4.2 Article

Polymorphism in the Interleukin-7 Receptor-alpha and Outcome after Allogeneic Hematopoietic Cell Transplantation with Matched Unrelated Donor

Journal

SCANDINAVIAN JOURNAL OF IMMUNOLOGY
Volume 78, Issue 2, Pages 214-220

Publisher

WILEY
DOI: 10.1111/sji.12077

Keywords

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Categories

Funding

  1. Danish Cancer Society [DP06075]
  2. Dagmar Marshall Foundation
  3. Danish Child Cancer Foundation
  4. Lundbeck Foundation
  5. U.S. Office of Naval Research
  6. National Cancer Institute (NCI) [U24-CA76518]
  7. National Heart, Lung and Blood Institute (NHLBI)
  8. National Institute of Allergy and Infectious Diseases (NIAID)
  9. NHLBI [5U01HL0692 94]
  10. NCI
  11. Health Resources and Services Administration (HRSA/DHHS) [HHSH234200637 015C]
  12. Office of Naval Research [N00014-06-1-0704, N00014-08-1-0058]
  13. AABB
  14. Aetna
  15. American Society for Blood and Marrow Transplantation
  16. Amgen, Inc.
  17. Anonymous donation to the Medical College of Wisconsin
  18. Astellas Pharma US, Inc.
  19. Baxter International, Inc.
  20. Bayer Health-Care Pharmaceuticals
  21. Be the Match Foundation
  22. Biogen IDEC
  23. BioMarin Pharmaceutical, Inc.
  24. Biovitrum AB
  25. BloodCenter of Wisconsin
  26. Blue Cross and Blue Shield Association
  27. Bone Marrow Foundation
  28. Canadian Blood and Marrow Transplant Group
  29. CaridianBCT
  30. Celgene Corporation
  31. CellGenix, GmbH
  32. Centers for Disease Control and Prevention
  33. Children's Leukemia Research Association
  34. ClinImmune Labs
  35. CTI Clinical Trial and Consulting Services
  36. Cubist Pharmaceuticals
  37. Cylex Inc.
  38. CytoTherm
  39. DOR BioPharma, Inc.
  40. Dynal Biotech, an Invitrogen Company
  41. Eisai, Inc.
  42. Enzon Pharmaceuticals, Inc.
  43. European Group for Blood and Marrow Transplantation
  44. Gamida Cell, Ltd.
  45. GE Healthcare
  46. Genentech, Inc.
  47. Genzyme Corporation
  48. Histogenetics, Inc.
  49. HKS Medical Information Systems
  50. Hospira, Inc.
  51. Infectious Diseases Society of America
  52. Kiadis Pharma
  53. Kirin Brewery Co., Ltd.
  54. Leukemia & Lymphoma Society
  55. Merck Company
  56. Medical College of Wisconsin
  57. MGI Pharma, Inc.
  58. Michigan Community Blood Centers
  59. Millennium Pharmaceuticals, Inc.
  60. Miller Pharmacal Group
  61. Milliman USA, Inc.
  62. Miltenyi Biotec, Inc.
  63. National Marrow Donor Program
  64. Nature Publishing Group
  65. New York Blood Center
  66. Novartis Oncology
  67. Oncology Nursing Society
  68. Osiris Therapeutics, Inc.
  69. Otsuka America Pharmaceutical, Inc.
  70. Pall Life Sciences
  71. Pfizer Inc.
  72. Saladax Biomedical, Inc.
  73. Schering Corporation
  74. Society for Healthcare Epidemiology of America
  75. Soligenix, Inc.
  76. StemCyte, Inc.
  77. StemSoft Software, Inc.
  78. Sysmex America, Inc.
  79. THERAKOS, Inc.
  80. Thermogenesis Corporation
  81. Vidacare Corporation
  82. Vion Pharmaceuticals, Inc.
  83. ViraCor Laboratories
  84. ViroPharma, Inc.

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Interleukin-7 (IL-7) is essential for T cell development in the thymus and maintenance of peripheral T cells. The -chain of the IL-7R is polymorphic with the existence of SNPs that give rise to non-synonymous amino acid substitutions. We previously found an association between donor genotypes and increased treatment-related mortality (TRM) (rs1494555G) and acute graft versus host disease (aGvHD) (rs1494555G and rs1494558T) after hematopoietic cell transplantation (HCT). Some studies have confirmed an association between rs6897932C and multiple sclerosis. In this study, we evaluated the prognostic significance of IL-7R SNP genotypes in 590-recipient/donor pairs that received HLA-matched unrelated donor HCT for haematological malignancies. Consistent with the primary studies, the rs1494555GG and rs1494558TT genotypes of the donor were associated with aGvHD and chronic GvHD in the univariate analysis. The Tallele of rs6897932 was suggestive of an association with increased frequency of relapse by univariate analysis (P=0.017) and multivariate analysis (P=0.015). In conclusion, this study provides further evidence of a role of the IL-7 pathway and IL-7R SNPs in HCT.

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