The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region

Abstract Adverse reactions may still occur in some patients after receiving haematopoietic stem cell transplantation (HSCT), even when choosing a human leukocyte antigen (HLA)-matched donor. The adverse reactions of transplantation include disease relapse, graft-versus-host disease (GVHD), mortality...

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Autores principales: Ding-Ping Chen, Ying-Hao Wen, Po-Nan Wang, Ai-Ling Hour, Wei-Tzu Lin, Fang-Ping Hsu, Wei-Ting Wang
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:341fcb8c5edd4cc39e5461f3edffd8a22021-12-02T14:01:23ZThe adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region10.1038/s41598-020-79369-w2045-2322https://doaj.org/article/341fcb8c5edd4cc39e5461f3edffd8a22021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79369-whttps://doaj.org/toc/2045-2322Abstract Adverse reactions may still occur in some patients after receiving haematopoietic stem cell transplantation (HSCT), even when choosing a human leukocyte antigen (HLA)-matched donor. The adverse reactions of transplantation include disease relapse, graft-versus-host disease (GVHD), mortality and CMV infection. However, only the relapse was discussed in our previous study. Therefore, in this study, we investigated the correlation between the gene polymorphisms within the HLA region and the adverse reactions of post-HSCT in patients with acute leukaemia (n = 176), where 72 patients were diagnosed with acute lymphocytic leukaemia (ALL) and 104 were acute myeloid leukaemia (AML). The candidate single nucleotide polymorphisms were divided into three models: donor, recipient, and donor-recipient pairs and the data of ALL and AML were analysed individually. Based on the results, we found 16 SNPs associated with the survival rates, the risk of CMV infection, or the grade of GVHD in either donor, recipient, or donor-recipient matching models. In the ALL group, the rs209132 of TRIM27 in the donor group was related to CMV infection (p = 0.021), the rs213210 of RING1 in the recipient group was associated with serious GVHD (p = 0.003), and the rs2227956 of HSPA1L in the recipient group correlated with CMV infection (p = 0.001). In the AML group, the rs3130048 of BAG6 in the donor-recipient pairs group was associated with serious GVHD (p = 0.048). Moreover, these SNPs were further associated with the duration time of survival after transplantation. These results could be applied to select the best donor in HSCT.Ding-Ping ChenYing-Hao WenPo-Nan WangAi-Ling HourWei-Tzu LinFang-Ping HsuWei-Ting WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ding-Ping Chen
Ying-Hao Wen
Po-Nan Wang
Ai-Ling Hour
Wei-Tzu Lin
Fang-Ping Hsu
Wei-Ting Wang
The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
description Abstract Adverse reactions may still occur in some patients after receiving haematopoietic stem cell transplantation (HSCT), even when choosing a human leukocyte antigen (HLA)-matched donor. The adverse reactions of transplantation include disease relapse, graft-versus-host disease (GVHD), mortality and CMV infection. However, only the relapse was discussed in our previous study. Therefore, in this study, we investigated the correlation between the gene polymorphisms within the HLA region and the adverse reactions of post-HSCT in patients with acute leukaemia (n = 176), where 72 patients were diagnosed with acute lymphocytic leukaemia (ALL) and 104 were acute myeloid leukaemia (AML). The candidate single nucleotide polymorphisms were divided into three models: donor, recipient, and donor-recipient pairs and the data of ALL and AML were analysed individually. Based on the results, we found 16 SNPs associated with the survival rates, the risk of CMV infection, or the grade of GVHD in either donor, recipient, or donor-recipient matching models. In the ALL group, the rs209132 of TRIM27 in the donor group was related to CMV infection (p = 0.021), the rs213210 of RING1 in the recipient group was associated with serious GVHD (p = 0.003), and the rs2227956 of HSPA1L in the recipient group correlated with CMV infection (p = 0.001). In the AML group, the rs3130048 of BAG6 in the donor-recipient pairs group was associated with serious GVHD (p = 0.048). Moreover, these SNPs were further associated with the duration time of survival after transplantation. These results could be applied to select the best donor in HSCT.
format article
author Ding-Ping Chen
Ying-Hao Wen
Po-Nan Wang
Ai-Ling Hour
Wei-Tzu Lin
Fang-Ping Hsu
Wei-Ting Wang
author_facet Ding-Ping Chen
Ying-Hao Wen
Po-Nan Wang
Ai-Ling Hour
Wei-Tzu Lin
Fang-Ping Hsu
Wei-Ting Wang
author_sort Ding-Ping Chen
title The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
title_short The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
title_full The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
title_fullStr The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
title_full_unstemmed The adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
title_sort adverse events of haematopoietic stem cell transplantation are associated with gene polymorphism within human leukocyte antigen region
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/341fcb8c5edd4cc39e5461f3edffd8a2
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