Predicted Indirectly ReCognizable HLA Epitopes (PIRCHE) Are Associated with Poorer Outcome after Single Mismatch Unrelated Donor Stem Cell Transplantation: A Study of the Cooperative Transplant Study Group (KTS) of the German Group for Bone Marrow and Stem Cell Transplantation (DAG-KBT).

Allogeneic hematopoietic stem cell transplantation Outcome PIRCHE

Journal

Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie
ISSN: 1660-3796
Titre abrégé: Transfus Med Hemother
Pays: Switzerland
ID NLM: 101176417

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 29 04 2019
accepted: 21 07 2019
entrez: 14 12 2019
pubmed: 14 12 2019
medline: 14 12 2019
Statut: ppublish

Résumé

There is no established standard for selection of mismatched unrelated donors. Indirect recognition of HLA mismatches can be predicted using the model of "Predicted Indirectly ReCognizable HLA Epitopes" (PIRCHE). We performed a multicenter retrospective study evaluating the impact PIRCHE on outcome after allogeneic stem cell transplantation (allo-HSCT) from single mismatched (HLA 9/10 matched) unrelated donors. The study cohort included 424 adult recipients of HLA 9/10 matched unrelated donor transplants (9/10 MUD), treated for AML or MDS at 6 transplant centers across Germany. Detection of PIRCHE was associated with lower overall survival (OS) (47 vs. 57%,

Identifiants

pubmed: 31832062
doi: 10.1159/000502389
pii: tmh-0046-0370
pmc: PMC6876613
doi:

Types de publication

Journal Article

Langues

eng

Pagination

370-375

Informations de copyright

Copyright © 2019 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

This work was supported by a research grant from PIRCHE AG to the University Medical Center Hamburg. All authors do not have any conflicting interest with PIRCHE AG or the PIRCHE algorithm and declare no further conflicts of interest.

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Auteurs

Francis Ayuk (F)

Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Martin Bornhäuser (M)

Medizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus der TU Dresden, Dresden, Germany.

Matthias Stelljes (M)

Department of Medicine/Hematology and Oncology, University of Münster, Münster, Germany.

Tatjana Zabelina (T)

Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Eva-Maria Wagner (EM)

Department of Internal Medicine III, Johannes Gutenberg-University Mainz, Mainz, Germany.

Christoph Schmid (C)

Department of Haematology and Oncology, Klinikum Augsburg, University of Augsburg, Augsburg, Germany.

Maximilian Christopeit (M)

Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Martina Guellstorf (M)

Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Nicolaus Kröger (N)

Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Wolfgang Bethge (W)

Hematology and Oncology, Medical Center, University of Tübingen, Tübingen, Germany.

Classifications MeSH