PMID- 25077441 OWN - NLM STAT- MEDLINE DCOM- 20141104 LR - 20211021 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 111 IP - 6 DP - 2014 Sep 9 TI - HLA and KIR genotyping correlates with relapse after T-cell-replete haploidentical transplantation in chronic myeloid leukaemia patients. PG - 1080-8 LID - 10.1038/bjc.2014.423 [doi] AB - BACKGROUND: Conflicting results have been reported regarding the predicative roles of alloreactive natural killer (NK) cells on the outcomes of transplantation in leukaemia patients. METHODS: We prospectively analysed the human leukocyte antigen (HLA) typing of donor-recipient pairs and the KIR typing of the donors in 97 CML patients to address the predictive roles of NK cells in relapse undergoing T-cell-replete haploidentical transplantation. RESULTS: Patients with class I ligands for the donor-inhibitory KIR gene exhibited decreased molecular and haematologic relapse rates (P=0.003 and P=0.015, respectively). There was a significantly reduced risk of molecular and haematologic relapse in patients with HLA-C1C2 or C2C2 who accepted donors with KIR2DS1 or in patients with HLA-Bw4 who accepted donors with KIR3DS1 ('recipient with relevant KIR ligand for donor-activating KIR', n=25), compared with the remaining transplants (n=72, P=0.009 and P=0.009, respectively). In addition, the presence of class I ligand in the recipients of donor-activating KIR contributed to a decreased relapse rate in patients lacking class I ligand in the recipient of donor-inhibitory KIR (P=0.04 and P=0.03, respectively). CONCLUSIONS: This study suggests that the presence of class I ligands for the donor-activating or donor-inhibitory KIR gene in the recipient might confer some protection against leukaemic relapse in T-cell-replete haploidentical transplantation. FAU - Zhao, X-Y AU - Zhao XY AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Chang, Y-J AU - Chang YJ AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Xu, L-P AU - Xu LP AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Zhang, X-H AU - Zhang XH AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Liu, K-Y AU - Liu KY AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Li, D AU - Li D AD - Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China. FAU - Huang, X-J AU - Huang XJ AD - 1] Peking University People's Hospital and Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China [2] Peking-Tsinghua Center for Life Sciences, Beijing 100871, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140731 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (HLA-B Antigens) RN - 0 (HLA-Bw4 antigen) RN - 0 (HLA-C Antigens) RN - 0 (HLA-C*01:02 antigen) RN - 0 (HLA-C*02 antigen) RN - 0 (KIR2DS1 protein, human) RN - 0 (Ligands) RN - 0 (Receptors, KIR) RN - 0 (Receptors, KIR3DS1) SB - IM MH - Adolescent MH - Adult MH - Child MH - Disease-Free Survival MH - Donor Selection MH - Female MH - Genotype MH - Graft vs Host Disease/etiology MH - HLA-B Antigens/*genetics MH - HLA-C Antigens/*genetics MH - Haploidy MH - Humans MH - Killer Cells, Natural/immunology MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics/*therapy MH - Ligands MH - Male MH - Middle Aged MH - Prospective Studies MH - Receptors, KIR/*genetics MH - Receptors, KIR3DS1/*genetics MH - Recurrence MH - Survival Rate MH - T-Lymphocytes/*transplantation MH - Young Adult PMC - PMC4453853 EDAT- 2014/08/01 06:00 MHDA- 2014/11/05 06:00 PMCR- 2015/09/09 CRDT- 2014/08/01 06:00 PHST- 2014/04/08 00:00 [received] PHST- 2014/06/24 00:00 [revised] PHST- 2014/07/07 00:00 [accepted] PHST- 2014/08/01 06:00 [entrez] PHST- 2014/08/01 06:00 [pubmed] PHST- 2014/11/05 06:00 [medline] PHST- 2015/09/09 00:00 [pmc-release] AID - bjc2014423 [pii] AID - 10.1038/bjc.2014.423 [doi] PST - ppublish SO - Br J Cancer. 2014 Sep 9;111(6):1080-8. doi: 10.1038/bjc.2014.423. Epub 2014 Jul 31.