Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2011-2-11
pubmed:abstractText
In HSCT setting, KIR-driven alloreactivity might be better predicted if the donor KIR genotype is considered in addition to the recipient HLA genotype. The prediction of NK cell alloreactivity relies on the missing ligand in the recipient, a scenario that can be found in HLA-identical and non-identical allotransplants. The aim of this study was to investigate at genetic level the prognostic impact of recipient HLA-I lacking for donor KIR on allotransplanted patients outcome. We analysed donors KIR genotype and HLA genotype of 60 paediatric patients who received related (n=15) or unrelated (n=45) transplantation. When patients were grouped based on the KIR gene type involved in the KIR/HLA-I mismatch, we did not observe any relapse in the group of patients characterized by mismatches involving only inhibitory KIR. On the contrary, all relapses were observed in patients showing at least one activating gene involved in the mismatch (p<0.05). Although the biological mechanism accounting for this putative genetic rule is still to be clarified, we suggest that a careful survey of KIR/HLA-I mismatching should be taken into account in the selection of donor in related and unrelated HSCT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1399-3046
pubmed:author
pubmed:copyrightInfo
© 2010 John Wiley & Sons A/S.
pubmed:issnType
Electronic
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
198-204
pubmed:meshHeading
pubmed-meshheading:21309963-Adolescent, pubmed-meshheading:21309963-Child, pubmed-meshheading:21309963-Child, Preschool, pubmed-meshheading:21309963-Cohort Studies, pubmed-meshheading:21309963-DNA Mismatch Repair, pubmed-meshheading:21309963-Disease-Free Survival, pubmed-meshheading:21309963-Female, pubmed-meshheading:21309963-Follow-Up Studies, pubmed-meshheading:21309963-Genotype, pubmed-meshheading:21309963-Graft Rejection, pubmed-meshheading:21309963-HLA-A1 Antigen, pubmed-meshheading:21309963-Haploidy, pubmed-meshheading:21309963-Hematologic Neoplasms, pubmed-meshheading:21309963-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:21309963-Histocompatibility, pubmed-meshheading:21309963-Humans, pubmed-meshheading:21309963-Male, pubmed-meshheading:21309963-Proportional Hazards Models, pubmed-meshheading:21309963-Receptors, KIR, pubmed-meshheading:21309963-Recurrence, pubmed-meshheading:21309963-Risk Assessment, pubmed-meshheading:21309963-Statistics, Nonparametric, pubmed-meshheading:21309963-Survival Rate, pubmed-meshheading:21309963-Transplantation, Homologous, pubmed-meshheading:21309963-Treatment Outcome
pubmed:year
2011
pubmed:articleTitle
KIR/HLA-I mismatching and risk of relapse in paediatric patients undergoing non-haploidentical allogeneic haematopoietic stem cell transplantation.
pubmed:affiliation
Department of Clinical and Experimental Medicine, Hematology and Clinical Immunology Branch, Padua University School of Medicine Venetian Institute for Molecular Medicine (VIMM), Centro di Eccellenza per la Ricerca Biomedica, Padua, Italy.
pubmed:publicationType
Journal Article, Comparative Study