Donor-recipient mismatch for common gene deletion polymorphisms in graft-versus-host disease

Transplantation and pregnancy, in which two diploid genomes reside in one body, can each lead to diseases in which immune cells from one individual target antigens encoded in the other's genome. One such disease, graft-versus-host disease (GVHD) after hematopoietic stem cell transplantation (HS...

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Veröffentlicht in:Nature genetics 2009-12, Vol.41 (12), p.1341-1344
Hauptverfasser: McCarroll, Steven A, Bradner, James E, Turpeinen, Hannu, Volin, Liisa, Martin, Paul J, Chilewski, Shannon D, Antin, Joseph H, Lee, Stephanie J, Ruutu, Tapani, Storer, Barry, Warren, Edus H, Zhang, Bo, Zhao, Lue Ping, Ginsburg, David, Soiffer, Robert J, Partanen, Jukka, Hansen, John A, Ritz, Jerome, Palotie, Aarno, Altshuler, David
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container_end_page 1344
container_issue 12
container_start_page 1341
container_title Nature genetics
container_volume 41
creator McCarroll, Steven A
Bradner, James E
Turpeinen, Hannu
Volin, Liisa
Martin, Paul J
Chilewski, Shannon D
Antin, Joseph H
Lee, Stephanie J
Ruutu, Tapani
Storer, Barry
Warren, Edus H
Zhang, Bo
Zhao, Lue Ping
Ginsburg, David
Soiffer, Robert J
Partanen, Jukka
Hansen, John A
Ritz, Jerome
Palotie, Aarno
Altshuler, David
description Transplantation and pregnancy, in which two diploid genomes reside in one body, can each lead to diseases in which immune cells from one individual target antigens encoded in the other's genome. One such disease, graft-versus-host disease (GVHD) after hematopoietic stem cell transplantation (HSCT, or bone marrow transplant), is common even after transplants between HLA-identical siblings, indicating that cryptic histocompatibility loci exist outside the HLA locus. The immune system of an individual whose genome is homozygous for a gene deletion could recognize epitopes encoded by that gene as alloantigens. Analyzing common gene deletions in three HSCT cohorts (1,345 HLA-identical sibling donor-recipient pairs), we found that risk of acute GVHD was greater (odds ratio (OR) = 2.5; 95% confidence interval (CI) 1.4-4.6) when donor and recipient were mismatched for homozygous deletion of UGT2B17, a gene expressed in GVHD-affected tissues and giving rise to multiple histocompatibility antigens. Human genome structural variation merits investigation as a potential mechanism in diseases of alloimmunity.
doi_str_mv 10.1038/ng.490
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subjects Agriculture
Amino acids
Animal Genetics and Genomics
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Bone marrow
Bone Marrow Transplantation
Cancer
Cancer Research
Cohort Studies
Complications and side effects
Female
Fundamental and applied biological sciences. Psychology
Gene Deletion
Gene Function
Gene mutations
Genes
Genetic aspects
Genetics
Genetics of eukaryotes. Biological and molecular evolution
Genome, Human
Genotype & phenotype
Glucuronosyltransferase - genetics
Graft versus host reaction
Graft vs Host Disease - genetics
Graft vs Host Disease - immunology
Health aspects
Hematopoietic Stem Cell Transplantation
Hematopoietic stem cells
HLA Antigens - genetics
Hospitals
Human Genetics
Humans
Immune system
letter
Life sciences
Lymphocytes
Male
Medical research
Minor Histocompatibility Antigens
Patients
Polymorphism, Genetic
Risk factors
Stem cells
Transplantation
Transplants & implants
title Donor-recipient mismatch for common gene deletion polymorphisms in graft-versus-host disease
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