PMID- 25434712 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20231213 IS - 1873-2399 (Electronic) IS - 0301-472X (Linking) VI - 43 IP - 3 DP - 2015 Mar TI - Do human leukocyte antigen E polymorphisms influence graft-versus-leukemia after allogeneic hematopoietic stem cell transplantation? PG - 149-57 LID - S0301-472X(14)00805-4 [pii] LID - 10.1016/j.exphem.2014.11.007 [doi] AB - Hematopoietic-stem-cell transplantation (HSCT) is complicated by histocompatibility-dependent immune responses such as graft-versus-host disease, relapse, and graft rejection. The severity of these common adverse effects is directly related to the degree of human leukocyte antigen (HLA) incompatibility. In addition to the key role of classic HLA matching in influencing HSCT outcome, several lines of evidence suggest an important role for nonclassic major histocompatibility complex class I molecule, HLA-E. The interaction of HLA-E with NKG2A, its main receptor on natural killer cells, modulates cell-mediated cytotoxicity and cytokine production, an important role in innate immune responses. In addition, the HLA-E molecule can present peptides to different subtypes of T cells that may either support graft-versus-leukemia effects or be involved in bridging innate and acquired immunity. To date, the role of HLA-E and its polymorphisms in HSCT outcomes such as graft-versus-host disease, transplant-related mortality, and improved survival has been published by a number of groups. In addition, these data suggest an association between HLA-E polymorphisms and relapse. Whether the engagement of the HLA-E molecule in the modulation of donor T cells is involved in the graft-versus-leukemia effect, or whether a different mechanism of HLA-E dependent reduction of relapse is involved, requires further investigation. CI - Copyright (c) 2015 ISEH - International Society for Experimental Hematology. Published by Elsevier Inc. All rights reserved. FAU - Hosseini, Ehteramolsadat AU - Hosseini E AD - Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran; Department of Immunology, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Australia. FAU - Schwarer, Anthony P AU - Schwarer AP AD - Department of Immunology, Alfred Medical Research and Education Precinct, Monash University, Melbourne, Australia. FAU - Ghasemzadeh, Mehran AU - Ghasemzadeh M AD - Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran. Electronic address: mehran1476@yahoo.com. LA - eng PT - Journal Article PT - Review DEP - 20141127 PL - Netherlands TA - Exp Hematol JT - Experimental hematology JID - 0402313 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Graft vs Leukemia Effect/*genetics MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Leukocytes/immunology MH - *Polymorphism, Genetic MH - HLA-E Antigens EDAT- 2014/12/02 06:00 MHDA- 2015/05/27 06:00 CRDT- 2014/12/02 06:00 PHST- 2014/05/27 00:00 [received] PHST- 2014/11/16 00:00 [revised] PHST- 2014/11/19 00:00 [accepted] PHST- 2014/12/02 06:00 [entrez] PHST- 2014/12/02 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] AID - S0301-472X(14)00805-4 [pii] AID - 10.1016/j.exphem.2014.11.007 [doi] PST - ppublish SO - Exp Hematol. 2015 Mar;43(3):149-57. doi: 10.1016/j.exphem.2014.11.007. Epub 2014 Nov 27.