Evidence map›Paper›PMID 25519752›Full record

ArticleBlood2015

Biological significance of HLA locus matching in unrelated donor bone marrow transplantation.

Yasuo Morishima, Koichi Kashiwase, Keitaro Matsuo, Fumihiro Azuma, Satoko Morishima, Makoto Onizuka, Toshio Yabe, Makoto Murata, Noriko Doki, Tetsuya Eto and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 3 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 3 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. KIR Donor Selection: Feasibility in Identifying better Donors.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. HLA-AJournal of immunology research · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Relationship Between anJournal of clinical medicine · 2025
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 13 institutions in 1 country.

Yasuo MorishimaDivision of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan;
Koichi KashiwaseJapanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo, Japan;
Keitaro MatsuoDepartment of Preventive Medicine, Kyushu University School of Medicine, Fukuoka, Japan;
Fumihiro AzumaJapanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo, Japan;
Satoko MorishimaDepartment of Hematology, Fujita Health University School of Medicine, Toyoake, Japan;
Makoto OnizukaDepartment of Hematology and Oncology, Tokai University School of Medicine, Isehara, Japan;
Toshio YabeJapanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo, Japan;
Makoto MurataDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Nagoya, Japan;
Noriko DokiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan;
Tetsuya EtoDepartment of Hematology, Hamanomachi Hospital, Fukuoka, Japan;
Takehiko MoriDivision of Hematology, Keio University School of Medicine, Tokyo, Japan;
Koichi MiyamuraDepartment of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan;
Hiroshi SaoDepartment of Hematology, Meitetsu Hospital, Nagoya, Japan;
Tatsuo IchinoheDepartment of Hematology and Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan;
Hiroo SajiHLA Laboratory, Kyoto, Japan;
Shunichi KatoDepartment of Cell Transplantation, Tokai University School of Medicine, Isehara, Japan;
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan; Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan;
Keisei KawaJapanese Red Cross Kinki Block Blood Center, Osaka, Japan;
Yoshihisa KoderaDepartment of Promotion for Blood and Marrow Transplantation, Aichi Medical University, Aichi, Japan; and.
Takehiko SasazukiInstitute for Advanced Study, Kyushu University, Fukuoka, Japan.
Japan Marrow Donor Program
Japanese Red Cross Society, Japan · JPKyushu University · JPTokai University · JPAichi Cancer Center · JPAichi Medical University · JPFujita Health University · JPHamanomachi Hospital · JPHiroshima University · JPKeio University · JPMeitetsu Hospital · JPNagoya University · JPThe Japanese Data Center for Hematopoietic Cell Transplantation · JPTokyo Metropolitan Komagome Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We hypothesized that the compatibility of each HLA loci between donor and patient induced divergent transplant-related immunologic responses, which attributed to the individualized manifestation of clinical outcomes. Here, we analyzed 7898 Japanese pairs transplanted with T-cell-replete marrow from an unrelated donor with complete HLA allele typing data. Multivariable competing risk regression analyses were conducted to evaluate the relative risk (RR) of clinical outcomes after transplantation. A significant RR of HLA allele mismatch compared with match was seen with HLA-A, -B, -C, and -DPB1 for grade III-IV acute graft-versus-host disease (GVHD), and HLA-C for chronic GVHD. Of note, only HLA-C and HLA-DPB1 mismatch reduced leukemia relapse, and this graft-versus-leukemia effect of HLA-DPB1 was independent of chronic GVHD. HLA-DRB1 and HLA-DQB1 double (DRB1_DQB1) mismatch was revealed to be a significant RR for acute GVHD and mortality, whereas single mismatch was not. Thus, the number of HLA-A, -B, -C, -DPB1, and DRB1_DQB1 mismatches showed a clear-cut risk difference for acute GVHD, whereas the number of mismatches for HLA-A, -B, -C, and DRB1_DQB1 showed the same for mortality. In conclusion, we determined the biological response to HLA locus mismatch in transplant-related immunologic events, and provide a rationale for use of a personalized algorithm for unrelated donor selection.

Indexed as

Bone Marrow TransplantationHistocompatibility TestingUnrelated DonorsAdolescentAdultAgedAllelesChildChild, PreschoolFemaleGenetic LociGraft vs Host DiseaseHistocompatibilityHLA-A AntigensHLA-B AntigensHLA-C AntigensHLA-A AntigensHLA-B AntigensHLA-C AntigensHLA-DPB1 antigenHLA-DP beta-ChainsHLA-DQB1 antigenHLA-DQ beta-ChainsHLA-DRB1 Chains

Identifiers

PMID25519752
PMCPMC4326776
OpenAlexW1966342001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.