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Glutathione S-transferase A1 polymorphisms and acute graft-vs.-host disease in HLA-matched sibling allogeneic hematopoietic stem cell transplantation
DC Field | Value | Language |
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dc.contributor.author | Kim, Inho | - |
dc.contributor.author | Keam, Bhumsuk | - |
dc.contributor.author | Lee, Kyung-Hun | - |
dc.contributor.author | Kim, Jin Hee | - |
dc.contributor.author | Oh, So Yeon | - |
dc.contributor.author | Ra, Eun Kyung | - |
dc.contributor.author | Yoon, Sung-Soo | - |
dc.contributor.author | Park, Sung Sup | - |
dc.contributor.author | Kim, Chul Soo | - |
dc.contributor.author | Park, Seonyang | - |
dc.contributor.author | Hong, Yun-Chul | - |
dc.contributor.author | Kim, Byoung Kook | - |
dc.date.accessioned | 2009-11-11T03:18:13Z | - |
dc.date.available | 2009-11-11T03:18:13Z | - |
dc.date.issued | 2007-04-12 | - |
dc.identifier.citation | Clin Transplant. 2007 Mar-Apr;21(2):207-13. | en |
dc.identifier.issn | 0902-0063 (Print) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17425746 | - |
dc.identifier.uri | https://hdl.handle.net/10371/11885 | - |
dc.description.abstract | Busulfan and the metabolites of cyclophosphamide are conjugated with glutathione and catabolized by enzymes of the cytosolic glutathione S-transferases family. There are clearly linked single nucleotide polymorphisms in the promoter region of the glutathione S-transferase A1 gene (i.e., GSTA1*A, -567T, -69C and -52G; GSTA1*B, -567G, -69T and -52A). We assessed whether the clinical outcomes, including acute graft-vs.-host disease, of 61 patients with hematological malignancies, following HLA-matched sibling allogeneic stem cell transplantation using busulfan/cyclophosphamide conditioning are altered by glutathione S-transferase A1 genotypes. Globally, grade II-IV acute graft-vs.-host disease developed in 13 patients (21%). Grade II-IV acute graft-vs.-host disease developed in 15.2% of 46 patients with GSTA1*A/*A diplotype and in 40.0% of 15 patients with GSTA1*A/*B or GSTA1*B/*B diplotype (p = 0.04). Moreover, this relationship between GSTA1*A/*A diplotypes and lower incidence of acute graft-vs.-host disease was independent of the age, gender, stem cell source, and disease status. The incidences of acute skin graft-vs.-host disease were 7% (3/46) in patients with GSTA1*A/*A and 27% (4/15) in patients without GSTA1*A/*A (p = 0.009, univariate; p = 0.01, multivariate). Acute hepatic graft-vs.-host disease developed in 6 (13%) of 46 patients with the GSTA1*A/*A diplotype and in 4 (27%) of 15 patients without this diplotype (p = 0.09, univariate; p = 0.12, multivariate). Ten patients (16%) developed hepatic veno-occlusive disease. No significant difference was found in the incidence of hepatic veno-occlusive disease between patients with and without the GSTA1*A/*A diplotype (19.6% vs. 6.7%; p = 0.24). We conclude that the GSTA1*A/*A diplotype is an independent protective factor against acute graft-vs.-host disease, especially for skin graft-vs.-host disease, and probably for hepatic graft-vs.-host disease, in patients using busulfan/cyclophosphamide conditioning. The identification of glutathione S-transferase A1 genotypes prior to allogeneic stem cell transplantation could allow conditioning regimens and graft-vs.-host disease prophylaxis to be modified to improve outcome. | en |
dc.language.iso | en | en |
dc.publisher | Blackwell Publishing | en |
dc.subject | Acute Disease | en |
dc.subject | Adult | en |
dc.subject | Female | en |
dc.subject | Genotype | en |
dc.subject | Glutathione Transferase/*genetics | en |
dc.subject | Graft vs Host Disease/*genetics | en |
dc.subject | Hepatic Veno-Occlusive Disease/etiology | en |
dc.subject | Humans | en |
dc.subject | Leukemia, Myelogenous, Chronic, BCR-ABL Positive/surgery | en |
dc.subject | Leukemia, Myeloid/surgery | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Siblings | en |
dc.subject | Transplantation Conditioning | en |
dc.subject | Hematopoietic Stem Cell Transplantation | - |
dc.subject | Polymorphism, Single Nucleotide | - |
dc.title | Glutathione S-transferase A1 polymorphisms and acute graft-vs.-host disease in HLA-matched sibling allogeneic hematopoietic stem cell transplantation | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 김인호 | - |
dc.contributor.AlternativeAuthor | 김범석 | - |
dc.contributor.AlternativeAuthor | 이경훈 | - |
dc.contributor.AlternativeAuthor | 김지혜 | - |
dc.contributor.AlternativeAuthor | 오소연 | - |
dc.contributor.AlternativeAuthor | 라은경 | - |
dc.contributor.AlternativeAuthor | 윤성수 | - |
dc.contributor.AlternativeAuthor | 박성섭 | - |
dc.contributor.AlternativeAuthor | 김철수 | - |
dc.contributor.AlternativeAuthor | 박선양 | - |
dc.contributor.AlternativeAuthor | 홍윤철 | - |
dc.contributor.AlternativeAuthor | 김병국 | - |
dc.identifier.doi | 10.1111/j.1399-0012.2006.00624.x | - |
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