NDLI: Definition of HLA-DQ as a transplantation antigen.

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Definition of HLA-DQ as a transplantation antigen.

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Definition of HLA-DQ as a transplantation antigen.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Martin, P. J. Petersdorf, E. W. Smith, A. G. Anasetti, C. Hansen, J. A. Longton, G. M. Mickelson, E. M.
Description	Author Affiliation: Petersdorf EW ( Division of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA 98104, USA. epetersd@fhcrc.org);
Abstract	Recent studies have demonstrated the importance of recipient HLA-DRB1 allele disparity in the development of acute graft-versus-host disease (GVHD) after unrelated donor marrow transplantation. The role of HLA-DQB1 allele disparity in this clinical setting is unknown. To elucidate the biological importance of HLA-DQB1, we conducted a retrospective analysis of 449 HLA-A, -B, and -DR serologically matched unrelated donor transplants. Molecular typing of HLA-DRB1 and HLA-DQB1 alleles revealed 335 DRB1 and DQB1 matched pairs; 41 DRB1 matched and DQB1 mismatched pairs; 48 DRB1 mismatched and DQB1 matched pairs; and 25 DRB1 and DQB1 mismatched pairs. The conditional probabilities of grades III-IV acute GVHD were 0.42, 0.61, 0.55, and 0.71, respectively. The relative risk of acute GVHD associated with a single locus HLA-DQB1 mismatch was 1.8 (1.1, 2.7; P = 0.01), and the risk associated with any HLA-DQB1 and/or HLA-DRB1 mismatch was 1.6 (1.2, 2.2; P = 0.003). These results provide evidence that HLA-DQ is a transplant antigen and suggest that evaluation of both HLA-DQB1 and HLA-DRB1 is necessary in selecting potential donors.
ISSN	00278424
e-ISSN	10916490
Journal	Proceedings of the National Academy of Sciences of the United States of America
Issue Number	26
Volume Number	93
Language	English
Publisher	National Academy of Sciences
Publisher Date	1996-01-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Bone Marrow Transplantation Immunology Graft Vs Host Disease HLA-DQ Antigens Hematologic Neoplasms Therapy Histocompatibility Testing Adolescent Alleles Child, Preschool Cyclophosphamide Therapeutic Use Epidemiology Genetics HLA-DQ Beta-Chains HLA-DR Antigens HLA-DRB1 Chains Immunosuppression Immunosuppressive Agents Infant Probability Risk Factors Transplantation, Homologous Whole-Body Irradiation Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Multidisciplinary
Content Type	Text
Resource Type	Article
Subject	Multidisciplinary

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