CTLA-4 polymorphism and clinical outcome post allogeneic hematopoietic stem cell transplantation.

Abstract:

:CTLA-4 inhibitory molecule plays an important role in regulating T cell activation. It is considered a crucial element in keeping the immune balance and has been implicated in cancer, autoimmunity and transplantation immunology. Inconsistent observations are reported regarding its association with hematopoietic stem cell transplantation (HSCT). Genotyping of CTLA-4 was performed in recipients and their HLA-matched donors for +49A/G and CT60 polymorphisms (80 and 94 pairs, respectively) using PCR-RFLP. No association was encountered between both polymorphisms in patients and donors and acute or chronic graft versus host disease. Significant association was observed between recipient +49A/G G allele and lower disease-free survival and overall survival compared to AA genotype (HR: 2.17, p = 0.03, 95% CI: 1.05-4.48 and HR: 2.54, p = 0.01, 95% CI: 1.16-5.54), respectively. Our results suggest that CTLA-4 genotyping may predict outcome in patients post HSCT. To validate our results, further studies on a larger cohort are needed.

journal_name

Hum Immunol

journal_title

Human immunology

authors

Mossallam GI,Samra MA

doi

10.1016/j.humimm.2013.08.002

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1643-8

issue

12

eissn

0198-8859

issn

1879-1166

pii

S0198-8859(13)00227-9

journal_volume

74

pub_type

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