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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2006-1-9
pubmed:abstractText
Cytokines are thought to play an important role in the pathophysiology of graft-versus-host disease (GVHD). To study the relationship between cytokines and GVHD, we obtained peripheral blood mononuclear cells (MNCs) from 21 patients with hematologic malignancies and their HLA-identical sibling donors before and sequentially after hematopoietic cell transplantation (HCT) with nonmyeloablative conditioning. The MNCs were cultured for 72 hours either alone or in mixed lymphocyte cultures with irradiated MNCs of recipient, donor, or HLA-mismatched third-party origin. The gene expression of interleukin (IL)-2, IL-4, IL-10, IL-18, tumor necrosis factor alpha, and transforming growth factor beta in each culture was then measured by real-time quantitative reverse transcriptase-polymerase chain reaction. The composition of the responder MNCs differed between patients and donors and changed after HCT, with a possible influence on the results. Early after transplantation (day +14), the IL-10 messenger RNA (mRNA) level in response to recipient or donor antigens was higher in patients who did not develop clinically significant acute GVHD when compared with the level in patients who subsequently developed acute GVHD grades II to IV (P = .005 and P = .004, respectively). The IL-10 mRNA level on day +14 was highly correlated with the pretransplantation mRNA level of the recipient MNCs but not with the level of the donor MNCs; this suggests that the IL-10 mRNA detected on day +14 originated from responder cells of recipient origin. A higher IL-10 mRNA level was found in MNCs obtained before transplantation from recipients whose disease progressed or relapsed after the transplantation when compared with the level in patients whose disease did not progress or relapse (P = .03). In conclusion, a high IL-10 gene expression in the recipient MNCs may be related to a reduced incidence of acute GVHD grades II to IV and a reduced graft-versus-tumor effect after HCT with nonmyeloablative conditioning.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1083-8791
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
48-60
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16399568-Adult, pubmed-meshheading:16399568-Cells, Cultured, pubmed-meshheading:16399568-Cytokines, pubmed-meshheading:16399568-Female, pubmed-meshheading:16399568-Gene Expression Regulation, pubmed-meshheading:16399568-Graft vs Host Disease, pubmed-meshheading:16399568-Graft vs Tumor Effect, pubmed-meshheading:16399568-Hematologic Neoplasms, pubmed-meshheading:16399568-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:16399568-Humans, pubmed-meshheading:16399568-Immunity, pubmed-meshheading:16399568-Interleukin-10, pubmed-meshheading:16399568-Leukocytes, Mononuclear, pubmed-meshheading:16399568-Male, pubmed-meshheading:16399568-Middle Aged, pubmed-meshheading:16399568-RNA, Messenger, pubmed-meshheading:16399568-Transplantation Conditioning, pubmed-meshheading:16399568-Up-Regulation
pubmed:year
2006
pubmed:articleTitle
Cytokine gene expression in peripheral blood mononuclear cells and alloreactivity in hematopoietic cell transplantation with nonmyeloablative conditioning.
pubmed:affiliation
The Lymphocyte Research Laboratory, Department of Hematology, Rigshospitalet, Copenhagen, Denmark. slykkep@rh.dk
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't