Tseng Ching-Ping, Lin Tung-Liang, Tsai Shu-Hui, Lin Wei-Tzu, Hsu Fang-Ping, Wang Wei-Ting, Chen Ding-Ping
Department of Laboratory Medicine, Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan.
Department of Medical Biotechnology and Laboratory Science, College of Medicine, Chang Gung University, Taoyuan 33305, Taiwan.
J Clin Med. 2024 Aug 9;13(16):4681. doi: 10.3390/jcm13164681.
: Hematopoietic stem cell transplantation (HSCT) is one of the mainstream treatments for patients with hematologic malignancies. The matching status of human leukocyte antigen (HLA) between the donor and recipient is highly related to the outcomes of HSCT. Haploidentical HSCT (haplo-HSCT) has emerged as a type of HSCT for patients who cannot find a fully HLA-matched donor. In this study, we investigated whether the single nucleotide polymorphisms (SNPs) of the HLA-related genes and the genes encoding co-stimulatory molecules located on the non-HLA region are related to the outcomes of haplo-HSCT. : The genomic DNAs of 24 patients and their respective donors were isolated from the peripheral blood obtained before performing haplo-HSCT. A total of 75 SNPs of the HLA-related genes (HCP5, NOTCH4, HLA-DOA, LTA, HSPA1L, BAG6, RING1, TRIM27, and HLA-DOB) and the genes located in the non-HLA genes involved in co-stimulatory signaling (CTLA4, TNFSF4, CD28, and PDCD1) were selected to explore their relationship with the outcomes after haplo-HSCT, including graft-versus-host disease, survival status, and relapse. : Our data revealed that specific donor or patient SNPs, including rs79327197 of the HLA-DOA gene, rs107822 and rs213210 of the RING1 gene, rs2523676 of the HCP5 gene, rs5742909 of the CTLA4 gene, rs5839828 and rs36084323 of the PDCD1 gene, and rs1234314 of the TNFSF4 gene, were significantly related to the development of adverse outcomes post-haplo-HSCT. : These SNPs may play important roles in post-transplant immune response that can be considered during the selection of suitable donors.
造血干细胞移植(HSCT)是血液系统恶性肿瘤患者的主流治疗方法之一。供体与受体之间人类白细胞抗原(HLA)的匹配状况与HSCT的疗效高度相关。单倍体相合造血干细胞移植(haplo-HSCT)已成为一种为找不到完全HLA匹配供体的患者提供的造血干细胞移植类型。在本研究中,我们调查了HLA相关基因以及位于非HLA区域的共刺激分子编码基因的单核苷酸多态性(SNP)是否与haplo-HSCT的疗效相关。
从进行haplo-HSCT前采集的外周血中分离出24例患者及其各自供体的基因组DNA。共选择了75个HLA相关基因(HCP5、NOTCH4、HLA-DOA、LTA、HSPA1L、BAG6、RING1、TRIM27和HLA-DOB)以及参与共刺激信号传导的非HLA基因(CTLA4、TNFSF4、CD28和PDCD1)中的SNP,以探讨它们与haplo-HSCT后疗效的关系,包括移植物抗宿主病、生存状况和复发情况。
我们的数据显示,特定的供体或患者SNP,包括HLA-DOA基因的rs79327197、RING1基因的rs107822和rs213210、HCP5基因的rs2523676、CTLA4基因的rs5742909、PDCD1基因的rs5839828和rs36084323以及TNFSF4基因的rs1234314,与haplo-HSCT后不良结局的发生显著相关。
这些SNP可能在移植后免疫反应中起重要作用,在选择合适供体时可予以考虑。