Source:http://linkedlifedata.com/resource/pubmed/id/16980988
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2006-10-31
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pubmed:abstractText |
We determined the alleles of five polymorphic molecules including HA-1 and four adhesion molecules for 106 patients transplanted with HLA-identical stem cell grafts and investigated the association of mismatches as correlates of relapse and graft-versus-host disease (GVHD). All 106 recipients underwent stem cell transplantation (SCT) after myeloablative conditioning between 1985 and 2002. Risk status of disease at SCT was standard (n=63) and high (n=42). After SCT, 36, 49 and 33 developed acute GVHD, chronic GVHD and relapsed, respectively. Our patients relapsed at rates of 16.7 and 38.6% with one or more and without incompatibilities (P=0.013). The relapse rates of patients with CD62L, CD31 codon 563, CD31 codon 125, HA-1 and CD49b incompatibilities were 5.9, 11.8, 15.4, 16.0 and 33.3%, respectively. The frequency of acute GVHD did not differ regardless of incompatibilities. In standard-risk group, the accumulated relapse rates of 19 and 44 patients with and without minor histocompatibility antigen incompatibility were 22% and unexpectedly 66%, respectively (P=0.02). The probability of 12-year survival was 88% in the former and 66% in the latter patients (P=0.03). Our data suggest that incompatibility of CD62L, CD31 codon 563 and CD31 codon 125 contributes to a graft-versus-leukemia effect rather than to GVHD, resulting in prolonged survival after HLA-identical SCT.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
681-6
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pubmed:meshHeading |
pubmed-meshheading:16980988-Acute Disease,
pubmed-meshheading:16980988-Base Sequence,
pubmed-meshheading:16980988-DNA Primers,
pubmed-meshheading:16980988-Female,
pubmed-meshheading:16980988-Graft vs Host Disease,
pubmed-meshheading:16980988-Graft vs Leukemia Effect,
pubmed-meshheading:16980988-HLA Antigens,
pubmed-meshheading:16980988-Humans,
pubmed-meshheading:16980988-Japan,
pubmed-meshheading:16980988-Leukemia,
pubmed-meshheading:16980988-Male,
pubmed-meshheading:16980988-Minor Histocompatibility Antigens,
pubmed-meshheading:16980988-Recurrence,
pubmed-meshheading:16980988-Stem Cell Transplantation,
pubmed-meshheading:16980988-Survival Rate
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pubmed:year |
2006
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pubmed:articleTitle |
Mismatch of minor histocompatibility antigen contributes to a graft-versus-leukemia effect rather than to acute GVHD, resulting in long-term survival after HLA-identical stem cell transplantation in Japan.
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pubmed:affiliation |
Faculty of Health Science, Kanazawa University School of Medicine, 13-1 Takara-machi, Kanazawa City 920-8641, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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