PMID- 15846573 OWN - NLM STAT- MEDLINE DCOM- 20050818 LR - 20191109 IS - 0037-1963 (Print) IS - 0037-1963 (Linking) VI - 42 IP - 2 DP - 2005 Apr TI - Human leukocyte antigen matching in unrelated donor hematopoietic cell transplantation. PG - 76-84 AB - Hematopoietic cell transplantation (HCT) from unrelated donors is a curative therapy for many malignant and nonmalignant blood disorders. The success of unrelated HCT is influenced by the degree of human leukocyte antigen (HLA) compatibility between the donor and patient. When donor matching for HLA alleles is feasible, overall transplant outcome is superior. The presence of donor-recipient mismatching is associated with increased risk of post-transplant complications including graft rejection, acute and chronic graft-versus-host disease (GVHD), and mortality; these risks are increased with multiple HLA mismatches. For the majority of patients who lack HLA-matched unrelated donors, current research is focused on the identification of permissible HLA mismatches. The influence of nongenetic factors on the tolerability of HLA mismatching has recently become evident, demonstrating a need for the integration of both genetic and nongenetic variables in donor selection. FAU - Petersdorf, Effie W AU - Petersdorf EW AD - Division of Clinical Research, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N, Seattle, WA 98109, USA. spetersd@fhcrc.org FAU - Malkki, Mari AU - Malkki M LA - eng GR - AI 33484/AI/NIAID NIH HHS/United States GR - CA 100019/CA/NCI NIH HHS/United States GR - CA 18029/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Semin Hematol JT - Seminars in hematology JID - 0404514 RN - 0 (HLA Antigens) SB - IM MH - *Donor Selection MH - Graft vs Host Disease/prevention & control MH - *HLA Antigens MH - *Hematopoietic Stem Cell Transplantation/mortality MH - Histocompatibility Testing MH - Humans RF - 63 EDAT- 2005/04/23 09:00 MHDA- 2005/08/19 09:00 CRDT- 2005/04/23 09:00 PHST- 2005/04/23 09:00 [pubmed] PHST- 2005/08/19 09:00 [medline] PHST- 2005/04/23 09:00 [entrez] AID - S0037196305000090 [pii] AID - 10.1053/j.seminhematol.2005.01.009 [doi] PST - ppublish SO - Semin Hematol. 2005 Apr;42(2):76-84. doi: 10.1053/j.seminhematol.2005.01.009.