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Effect of HLA mismatches on the outcome of hematopoietic transplants

โœ Scribed by Effie W Petersdorf; Eric M Mickelson; Claudio Anasetti; Paul J Martin; Ann E Woolfrey; John A Hansen


Publisher
Elsevier Science
Year
1999
Tongue
English
Weight
85 KB
Volume
11
Category
Article
ISSN
0952-7915

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โœฆ Synopsis


Hematopoietic cell transplantation from unrelated volunteer donors for the treatment of hematological malignancy can be optimized by complete and precise matching for HLA class I and II alleles between the donor and recipient. Survival is improved when the donor and recipient are matched for HLA-A, -B, -C, -DRB, -DQB1 and -DPB1 alleles. The risks of clinically severe graft-versus-host disease, graft failure and mortality are increased in the presence of multilocus mismatching. These findings demonstrate that HLA allelic differences are biologically relevant in human transplantation.


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