PMID- 27919187 OWN - NLM STAT- MEDLINE DCOM- 20180112 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 58 IP - 7 DP - 2017 Jul TI - Diagnostic value of serum ferritin and the risk factors and cytokine profiles of hemophagocytic syndrome following allogeneic hematopoietic cell transplantation. PG - 1664-1672 LID - 10.1080/10428194.2016.1262034 [doi] AB - To examine the diagnostic value of serum ferritin, the associated risk factors, and cytokine profiles of hemophagocytic syndrome (HPS) following allogeneic hematopoietic cell transplantation (allo-HCT), we retrospectively analyzed data from patients undergoing allo-HCT between 2006 and 2012. Of 223 eligible patients, 18 patients developed HPS. A serum ferritin level above 30,000 mug/l was highly specific for the detection of HPS (specificity, 93%). The one-year survival rate for HPS was significantly lower than that of non-HPS patients (37.5% vs. 72.9%, respectively, Log-rank p < .01). In multivariable Cox models, antigen mismatches in human leukocyte antigen (HLA) in both graft-versus-host (GVH) and host-versus-graft (HVG) directions were significantly associated with the incidence of HPS. We found a significant elevation of Th1 cytokine (IFN-gamma), Th2 cytokines (IL-10), and chemokines (MCP-1 and IP-10), at the onset of HPS. Our results suggest that allo-reactivity, derived from HLA-mismatch, and possibly causing a cytokine storm, may be associated with HPS development. FAU - Nanno, Satoru AU - Nanno S AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Koh, Hideo AU - Koh H AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Nakashima, Yasuhiro AU - Nakashima Y AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Katayama, Takako AU - Katayama T AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Okamura, Hiroshi AU - Okamura H AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Koh, Shiro AU - Koh S AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Yoshimura, Takuro AU - Yoshimura T AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Nishimoto, Mitsutaka AU - Nishimoto M AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Hayashi, Yoshiki AU - Hayashi Y AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Nakamae, Mika AU - Nakamae M AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Hirose, Asao AU - Hirose A AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Nakane, Takahiko AU - Nakane T AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Hino, Masayuki AU - Hino M AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. FAU - Nakamae, Hirohisa AU - Nakamae H AD - a Hematology, Graduate School of Medicine , Osaka City University , Osaka , Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20161206 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Biomarkers) RN - 0 (Cytokines) RN - 0 (HLA Antigens) RN - 9007-73-2 (Ferritins) SB - IM CIN - Leuk Lymphoma. 2018 Mar;59(3):770-771. PMID: 28535080 CIN - Leuk Lymphoma. 2018 Mar;59(3):772-773. PMID: 28776428 MH - Adolescent MH - Adult MH - Aged MH - Biomarkers MH - Cytokines/*blood MH - Female MH - Ferritins/*blood MH - Graft vs Host Disease/diagnosis/etiology/prevention & control MH - HLA Antigens/genetics/immunology MH - Hematopoietic Stem Cell Transplantation/adverse effects MH - Humans MH - Lymphohistiocytosis, Hemophagocytic/*blood/*diagnosis/mortality/therapy MH - Male MH - Middle Aged MH - Postoperative Period MH - ROC Curve MH - Retrospective Studies MH - Risk Factors MH - Survival Analysis MH - Transplantation, Homologous MH - Young Adult OTO - NOTNLM OT - Hemophagocytic syndrome OT - allogeneic hematopoietic cell transplantation OT - risk factor OT - serum cytokine profile OT - serum ferritin EDAT- 2016/12/07 06:00 MHDA- 2018/01/13 06:00 CRDT- 2016/12/07 06:00 PHST- 2016/12/07 06:00 [pubmed] PHST- 2018/01/13 06:00 [medline] PHST- 2016/12/07 06:00 [entrez] AID - 10.1080/10428194.2016.1262034 [doi] PST - ppublish SO - Leuk Lymphoma. 2017 Jul;58(7):1664-1672. doi: 10.1080/10428194.2016.1262034. Epub 2016 Dec 6.