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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1998-12-21
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pubmed:abstractText |
In unrelated marrow transplantation, the benefit of matching class II HLA-DRB1 and DQB1 alleles of the donor and recipient is well documented. Little is known about the clinical relevance of matching for class I HLA-A, B, and C alleles. We used DNA-amplification methods to identify the HLA-A, B, and C alleles of 300 patients and their donors. The incidence of graft failure was correlated with multiple class I mismatching in the donor. The risk of grades III-IV acute graft-versus-host disease was highest with class II mismatching in the recipient. Mismatching for a single class I or class II allele had no effect on survival, but mortality was increased by mismatching for more than one class I allele and by simultaneous mismatching for class I and class II alleles. We conclude that matching HLA class I and class II alleles of the donor and recipient can improve outcome after unrelated marrow transplantation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
|
pubmed:volume |
92
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
3515-20
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:9808542-Alleles,
pubmed-meshheading:9808542-Bone Marrow Transplantation,
pubmed-meshheading:9808542-DNA,
pubmed-meshheading:9808542-Graft Rejection,
pubmed-meshheading:9808542-Graft vs Host Disease,
pubmed-meshheading:9808542-HLA Antigens,
pubmed-meshheading:9808542-Histocompatibility Testing,
pubmed-meshheading:9808542-Humans,
pubmed-meshheading:9808542-Life Tables,
pubmed-meshheading:9808542-Retrospective Studies,
pubmed-meshheading:9808542-Risk,
pubmed-meshheading:9808542-Sequence Analysis, DNA,
pubmed-meshheading:9808542-Serotyping,
pubmed-meshheading:9808542-Survival Analysis,
pubmed-meshheading:9808542-Tissue Donors,
pubmed-meshheading:9808542-Transplantation, Homologous,
pubmed-meshheading:9808542-Treatment Outcome
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pubmed:year |
1998
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pubmed:articleTitle |
Optimizing outcome after unrelated marrow transplantation by comprehensive matching of HLA class I and II alleles in the donor and recipient.
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pubmed:affiliation |
Division of Clinical Research, Fred Hutchinson Cancer Research Center and the University of Washington School of Medicine, Seattle, WA, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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