Beyond HLA: the significance of genomic variation for allogeneic hematopoietic stem cell transplantation.

Abstract:

:The last 2 years have seen much excitement in the field of genetics with the identification of a formerly unappreciated level of "structural variation" within the normal human genome. Genetic structural variants include deletions, duplications, and inversions in addition to the recently discovered, copy number variants. Single nucleotide polymorphisms are the most extensively evaluated variant within the genome to date. Combining our knowledge from these studies with our rapidly accumulating understanding of structural variants, it is apparent that the extent of genetic dissimilarity between any 2 individuals is considerable and much greater than that which was previously recognized. Clearly, this more diverse view of the genome has significant implications for allogeneic hematopoietic stem cell transplantation, not least in the generation of transplant antigens but also in terms of individual susceptibility to transplant-related toxicities. With advances in DNA sequencing technology we now have the capacity to perform genome-wide analysis in a high throughput fashion, permitting a detailed genetic analysis of patient and donor prior to transplantation. Understanding the significance of this additional genetic information and applying it in a clinically meaningful way will be one of the challenges faced by transplant clinicians in the future.

journal_name

Blood

journal_title

Blood

authors

Mullally A,Ritz J

doi

10.1182/blood-2006-06-030858

subject

Has Abstract

pub_date

2007-02-15 00:00:00

pages

1355-62

issue

4

eissn

0006-4971

issn

1528-0020

pii

blood-2006-06-030858

journal_volume

109

pub_type

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