PMID- 17976248 OWN - NLM STAT- MEDLINE DCOM- 20071203 LR - 20081121 IS - 1462-3994 (Electronic) IS - 1462-3994 (Linking) VI - 9 IP - 29 DP - 2007 Nov 2 TI - Haematopoietic stem cell transplantation: can our genes predict clinical outcome? PG - 1-19 AB - Haematopoietic stem cell transplantation (HSCT) is currently the only curative treatment for many patients with malignant and non-malignant haematological diseases. The success of HSCT is greatly reduced by the development of complications, which include graft-versus-host disease (GVHD), relapse and infection. Human leukocyte antigen (HLA) matching of patients and donors is essential, but does not completely prevent these complications; non-HLA genes may also have an impact upon transplant outcome. Polymorphisms within genes that are associated with an individual's capability to mount an immune response to alloantigen and infectious pathogens and/or response to drugs (pharmacogenomics) are all currently being studied for their association with HSCT outcome. This review summarises the potential role of non-HLA polymorphisms in predicting HSCT outcome, from studies on retrospective transplant cohorts of HLA-identical siblings and matched unrelated donors. The clinical relevance and interpretation of non-HLA genetics, and how these could be used alongside clinical risk factors in HSCT, are also discussed. FAU - Dickinson, Anne M AU - Dickinson AM AD - School of Clinical and Laboratory Sciences, Institute of Cellular Medicine, Newcastle University Medical School, Newcastle upon Tyne, UK. a.m.dickinson@ncl.ac.uk FAU - Harrold, Jane L AU - Harrold JL FAU - Cullup, Hannah AU - Cullup H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20071102 PL - England TA - Expert Rev Mol Med JT - Expert reviews in molecular medicine JID - 100939725 RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (HLA Antigens) RN - 0 (Receptors, Chemokine) RN - 0 (Receptors, Cytokine) SB - IM MH - Animals MH - Chemokines/genetics/immunology MH - Cohort Studies MH - Cytokines/genetics/immunology MH - Donor Selection MH - Genotype MH - *Graft vs Host Disease/genetics/therapy MH - HLA Antigens MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Testing MH - Humans MH - Immunity, Innate/physiology MH - Pharmacogenetics MH - *Polymorphism, Genetic MH - Receptors, Chemokine/genetics/immunology MH - Receptors, Cytokine/genetics/immunology MH - Retrospective Studies MH - Transplantation Conditioning MH - Treatment Outcome RF - 129 EDAT- 2007/11/03 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/11/03 09:00 PHST- 2007/11/03 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/11/03 09:00 [entrez] AID - S1462399407000488 [pii] AID - 10.1017/S1462399407000488 [doi] PST - epublish SO - Expert Rev Mol Med. 2007 Nov 2;9(29):1-19. doi: 10.1017/S1462399407000488.