelapse mortality. The immunogenicity of HLA-C mismatches in unrelated donor transplantation is influenced by the expression level of the patient’s mismatched HLA-C allotype. HLA-C expression levels provide new information on mismatches that should be avoided and extend understanding of HLA-C-mediated immune responses in human disease.</p>
</abstract>
<funding-group>
<award-group>
<funding-source id="CS100">National Institutes of Health</funding-source>
</award-group>
</funding-group>
<counts>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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