Various approaches for accessing the influence of human leukocyte antigens disparity in haploidentical stem cell transplantation

التفاصيل البيبلوغرافية
العنوان: Various approaches for accessing the influence of human leukocyte antigens disparity in haploidentical stem cell transplantation
المؤلفون: Zorana Grubic, Marija Burek Kamenaric, Marija Maskalan, Nadira Durakovic, Radovan Vrhovac, Katarina Stingl Jankovic, Ranka Serventi Seiwerth, Renata Zunec
سنة النشر: 2022
مصطلحات موضوعية: Adult, Male, Biochemistry (medical), Clinical Biochemistry, Hematopoietic Stem Cell Transplantation, Graft vs Host Disease, Hematology, General Medicine, HLA Antigens, Recurrence, immune system diseases, Humans, Female, haplo-HSCT, HLA alleles, HLAMatchmaker, PIRCHE, Retrospective Studies
الوصف: Introduction We investigated the association of HLA on clinical outcomes in our cohort of patients in the haplo-HSCT program using the HLAMatchmaker (EM) and PIRCHE score (PS) algorithms. Methods The group comprised 64 patients (male = 35–54.7%, female 29– 45.3% ; median age 43 years) and their related haplo- HSCT donors (male = 30–46.9%, female 34–53.1%). HLA- A/B/C/DRB1/DQB1/DPB1 loci were analyzed. Results Multivariate analysis of the association between different HLA or patient/donor-related parameters and clinical outcome revealed the following associations with statistical significance: GvHD and HLA class I PS in the GvH direction (p = .0420) and relapse with diagnosis (p = .0163). For OS, the only variable showing a tendency of association was the source of HSCT (p = .0965). Conclusion Combined results of univariate and multivariate analysis suggest that the patients awaiting the selection of the best haplo- HSCT donor could benefit the most from the combination of all three approaches, in cases when a suitable donor can be chosen from a number of potential donors.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c0c606353582c9ffcc7fd92085632f77
https://www.bib.irb.hr/1194296
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....c0c606353582c9ffcc7fd92085632f77
قاعدة البيانات: OpenAIRE