PMID- 25543014 OWN - NLM STAT- MEDLINE DCOM- 20151222 LR - 20231213 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 76 IP - 2-3 DP - 2015 Mar TI - HLA-E polymorphism and clinical outcome after allogeneic hematopoietic stem cell transplantation in Egyptian patients. PG - 161-5 LID - S0198-8859(14)00517-5 [pii] LID - 10.1016/j.humimm.2014.12.017 [doi] AB - Human leukocyte antigen-E (HLA)-E in a non-classical major histocompatibility complex (MHC) class I (Ib) molecule. HLA-E-peptide complex acts as a ligand for natural killer (NK) cells and CD8+ T lymphocytes playing a dual role in natural and acquired immune responses. The difference in expression levels between HLA-E alleles was suggested to have impact on transplantation outcome. The aim of the study is to evaluate the clinical effect of HLA-E alleles on transplantation in a group of Egyptian patients. HLA-E genotyping was analyzed in eighty-eight recipients of stem cell transplantation using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). HLA-E*01:03 allele showed a trend towards lower cumulative incidence of relapse at 2 years compared to homozygous HLA-E*01:01 genotype (8% versus 21.5%, p=0.09, HR: 0.30, 95% CI: 0.91-1.69). HLA-E was the only factor showing near significant association with relapse incidence. HLA-E polymorphism did not affect the cumulative incidence of acute GVHD grades II-IV at 100 days, the 2-year cumulative incidence of extensive chronic GVHD, transplant related mortality (TRM) or overall survival (OS). CONCLUSION: the suggested association of HLA-E polymorphism with reduced risk of relapse needs verification in a larger cohort. However, its proposed role in GVL helps better understanding of alloreactivity of T cells and NK cells and their implication in immunotherapy post allogeneic hematopoietic stem cell transplantation. CI - Copyright (c) 2015 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Mossallam, Ghada I AU - Mossallam GI AD - Bone Marrow Transplantation Laboratory Unit, National Cancer Institute, Cairo University, Cairo, Egypt. Electronic address: ghadamossallam@hotmail.com. FAU - Fattah, Raafat Abdel AU - Fattah RA AD - Department of Medical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt. FAU - El-Haddad, Alaa AU - El-Haddad A AD - Department of Pediatric Oncology, National Cancer Institute, Cairo University, Cairo, Egypt. FAU - Mahmoud, Hossam K AU - Mahmoud HK AD - Department of Medical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20141225 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adolescent MH - Adult MH - Alleles MH - CD8-Positive T-Lymphocytes/*immunology MH - Child MH - Child, Preschool MH - Cohort Studies MH - Egypt MH - Female MH - Follow-Up Studies MH - Genotype MH - Graft Rejection/etiology/genetics/*immunology MH - Graft vs Host Disease/genetics/*immunology MH - *Hematopoietic Stem Cell Transplantation MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Killer Cells, Natural/*immunology MH - Leukemia, Myeloid/immunology/mortality/*therapy MH - Male MH - Middle Aged MH - Polymorphism, Genetic MH - Postoperative Complications/genetics/immunology MH - Survival Analysis MH - Treatment Outcome MH - Young Adult MH - HLA-E Antigens OTO - NOTNLM OT - Graft versus leukemia (GVL) OT - HLA-E OT - Hematopoietic stem cell transplantation OT - Relapse EDAT- 2014/12/30 06:00 MHDA- 2015/12/23 06:00 CRDT- 2014/12/28 06:00 PHST- 2014/06/20 00:00 [received] PHST- 2014/10/20 00:00 [revised] PHST- 2014/12/15 00:00 [accepted] PHST- 2014/12/28 06:00 [entrez] PHST- 2014/12/30 06:00 [pubmed] PHST- 2015/12/23 06:00 [medline] AID - S0198-8859(14)00517-5 [pii] AID - 10.1016/j.humimm.2014.12.017 [doi] PST - ppublish SO - Hum Immunol. 2015 Mar;76(2-3):161-5. doi: 10.1016/j.humimm.2014.12.017. Epub 2014 Dec 25.