Toll-like receptor genetic variations in bone marrow transplantation

The Toll-like receptor family mediates the innate immune system through recognizing the molecular patterns of microorganisms and self-components and leading the synthesis of the inflammatory mediators. We retrospectively examined whether or not genetic variations in toll-like receptor 1 (rs5743551,...

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Veröffentlicht in:Oncotarget 2017-07, Vol.8 (28), p.45670-45686
Hauptverfasser: Uchino, Kaori, Mizuno, Shohei, Sato-Otsubo, Aiko, Nannya, Yasuhito, Mizutani, Motonori, Horio, Tomohiro, Hanamura, Ichiro, Espinoza, J Luis, Onizuka, Makoto, Kashiwase, Koichi, Morishima, Yasuo, Fukuda, Takahiro, Kodera, Yoshihisa, Doki, Noriko, Miyamura, Koichi, Mori, Takehiko, Ogawa, Seishi, Takami, Akiyoshi
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container_end_page 45686
container_issue 28
container_start_page 45670
container_title Oncotarget
container_volume 8
creator Uchino, Kaori
Mizuno, Shohei
Sato-Otsubo, Aiko
Nannya, Yasuhito
Mizutani, Motonori
Horio, Tomohiro
Hanamura, Ichiro
Espinoza, J Luis
Onizuka, Makoto
Kashiwase, Koichi
Morishima, Yasuo
Fukuda, Takahiro
Kodera, Yoshihisa
Doki, Noriko
Miyamura, Koichi
Mori, Takehiko
Ogawa, Seishi
Takami, Akiyoshi
description The Toll-like receptor family mediates the innate immune system through recognizing the molecular patterns of microorganisms and self-components and leading the synthesis of the inflammatory mediators. We retrospectively examined whether or not genetic variations in toll-like receptor 1 (rs5743551, -7202GQ>A), toll-like receptor 2 (rs7656411, 22215G>T), and toll-like receptor 4 (rs11536889, +3725G>C) affected transplant outcomes in a cohort of 365 patients who underwent unrelated HLA-matched bone marrow transplantation (for hematologic malignancies through the Japan Marrow Donor Program. Only donor toll-like receptor 4 variation significantly improved the survival outcomes. A multivariate analysis showed that the donor toll-like receptor 4 +3725G/G genotype was significantly associated with a better 5-year progression-free survival and a lower 5-year transplant-related mortality than other variations. Furthermore, the donor toll-like receptor 4 +3725G/G genotype was associated with a significantly lower incidence of fatal infections than other variations. The validation study of 502 patients confirmed that the donor toll-like receptor 4 +3725G/G genotype was associated with better survival outcomes. Toll-like receptor4 genotyping in transplant donors may therefore be a useful tool for optimizing donor selection and evaluating pretransplantation risks.
doi_str_mv 10.18632/oncotarget.17315
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We retrospectively examined whether or not genetic variations in toll-like receptor 1 (rs5743551, -7202GQ&gt;A), toll-like receptor 2 (rs7656411, 22215G&gt;T), and toll-like receptor 4 (rs11536889, +3725G&gt;C) affected transplant outcomes in a cohort of 365 patients who underwent unrelated HLA-matched bone marrow transplantation (for hematologic malignancies through the Japan Marrow Donor Program. Only donor toll-like receptor 4 variation significantly improved the survival outcomes. A multivariate analysis showed that the donor toll-like receptor 4 +3725G/G genotype was significantly associated with a better 5-year progression-free survival and a lower 5-year transplant-related mortality than other variations. Furthermore, the donor toll-like receptor 4 +3725G/G genotype was associated with a significantly lower incidence of fatal infections than other variations. The validation study of 502 patients confirmed that the donor toll-like receptor 4 +3725G/G genotype was associated with better survival outcomes. 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We retrospectively examined whether or not genetic variations in toll-like receptor 1 (rs5743551, -7202GQ&gt;A), toll-like receptor 2 (rs7656411, 22215G&gt;T), and toll-like receptor 4 (rs11536889, +3725G&gt;C) affected transplant outcomes in a cohort of 365 patients who underwent unrelated HLA-matched bone marrow transplantation (for hematologic malignancies through the Japan Marrow Donor Program. Only donor toll-like receptor 4 variation significantly improved the survival outcomes. A multivariate analysis showed that the donor toll-like receptor 4 +3725G/G genotype was significantly associated with a better 5-year progression-free survival and a lower 5-year transplant-related mortality than other variations. Furthermore, the donor toll-like receptor 4 +3725G/G genotype was associated with a significantly lower incidence of fatal infections than other variations. The validation study of 502 patients confirmed that the donor toll-like receptor 4 +3725G/G genotype was associated with better survival outcomes. Toll-like receptor4 genotyping in transplant donors may therefore be a useful tool for optimizing donor selection and evaluating pretransplantation risks.</abstract><cop>United States</cop><pub>Impact Journals LLC</pub><pmid>28484092</pmid><doi>10.18632/oncotarget.17315</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record>
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source Freely Accessible Journals; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central
subjects Adolescent
Adult
Aged
Alleles
Bone Marrow Transplantation - adverse effects
Bone Marrow Transplantation - methods
Child
Child, Preschool
Female
Gene Frequency
Genetic Variation
Genotype
Graft vs Host Disease - diagnosis
Graft vs Host Disease - etiology
Hematologic Neoplasms - genetics
Hematologic Neoplasms - therapy
Hematopoietic Stem Cell Transplantation
Histocompatibility Testing
HLA Antigens - genetics
HLA Antigens - immunology
Humans
Infant
Infection - etiology
Kaplan-Meier Estimate
Male
Middle Aged
Polymorphism, Single Nucleotide
Research Paper
Toll-Like Receptors - genetics
Transplantation, Homologous
Treatment Outcome
Unrelated Donors
Young Adult
title Toll-like receptor genetic variations in bone marrow transplantation
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