Switch to
Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0005953,
umls-concept:C0033522,
umls-concept:C0178539,
umls-concept:C0205210,
umls-concept:C0205462,
umls-concept:C0205470,
umls-concept:C0392747,
umls-concept:C0439849,
umls-concept:C0443172,
umls-concept:C0856825,
umls-concept:C1123023,
umls-concept:C1515895,
umls-concept:C1709854,
umls-concept:C2348519
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pubmed:issue |
5
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pubmed:dateCreated |
1994-6-9
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pubmed:abstractText |
The inflammation-associated molecules intercellular adhesion molecule (ICAM)-1, endothelial lymphocyte adhesion molecule (ELAM)-1, vascular cell adhesion molecule (VCAM)-1, human leukocyte antigen (HLA)-DR, interleukin (IL)-2R (CD25), CD34, alpha-1-antichymotrypsin (alpha 1-ACT), and L1 antigen were studied in skin from marrow recipients to determine the timing and distribution of their expression in relation to the clinical and histologic evolution of graft-versus-host disease (GvHD). Four phases were recognized: 1. pretransplant with no immunohistologic change; 2. posttransplant with no evidence of GvHD when dermal alpha 1-ACT + macrophages were increased; 3. posttransplant with clinical, but not histologic, evidence of GvHD with increased keratinocyte HLA-DR and ICAM-1 expression and increased numbers of VCAM-1+ dermal cells; and 4. posttransplant with clinical and histologic evidence of GvHD characterized by an infiltrate of CD25+ T cells, L1+, alpha 1-ACT+ and VCAM-1+ macrophages, L1 antigen expression on keratinocytes accompanied by further increases in HLA-DR and ICAM-1, and increased endothelial ELAM-1 staining with a reciprocal decrease in CD34. A sequential accumulation of cellular and molecular changes, therefore, occurs in the evolution of acute GvHD, and immunostaining for HLA-DR, ICAM-1, and VCAM-1 may be helpful in diagnosing early disease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0002-9173
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
101
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
597-602
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8178766-Adolescent,
pubmed-meshheading:8178766-Adult,
pubmed-meshheading:8178766-Bone Marrow Transplantation,
pubmed-meshheading:8178766-Female,
pubmed-meshheading:8178766-Graft vs Host Disease,
pubmed-meshheading:8178766-Humans,
pubmed-meshheading:8178766-Immunoenzyme Techniques,
pubmed-meshheading:8178766-Male,
pubmed-meshheading:8178766-Middle Aged,
pubmed-meshheading:8178766-Prospective Studies,
pubmed-meshheading:8178766-Skin,
pubmed-meshheading:8178766-Transplantation, Homologous
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pubmed:year |
1994
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pubmed:articleTitle |
A prospective study of cellular and immunologic changes in skin of allogeneic bone marrow recipients. Relationship to clinical and histologic features of acute graft-versus-host disease.
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pubmed:affiliation |
Department of Histopathology, Royal Marsden Hospital, Sutton, Surrey, United Kingdom.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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