ABO compatibility and acute graft-versus-host disease following allogeneic bone marrow transplantation.

Abstract:

:If ABO antigens/antibodies play any role in the pathogenesis of acute graft-versus-host disease (GVHD), one would expect the highest incidence of GVHD in recipients of minor ABO-mismatched grafts, followed by ABO-matched grafts, and the lowest incidence in major ABO-mismatched transplants. To test this hypothesis 174 patients receiving an HLA-identical allogeneic bone marrow transplant (BMT) for aplastic anemia (n = 32) or leukemia (n = 142) were analyzed for factors associated with acute GVHD. Variables analyzed included diagnosis, sex, age, blood group of donor and recipient, ABO compatibility, Rhesus compatibility, sex compatibility, number of bone marrow cells given at BMT, year of transplant, day of engraftment, and GVHD prophylaxis. We first carried out an exploratory contingency table analysis: minor ABO incompatibility was associated with a significantly higher risk of severe acute GVHD when compared with ABO-matched and major-ABO mismatched pairs (P = 0.003): 14/9, 57/67, and 5/22 patients developed, respectively, 0-I/II-IV acute GVHD in ABO major-mismatched, matched, and minor-mismatched pairs. Donors of group 0, (P = 0.06), older recipient's age (P = 0.08), fast engraftment (P = 0.03), and older donor's age (0.08) were also associated with a higher risk of GVHD. Recipient's ABO group, diagnosis, year of transplant, Rhesus group of donor or recipient, Rhesus compatibility, sex of donor or recipient, sex compatibility, and type of GVHD prophylaxis were not predictive of GVHD. A Cox multifactorial proportional hazards analysis confirmed that ABO matching was the single most significant factor associated with GVHD (P = 0.006). The cumulative incidence of GVHD grade II+ was 39%, 54%, and 82% for ABO major-mismatched, matched, and minor-mismatched pairs (P = 0.01). This study suggests that ABO antigens may play a role in the development of acute GVHD.

journal_name

Transplantation

journal_title

Transplantation

authors

Bacigalupo A,Van Lint MT,Occhini D,Margiocco M,Ferrari G,Pittaluga PA,Frassoni F,Peralvo J,Lercari G,Carubia F

doi

10.1097/00007890-198806000-00018

subject

Has Abstract,Author List Incomplete

pub_date

1988-06-01 00:00:00

pages

1091-4

issue

6

eissn

0041-1337

issn

1534-6080

journal_volume

45

pub_type

杂志文章
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    authors: Duguay P,Chen H,Daloze P,Dumont L

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

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  • The decrease in organ donations from 1985 to 1990 caused by increasing medical contraindications and refusals by relatives.

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  • Characteristics of dendritic cells in rat liver.

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    journal_title:Transplantation

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    更新日期:1988-05-01 00:00:00

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  • T-cell reconstitution after unmanipulated, CD8-depleted or CD34-selected nonmyeloablative peripheral blood stem-cell transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

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  • Incidence, predictors, costs, and outcome of renal cell carcinoma after kidney transplantation: USRDS experience.

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: McDiarmid SV,Busuttil RW,Levy P,Millis MJ,Terasaki PI,Ament ME

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    doi:

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

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    更新日期:1983-08-01 00:00:00

  • Failure of B-cold lymphocytotoxins to enhance cadaveric renal allograft survival.

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    pub_type: 杂志文章

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    更新日期:1985-09-01 00:00:00

  • Donor thyroid function does not affect outcome in orthotopic liver transplantation.

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    pub_type: 杂志文章

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    更新日期:1994-03-15 00:00:00

  • Polymorphisms of multidrug resistance gene (MDR1) and cyclosporine absorption in de novo renal transplant patients.

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  • Allograft rejection in athymic nude rats by transferred T cell subsets. II. The response of naive CD4+ and CD8+ thoracic duct lymphocytes to an isolated MHC class I disparity.

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    doi:

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007890-199911270-00016

    authors: Kahan BD,Julian BA,Pescovitz MD,Vanrenterghem Y,Neylan J

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    pub_type: 杂志文章

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    authors: Clouthier SG,Ferrara JL,Teshima T

    更新日期:2002-05-27 00:00:00

  • Immune dysfunction associated with graft-versus-host reaction in mice transplanted across minor histocompatibility barriers. I. Depressed antigen-specific antibody responses to bacteriophage phi chi 174.

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    doi:10.1097/00007890-198906000-00029

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    更新日期:1989-06-01 00:00:00