Associations between acute GVHD-related biomarkers and endothelial cell activation after allogeneic hematopoietic stem cell transplantation

Hematopoietic stem cell transplantation (HSCT) can cause serious transplant-related complications such as graft-versus-host disease (GVHD). Acute GVHD (aGVHD) has been diagnosed by clinical manifestations, laboratory data and pathological effects until now, but recently the discovery of specific bio...

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Veröffentlicht in:Transplant immunology 2017-08, Vol.43-44, p.27-32
Hauptverfasser: Nomura, Shosaku, Ishii, Kazuyoshi, Fujita, Shinya, Nakaya, Aya, Satake, Atsushi, Ito, Tomoki
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container_issue
container_start_page 27
container_title Transplant immunology
container_volume 43-44
creator Nomura, Shosaku
Ishii, Kazuyoshi
Fujita, Shinya
Nakaya, Aya
Satake, Atsushi
Ito, Tomoki
description Hematopoietic stem cell transplantation (HSCT) can cause serious transplant-related complications such as graft-versus-host disease (GVHD). Acute GVHD (aGVHD) has been diagnosed by clinical manifestations, laboratory data and pathological effects until now, but recently the discovery of specific biomarkers such as suppression of tumorigenicity 2 (ST2), elafin and regenerating islet-derived 3α (REG3α) is challenging this approach. We investigated the expression of aGVHD-related markers (regulated on activation normal T-cell expressed and secretes: RANTES, elafin, REG3α and ST2) and endothelial cell activation markers (soluble vascular cell adhesion molecule: sVCAM-1 and plasminogen activator inhibitor: PAI-1) in patients undergoing allogeneic HSCT. Additionally, we studied the effects of recombinant soluble thrombomodulin (rTM) on the expression of these markers. Our study cohort included 225 patients who underwent allogeneic HSCT at several institutions in Japan. RANTES, sVCAM-1, PAI-1, elafin, REG3α and ST2 exhibited significant increases in patients not receiving rTM after HSCT. When we examined patients with confirmed complications, the frequencies of aGVHD and VOD were significantly lower in the rTM-treated group. In addition, aGVHD-related biomarkers such as elafin, REG3α, and ST2 were elevated significantly in patients with aGVHD. Our findings suggest that endothelial cell activation might be linked to aGVHD, and that rTM might act to prevent aGVHD, at least in part, through its effect on endothelial cells.
doi_str_mv 10.1016/j.trim.2017.06.004
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Acute GVHD (aGVHD) has been diagnosed by clinical manifestations, laboratory data and pathological effects until now, but recently the discovery of specific biomarkers such as suppression of tumorigenicity 2 (ST2), elafin and regenerating islet-derived 3α (REG3α) is challenging this approach. We investigated the expression of aGVHD-related markers (regulated on activation normal T-cell expressed and secretes: RANTES, elafin, REG3α and ST2) and endothelial cell activation markers (soluble vascular cell adhesion molecule: sVCAM-1 and plasminogen activator inhibitor: PAI-1) in patients undergoing allogeneic HSCT. Additionally, we studied the effects of recombinant soluble thrombomodulin (rTM) on the expression of these markers. Our study cohort included 225 patients who underwent allogeneic HSCT at several institutions in Japan. RANTES, sVCAM-1, PAI-1, elafin, REG3α and ST2 exhibited significant increases in patients not receiving rTM after HSCT. When we examined patients with confirmed complications, the frequencies of aGVHD and VOD were significantly lower in the rTM-treated group. In addition, aGVHD-related biomarkers such as elafin, REG3α, and ST2 were elevated significantly in patients with aGVHD. 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subjects Acute Disease
Adolescent
Adult
Aged
aGVHD
Allografts
Biomarker
Biomarkers - blood
Chemokine CCL5 - blood
Chemokine CCL5 - immunology
Elafin - blood
Elafin - immunology
Endothelial Cells - immunology
Endothelial Cells - metabolism
Endothelial Cells - pathology
Female
Graft vs Host Disease - blood
Graft vs Host Disease - immunology
Graft vs Host Disease - pathology
Hematologic Neoplasms - blood
Hematologic Neoplasms - immunology
Hematologic Neoplasms - therapy
Hematopoietic Stem Cell Transplantation
Humans
Male
Middle Aged
Plasminogen Activator Inhibitor 1 - blood
Plasminogen Activator Inhibitor 1 - immunology
rTM
Stem cell transplantation
sVCAM-1
Vascular Cell Adhesion Molecule-1 - blood
Vascular Cell Adhesion Molecule-1 - immunology
title Associations between acute GVHD-related biomarkers and endothelial cell activation after allogeneic hematopoietic stem cell transplantation
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