Possible prognostic impact of WT1 mRNA expression at day + 30 after haploidentical peripheral blood stem cell transplantation with posttransplant cyclophosphamide for patients with myeloid neoplasm: a multicenter study from the Okayama Hematological Study Group

Background Previous studies have revealed that relapse of myeloid neoplasms after allogeneic hematopoietic stem cell transplantation (allo-HSCT) could be predicted by monitoring Wilms’ tumor 1 (WT1) mRNA expression. However, only a few studies have investigated patients who received human leukocyte...

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Veröffentlicht in:International journal of hematology 2022-04, Vol.115 (4), p.515-524
Hauptverfasser: Kitamura, Wataru, Fujii, Nobuharu, Nawa, Yuichiro, Fujishita, Keigo, Sugiura, Hiroyuki, Yoshioka, Takanori, Fujiwara, Yuki, Usui, Yoshiaki, Fujii, Keiko, Fujiwara, Hideaki, Asada, Noboru, Nishimori, Hisakazu, Matsuoka, Ken-ichi, Maeda, Yoshinobu
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container_issue 4
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container_title International journal of hematology
container_volume 115
creator Kitamura, Wataru
Fujii, Nobuharu
Nawa, Yuichiro
Fujishita, Keigo
Sugiura, Hiroyuki
Yoshioka, Takanori
Fujiwara, Yuki
Usui, Yoshiaki
Fujii, Keiko
Fujiwara, Hideaki
Asada, Noboru
Nishimori, Hisakazu
Matsuoka, Ken-ichi
Maeda, Yoshinobu
description Background Previous studies have revealed that relapse of myeloid neoplasms after allogeneic hematopoietic stem cell transplantation (allo-HSCT) could be predicted by monitoring Wilms’ tumor 1 (WT1) mRNA expression. However, only a few studies have investigated patients who received human leukocyte antigen-haploidentical stem cell transplantation with posttransplant cyclophosphamide (PTCY-haplo). In this study, we investigated the relationship between WT1 mRNA levels and clinical outcomes in the PTCY-haplo group, and compared them with those in the conventional graft-versus-host disease prophylaxis group (conventional group). Methods We retrospectively analyzed 130 patients who received their first allo-HSCT between April 2017 and December 2020, including 26 who received PTCY-haplo. Results The WT1 mRNA expression level at day + 30 after allo-HSCT associated with increased risk of 1-year cumulative incidence of relapse (CIR) was ≥ 78 copies/μg RNA in the conventional group ( p  
doi_str_mv 10.1007/s12185-022-03290-3
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However, only a few studies have investigated patients who received human leukocyte antigen-haploidentical stem cell transplantation with posttransplant cyclophosphamide (PTCY-haplo). In this study, we investigated the relationship between WT1 mRNA levels and clinical outcomes in the PTCY-haplo group, and compared them with those in the conventional graft-versus-host disease prophylaxis group (conventional group). Methods We retrospectively analyzed 130 patients who received their first allo-HSCT between April 2017 and December 2020, including 26 who received PTCY-haplo. Results The WT1 mRNA expression level at day + 30 after allo-HSCT associated with increased risk of 1-year cumulative incidence of relapse (CIR) was ≥ 78 copies/μg RNA in the conventional group ( p  &lt; 0.01) and ≥ 50 copies/μg RNA in the PTCY-haplo group ( p  = 0.03). Conclusions The appropriate cutoff level of WT1 mRNA at day + 30 after allo-HSCT for predicting prognosis in patients treated with PTCY-haplo may be &lt; 50 copies/μg RNA.</description><identifier>ISSN: 0925-5710</identifier><identifier>EISSN: 1865-3774</identifier><identifier>DOI: 10.1007/s12185-022-03290-3</identifier><identifier>PMID: 35119651</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Antigens ; Cyclophosphamide ; Cyclophosphamide - therapeutic use ; Gene expression ; Graft vs Host Disease - drug therapy ; Graft vs Host Disease - etiology ; Graft vs Host Disease - prevention &amp; control ; Graft-versus-host reaction ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic stem cells ; Histocompatibility antigen HLA ; Humans ; Leukocytes ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Neoplasms ; Neoplasms - drug therapy ; Oncology ; Original Article ; Patients ; Peripheral blood ; Peripheral Blood Stem Cell Transplantation ; Prognosis ; Prophylaxis ; Retrospective Studies ; RNA, Messenger - genetics ; Stem cell transplantation ; Stem cells ; Transplantation ; Tumors ; WT1 Proteins - genetics</subject><ispartof>International journal of hematology, 2022-04, Vol.115 (4), p.515-524</ispartof><rights>Japanese Society of Hematology 2022</rights><rights>2022. Japanese Society of Hematology.</rights><rights>Japanese Society of Hematology 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-d80e319649276308990ed6cd7a487fcf0808d5f6797414818959e4d5ca0492413</citedby><cites>FETCH-LOGICAL-c399t-d80e319649276308990ed6cd7a487fcf0808d5f6797414818959e4d5ca0492413</cites><orcidid>0000-0002-8043-7768</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12185-022-03290-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12185-022-03290-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35119651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitamura, Wataru</creatorcontrib><creatorcontrib>Fujii, Nobuharu</creatorcontrib><creatorcontrib>Nawa, Yuichiro</creatorcontrib><creatorcontrib>Fujishita, Keigo</creatorcontrib><creatorcontrib>Sugiura, Hiroyuki</creatorcontrib><creatorcontrib>Yoshioka, Takanori</creatorcontrib><creatorcontrib>Fujiwara, Yuki</creatorcontrib><creatorcontrib>Usui, Yoshiaki</creatorcontrib><creatorcontrib>Fujii, Keiko</creatorcontrib><creatorcontrib>Fujiwara, Hideaki</creatorcontrib><creatorcontrib>Asada, Noboru</creatorcontrib><creatorcontrib>Nishimori, Hisakazu</creatorcontrib><creatorcontrib>Matsuoka, Ken-ichi</creatorcontrib><creatorcontrib>Maeda, Yoshinobu</creatorcontrib><title>Possible prognostic impact of WT1 mRNA expression at day + 30 after haploidentical peripheral blood stem cell transplantation with posttransplant cyclophosphamide for patients with myeloid neoplasm: a multicenter study from the Okayama Hematological Study Group</title><title>International journal of hematology</title><addtitle>Int J Hematol</addtitle><addtitle>Int J Hematol</addtitle><description>Background Previous studies have revealed that relapse of myeloid neoplasms after allogeneic hematopoietic stem cell transplantation (allo-HSCT) could be predicted by monitoring Wilms’ tumor 1 (WT1) mRNA expression. However, only a few studies have investigated patients who received human leukocyte antigen-haploidentical stem cell transplantation with posttransplant cyclophosphamide (PTCY-haplo). In this study, we investigated the relationship between WT1 mRNA levels and clinical outcomes in the PTCY-haplo group, and compared them with those in the conventional graft-versus-host disease prophylaxis group (conventional group). Methods We retrospectively analyzed 130 patients who received their first allo-HSCT between April 2017 and December 2020, including 26 who received PTCY-haplo. Results The WT1 mRNA expression level at day + 30 after allo-HSCT associated with increased risk of 1-year cumulative incidence of relapse (CIR) was ≥ 78 copies/μg RNA in the conventional group ( p  &lt; 0.01) and ≥ 50 copies/μg RNA in the PTCY-haplo group ( p  = 0.03). Conclusions The appropriate cutoff level of WT1 mRNA at day + 30 after allo-HSCT for predicting prognosis in patients treated with PTCY-haplo may be &lt; 50 copies/μg RNA.</description><subject>Antigens</subject><subject>Cyclophosphamide</subject><subject>Cyclophosphamide - therapeutic use</subject><subject>Gene expression</subject><subject>Graft vs Host Disease - drug therapy</subject><subject>Graft vs Host Disease - etiology</subject><subject>Graft vs Host Disease - prevention &amp; control</subject><subject>Graft-versus-host reaction</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Hematopoietic stem cells</subject><subject>Histocompatibility antigen HLA</subject><subject>Humans</subject><subject>Leukocytes</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neoplasms</subject><subject>Neoplasms - drug therapy</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Peripheral blood</subject><subject>Peripheral Blood Stem Cell Transplantation</subject><subject>Prognosis</subject><subject>Prophylaxis</subject><subject>Retrospective Studies</subject><subject>RNA, Messenger - genetics</subject><subject>Stem cell transplantation</subject><subject>Stem cells</subject><subject>Transplantation</subject><subject>Tumors</subject><subject>WT1 Proteins - genetics</subject><issn>0925-5710</issn><issn>1865-3774</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ksFu1TAQRQMC0UfhB1igkdhUQgE7TuK4u6qCFqmiCIpYRn6J85Jix8Z2RLNjy2_yJUxeCpVYsLBsyefeGY9vkjyj5BUlhL8ONKNVkZIsSwnLBEnZ_WRDq7JIGef5g2RDRFakBafkIHkcwjUhlJOcP0oOWEGpKAu6ubf5YEMYtlqB83Y32hCHBgbjZBPBdvDlioL5-P4E1I3zCkk7gozQyvnXj58vcTECsovKQy-dtkOrRjSQGpzyg-uVx-NWW9tCiMpAo7SG6OUYnJZjlHHx-z7EHhxWvruAZm60db0NrpcGXaGzHhzy6B9WhZnVUhBGZVETzDFIMJPG8shgQyFO7QydtwZir-Dyq5ylkXCujIxW292-zU976MzbyT1JHnZSB_X0dj9MPr99c3V6nl5cnr07PblIGyZETNuKKIbDy0XGS0YqIYhqy6blMq9413SkIlVbdCUXPKd5RStRCJW3RSMJSnLKDpOj1RcH_m1SIdZmCMtgJL5kCnVWZiXBnysFoi_-Qa_t5EfsDqm8YLQs6WKYrVTj8S-96mrnByP9XFNSL0Gp16DUGJR6H5Saoej5rfW0Nar9K_mTDATYCgS8GnfK39X-j-1vw7LP5g</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Kitamura, Wataru</creator><creator>Fujii, Nobuharu</creator><creator>Nawa, Yuichiro</creator><creator>Fujishita, Keigo</creator><creator>Sugiura, Hiroyuki</creator><creator>Yoshioka, Takanori</creator><creator>Fujiwara, Yuki</creator><creator>Usui, Yoshiaki</creator><creator>Fujii, Keiko</creator><creator>Fujiwara, Hideaki</creator><creator>Asada, Noboru</creator><creator>Nishimori, Hisakazu</creator><creator>Matsuoka, Ken-ichi</creator><creator>Maeda, Yoshinobu</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8043-7768</orcidid></search><sort><creationdate>20220401</creationdate><title>Possible prognostic impact of WT1 mRNA expression at day + 30 after haploidentical peripheral blood stem cell transplantation with posttransplant cyclophosphamide for patients with myeloid neoplasm: a multicenter study from the Okayama Hematological Study Group</title><author>Kitamura, Wataru ; Fujii, Nobuharu ; Nawa, Yuichiro ; Fujishita, Keigo ; Sugiura, Hiroyuki ; Yoshioka, Takanori ; Fujiwara, Yuki ; Usui, Yoshiaki ; Fujii, Keiko ; Fujiwara, Hideaki ; Asada, Noboru ; Nishimori, Hisakazu ; Matsuoka, Ken-ichi ; Maeda, Yoshinobu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-d80e319649276308990ed6cd7a487fcf0808d5f6797414818959e4d5ca0492413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antigens</topic><topic>Cyclophosphamide</topic><topic>Cyclophosphamide - therapeutic use</topic><topic>Gene expression</topic><topic>Graft vs Host Disease - drug therapy</topic><topic>Graft vs Host Disease - etiology</topic><topic>Graft vs Host Disease - prevention &amp; control</topic><topic>Graft-versus-host reaction</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Hematopoietic stem cells</topic><topic>Histocompatibility antigen HLA</topic><topic>Humans</topic><topic>Leukocytes</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neoplasms</topic><topic>Neoplasms - drug therapy</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Peripheral blood</topic><topic>Peripheral Blood Stem Cell Transplantation</topic><topic>Prognosis</topic><topic>Prophylaxis</topic><topic>Retrospective Studies</topic><topic>RNA, Messenger - genetics</topic><topic>Stem cell transplantation</topic><topic>Stem cells</topic><topic>Transplantation</topic><topic>Tumors</topic><topic>WT1 Proteins - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitamura, Wataru</creatorcontrib><creatorcontrib>Fujii, Nobuharu</creatorcontrib><creatorcontrib>Nawa, Yuichiro</creatorcontrib><creatorcontrib>Fujishita, Keigo</creatorcontrib><creatorcontrib>Sugiura, Hiroyuki</creatorcontrib><creatorcontrib>Yoshioka, Takanori</creatorcontrib><creatorcontrib>Fujiwara, Yuki</creatorcontrib><creatorcontrib>Usui, Yoshiaki</creatorcontrib><creatorcontrib>Fujii, Keiko</creatorcontrib><creatorcontrib>Fujiwara, Hideaki</creatorcontrib><creatorcontrib>Asada, Noboru</creatorcontrib><creatorcontrib>Nishimori, Hisakazu</creatorcontrib><creatorcontrib>Matsuoka, Ken-ichi</creatorcontrib><creatorcontrib>Maeda, Yoshinobu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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However, only a few studies have investigated patients who received human leukocyte antigen-haploidentical stem cell transplantation with posttransplant cyclophosphamide (PTCY-haplo). In this study, we investigated the relationship between WT1 mRNA levels and clinical outcomes in the PTCY-haplo group, and compared them with those in the conventional graft-versus-host disease prophylaxis group (conventional group). Methods We retrospectively analyzed 130 patients who received their first allo-HSCT between April 2017 and December 2020, including 26 who received PTCY-haplo. Results The WT1 mRNA expression level at day + 30 after allo-HSCT associated with increased risk of 1-year cumulative incidence of relapse (CIR) was ≥ 78 copies/μg RNA in the conventional group ( p  &lt; 0.01) and ≥ 50 copies/μg RNA in the PTCY-haplo group ( p  = 0.03). Conclusions The appropriate cutoff level of WT1 mRNA at day + 30 after allo-HSCT for predicting prognosis in patients treated with PTCY-haplo may be &lt; 50 copies/μg RNA.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>35119651</pmid><doi>10.1007/s12185-022-03290-3</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8043-7768</orcidid></addata></record>
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subjects Antigens
Cyclophosphamide
Cyclophosphamide - therapeutic use
Gene expression
Graft vs Host Disease - drug therapy
Graft vs Host Disease - etiology
Graft vs Host Disease - prevention & control
Graft-versus-host reaction
Hematology
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Histocompatibility antigen HLA
Humans
Leukocytes
Medical prognosis
Medicine
Medicine & Public Health
Neoplasms
Neoplasms - drug therapy
Oncology
Original Article
Patients
Peripheral blood
Peripheral Blood Stem Cell Transplantation
Prognosis
Prophylaxis
Retrospective Studies
RNA, Messenger - genetics
Stem cell transplantation
Stem cells
Transplantation
Tumors
WT1 Proteins - genetics
title Possible prognostic impact of WT1 mRNA expression at day + 30 after haploidentical peripheral blood stem cell transplantation with posttransplant cyclophosphamide for patients with myeloid neoplasm: a multicenter study from the Okayama Hematological Study Group
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