Amino acid substitution at peptide-binding pockets of HLA class I molecules increases risk of severe acute GVHD and mortality

Author:

Pidala Joseph1,Wang Tao2,Haagenson Michael3,Spellman Stephen R.3,Askar Medhat4,Battiwalla Minoo5,Baxter-Lowe Lee Ann6,Bitan Menachem7,Fernandez-Viña Marcelo8,Gandhi Manish9,Jakubowski Ann A.10,Maiers Martin11,Marino Susana R.12,Marsh Steven G. E.13,Oudshoorn Machteld14,Palmer Jeanne15,Prasad Vinod K.16,Reddy Vijay17,Ringden Olle18,Saber Wael2,Santarone Stella19,Schultz Kirk R.20,Setterholm Michelle11,Trachtenberg Elizabeth21,Turner E. Victoria22,Woolfrey Ann E.23,Lee Stephanie J.23,Anasetti Claudio1

Affiliation:

1. H. Lee Moffitt Cancer Center, Tampa, FL;

2. Center for International Blood and Marrow Transplant Research, Medical College of Wisconsin, Milwaukee, WI;

3. Center for International Blood and Marrow Transplant Research, Minneapolis, MN;

4. Transplantation Center, Cleveland Clinic, Cleveland, OH;

5. National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD;

6. Immunogentics and Transplantation Laboratory, University of California San Francisco Medical Center; San Francisco, CA;

7. Department of Pediatric Hematology/Oncology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel;

8. Pathology/Blood Center, Stanford University Hospital and Clinics, Stanford, CA;

9. Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN;

10. Hematologic Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY;

11. National Marrow Donor Program, Minneapolis, MN;

12. Department of Pathology, University of Chicago, IL;

13. Anthony Nolan Research Institute and University College London, United Kingdom;

14. Europdonor Foundation, Leiden University Medical Center, Leiden, The Netherlands;

15. Division of Hematology and Oncology, Children's Hospital of Wisconsin, Milwaukee, WI;

16. Division of Blood and Marrow Transplantation, Duke University Medical Center, Durham, NC;

17. Pediatrics, University of Florida, Gainesville, FL;

18. Department of Laboratory Medicine, Karolinska University Hospital, Stockholm, Sweden;

19. Department of Hematology, Ospedale Civile BMT Center, Pescara, Italy;

20. Pediatric Hematology/Oncology/BMT, British Columbia's Children's Hospital, UBC, Vancouver, BC, Canada;

21. Center for Applied Genomics, Children's Hospital & Research Center Oakland, CA;

22. HLA Laboratory, Pathology, St Jude Children's Research Hospital, Memphis, TN; and

23. Fred Hutchinson Cancer Research Center, Seattle, WA

Abstract

Key Points Amino acid substitution at peptide-binding residues of the HLA class I molecule is associated with graft-versus-host disease and mortality. Avoidance of donor-recipient combinations that result in amino acid substitution at peptide-binding residues may improve transplant outcomes.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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