Donor and Recipient STR Analysis Before Allogeneic Haematopoietic Stem Cell Transplantation: Possible Correlation With Post-Transplant Outcome
Chiusolo P, Bellesi S, Giammarco S et al.




Key Points:
  • Possible correlation between basal donor/recipient allelic discrepancies and post-transplant outcome (GvHD) development, neutrophil engraftment, relapse, DFS and OS.

  • 26 patient received myeloablative conditioning regimen and 85 received reduced conditioning regimen.

  • GvHD prophylaxis with CSA and MTX in 61 pts, CSA and mycophenolate mofetil in 43 pts and CSA in 7 pts.

  • 65 patients received graft from sibling donor and 46 patients from unrelated donor.

  • Allelic status performed using multiplex PCR amplification of ten STR loci.

  • Patients with mismatch (D8S1179)locus have neutrophil engraftment at 18 days (CI 95% 17.202-18.798) compared with 21 days (CI 95% 17.328-24.672) of match patients (p=0.007).

  • Patients with mismatch (D3S1358)locus developed aGvHD at 20 days (CI 95% 15.781-24.219) compared with 29 days (CI 95% 15.421-42.579) of match ones (p=0.031).

  • Patients with mismatch (D3S1358)locus have an OS of 16 months (CI 95% 11.016-20.984) compared with 41 months (CI 95% 25.420-56.580) of match ones (p=0.025).

  • Patients with mismatch (D8S1179)locus have an OS of 16 months (CI 95% 8.528-23.472) compared with 56 months (CI 95% 11.254-78.057) of match ones (p=0.012).

Implications:

  • Patients who have mismatch for D8S1179 locus showed earlier neutrophil engraftment but worse OS compared with the others.

View the original abstract on the ASH website.






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