Levels of soluble FasL and FasL gene expression during the development of graft‐versus‐host disease in DLT‐treated patients

Three patients with different clinical symptoms of graft‐versus‐host disease (GVHD) who had received donor lymphocyte transfusion (DLT) for the treatment of relapsed leukaemia after an allogeneic bone marrow transplantation (BMT) from HLA‐matched sibling donors were analysed for the presence of solu...

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Veröffentlicht in:British journal of haematology 1999-03, Vol.104 (4), p.795-800
Hauptverfasser: Das, Hiranmoy, Imoto, Shion, Murayama, Tohru, Kajimoto, Kazuyoshi, Sugimoto, Takeshi, Isobe, Takashi, Nakagawa, Toshitaro, Nishimura, Ryuichiro, Koizumi, Tamio
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container_issue 4
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container_title British journal of haematology
container_volume 104
creator Das, Hiranmoy
Imoto, Shion
Murayama, Tohru
Kajimoto, Kazuyoshi
Sugimoto, Takeshi
Isobe, Takashi
Nakagawa, Toshitaro
Nishimura, Ryuichiro
Koizumi, Tamio
description Three patients with different clinical symptoms of graft‐versus‐host disease (GVHD) who had received donor lymphocyte transfusion (DLT) for the treatment of relapsed leukaemia after an allogeneic bone marrow transplantation (BMT) from HLA‐matched sibling donors were analysed for the presence of soluble FasL (sFasL) in the sera and for the expression of the Fas ligand (FasL) gene in the peripheral blood mononuclear cells (PBMNC). Two patients who demonstrated liver damage with increased levels of serum bilirubin showed significantly increased levels of serum sFasL. The increase in the sFasL level was observed prior to the increase in the bilirubin during the clinical courses of both patients. The high dose of methyl predonisolone administered to one of these patients greatly reduced the levels of sFasL in the serum. The bilirubin levels were also reduced thereafter. The third patient (without liver damage) did not show any increase in the serum sFasL level. The expression of the FasL gene in the PBMNC of these three patients was examined. All three patients showed increased levels of the FasL gene expression during their clinical courses. However, only one patient showed a parallel alteration of FasL gene expression with sFasL in the serum. These cases provide evidence that the Fas/FasL system is closely associated with human GVHD, especially in the development of liver GVHD.
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Two patients who demonstrated liver damage with increased levels of serum bilirubin showed significantly increased levels of serum sFasL. The increase in the sFasL level was observed prior to the increase in the bilirubin during the clinical courses of both patients. The high dose of methyl predonisolone administered to one of these patients greatly reduced the levels of sFasL in the serum. The bilirubin levels were also reduced thereafter. The third patient (without liver damage) did not show any increase in the serum sFasL level. The expression of the FasL gene in the PBMNC of these three patients was examined. All three patients showed increased levels of the FasL gene expression during their clinical courses. However, only one patient showed a parallel alteration of FasL gene expression with sFasL in the serum. 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Apheresis</subject><subject>BMT, DLT</subject><subject>Bone Marrow Transplantation - methods</subject><subject>Fas Ligand Protein</subject><subject>FasL gene expression</subject><subject>Female</subject><subject>Graft vs Host Disease - etiology</subject><subject>GVHD</subject><subject>Humans</subject><subject>Leukemia - therapy</subject><subject>Lymphocyte Transfusion - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Membrane Glycoproteins - genetics</subject><subject>Membrane Glycoproteins - metabolism</subject><subject>Monocytes - metabolism</subject><subject>Recurrence</subject><subject>RNA, Messenger - metabolism</subject><subject>sFasL</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>BMT, DLT</topic><topic>Bone Marrow Transplantation - methods</topic><topic>Fas Ligand Protein</topic><topic>FasL gene expression</topic><topic>Female</topic><topic>Graft vs Host Disease - etiology</topic><topic>GVHD</topic><topic>Humans</topic><topic>Leukemia - therapy</topic><topic>Lymphocyte Transfusion - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Membrane Glycoproteins - genetics</topic><topic>Membrane Glycoproteins - metabolism</topic><topic>Monocytes - metabolism</topic><topic>Recurrence</topic><topic>RNA, Messenger - metabolism</topic><topic>sFasL</topic><topic>Transfusions. Complications. Transfusion reactions. Cell and gene therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Das, Hiranmoy</creatorcontrib><creatorcontrib>Imoto, Shion</creatorcontrib><creatorcontrib>Murayama, Tohru</creatorcontrib><creatorcontrib>Kajimoto, Kazuyoshi</creatorcontrib><creatorcontrib>Sugimoto, Takeshi</creatorcontrib><creatorcontrib>Isobe, Takashi</creatorcontrib><creatorcontrib>Nakagawa, Toshitaro</creatorcontrib><creatorcontrib>Nishimura, Ryuichiro</creatorcontrib><creatorcontrib>Koizumi, Tamio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of haematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Das, Hiranmoy</au><au>Imoto, Shion</au><au>Murayama, Tohru</au><au>Kajimoto, Kazuyoshi</au><au>Sugimoto, Takeshi</au><au>Isobe, Takashi</au><au>Nakagawa, Toshitaro</au><au>Nishimura, Ryuichiro</au><au>Koizumi, Tamio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Levels of soluble FasL and FasL gene expression during the development of graft‐versus‐host disease in DLT‐treated patients</atitle><jtitle>British journal of haematology</jtitle><addtitle>Br J Haematol</addtitle><date>1999-03</date><risdate>1999</risdate><volume>104</volume><issue>4</issue><spage>795</spage><epage>800</epage><pages>795-800</pages><issn>0007-1048</issn><eissn>1365-2141</eissn><coden>BJHEAL</coden><abstract>Three patients with different clinical symptoms of graft‐versus‐host disease (GVHD) who had received donor lymphocyte transfusion (DLT) for the treatment of relapsed leukaemia after an allogeneic bone marrow transplantation (BMT) from HLA‐matched sibling donors were analysed for the presence of soluble FasL (sFasL) in the sera and for the expression of the Fas ligand (FasL) gene in the peripheral blood mononuclear cells (PBMNC). Two patients who demonstrated liver damage with increased levels of serum bilirubin showed significantly increased levels of serum sFasL. The increase in the sFasL level was observed prior to the increase in the bilirubin during the clinical courses of both patients. The high dose of methyl predonisolone administered to one of these patients greatly reduced the levels of sFasL in the serum. The bilirubin levels were also reduced thereafter. The third patient (without liver damage) did not show any increase in the serum sFasL level. The expression of the FasL gene in the PBMNC of these three patients was examined. All three patients showed increased levels of the FasL gene expression during their clinical courses. However, only one patient showed a parallel alteration of FasL gene expression with sFasL in the serum. These cases provide evidence that the Fas/FasL system is closely associated with human GVHD, especially in the development of liver GVHD.</abstract><cop>Oxford, U.K. and Cambridge, USA</cop><pub>Blackwell Science Ltd</pub><pmid>10192442</pmid><doi>10.1046/j.1365-2141.1999.01246.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
BMT, DLT
Bone Marrow Transplantation - methods
Fas Ligand Protein
FasL gene expression
Female
Graft vs Host Disease - etiology
GVHD
Humans
Leukemia - therapy
Lymphocyte Transfusion - adverse effects
Male
Medical sciences
Membrane Glycoproteins - genetics
Membrane Glycoproteins - metabolism
Monocytes - metabolism
Recurrence
RNA, Messenger - metabolism
sFasL
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Levels of soluble FasL and FasL gene expression during the development of graft‐versus‐host disease in DLT‐treated patients
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