PMID- 24498995 OWN - NLM STAT- MEDLINE DCOM- 20141010 LR - 20171116 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 82 IP - 6 DP - 2013 Dec TI - IL-10 promoter polymorphisms influence susceptibility to aGvHD and are associated with proportions of CD4+FoxP3+ lymphocytes in blood after hematopoietic stem cell transplantation. PG - 387-96 LID - 10.1111/tan.12255 [doi] AB - Four hundred and ninety-five patients (390 and 105 grafted from unrelated and sibling (SIB) donors, respectively) and their donors were analyzed for the impact of interleukin-10 (IL-10) promoter genotype [rs18000896 (-1082 G/A), rs18000871 (-819 C/T) and rs18000872 (-592 C/A)] on the outcome of hematopoietic stem cell transplantation (HSCT). Patients having ACC haplotype were at a lower risk of acute graft versus host disease (aGvHD, grade > I) if transplanted from human leukocyte antigen (HLA) well-matched (10/10) unrelated donors (20/135 vs 39/117, P < 0.001, Pcorr = 0.002), which was not seen if patients were transplanted from either sibling (SIB) or poorly matched (<10/10) unrelated donors (MUD). In addition, GCC haplotype positive recipients of unrelated donor transplants tended to be more susceptible to aGvHD (68/199 vs 39/169, P = 0.019, Pcorr = 0.057). Multivariate logistic regression analysis in the MUD transplanted group showed that donor-recipient human leukocyte antigen (HLA) mismatch [odds ratio (OR) = 3.937, P = 0.001] and a lack of ACC haplotype in recipients (OR = 0.417, P = 0.013) played a significant role as independent risk factors of aGvHD grade > I. ACC carriers had higher proportions of FoxP3+ lymphocytes gated in CD4+ lymphocytes as compared with patients with other IL-10 haplotypes. It was seen at the time of hematological recovery (mean +/- SEM: 3.80 +/- 0.91% vs 2.06 +/- 0.98%, P = 0.012) and 2 weeks later (5.32 +/- 0.87% vs 2.50 +/- 0.83%, P = 0.013); -592 C/A polymorphism was separately analyzed and it was found that AA homozygotes tended to have a higher incidence of aGvHD (8/15 vs 116/456, P = 0.034) and low proportions of FoxP3 CD4+ lymphocytes in blood (0.43 +/- 0.22% vs 4.32 +/- 0.71%, P = 0.051) measured 2 weeks after hematological recovery. Functional IL-10 polymorphism associated features influenced the risk of aGvHD with a positive effect of ACC on the pool of Treg in blood. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Jaskula, E AU - Jaskula E AD - L. Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland. FAU - Lange, A AU - Lange A FAU - Dlubek, D AU - Dlubek D FAU - Kyrcz-Krzemien, S AU - Kyrcz-Krzemien S FAU - Markiewicz, M AU - Markiewicz M FAU - Dzierzak-Mietla, M AU - Dzierzak-Mietla M FAU - Jedrzejczak, W W AU - Jedrzejczak WW FAU - Gronkowska, A AU - Gronkowska A FAU - Nowak, J AU - Nowak J FAU - Warzocha, K AU - Warzocha K FAU - Hellmann, A AU - Hellmann A FAU - Kowalczyk, J AU - Kowalczyk J FAU - Drabko, K AU - Drabko K FAU - Gozdzik, J AU - Gozdzik J FAU - Mizia, S AU - Mizia S CN - Polish Donor-Recipient Matching Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (CD4 Antigens) RN - 0 (FOXP3 protein, human) RN - 0 (Forkhead Transcription Factors) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Acute Disease MH - CD4 Antigens/metabolism MH - Forkhead Transcription Factors/metabolism MH - Gene Frequency MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Genotype MH - Graft vs Host Disease/*genetics/immunology MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Histocompatibility MH - Histocompatibility Testing MH - Humans MH - Interleukin-10/*genetics MH - Poland MH - Polymorphism, Genetic MH - Promoter Regions, Genetic/*genetics MH - Risk MH - Siblings MH - T-Lymphocyte Subsets/*immunology MH - T-Lymphocytes, Regulatory/*immunology OTO - NOTNLM OT - aGvHD OT - cytokine OT - hematopoietic stem cell transplantation OT - interleukin-10 OT - promoter polymorphism EDAT- 2014/02/07 06:00 MHDA- 2014/10/11 06:00 CRDT- 2014/02/07 06:00 PHST- 2013/06/21 00:00 [received] PHST- 2013/09/13 00:00 [revised] PHST- 2013/10/21 00:00 [accepted] PHST- 2014/02/07 06:00 [entrez] PHST- 2014/02/07 06:00 [pubmed] PHST- 2014/10/11 06:00 [medline] AID - 10.1111/tan.12255 [doi] PST - ppublish SO - Tissue Antigens. 2013 Dec;82(6):387-96. doi: 10.1111/tan.12255.