Evidence map›Paper›PMID 25960307›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2015

Impact of KIR and HLA Genotypes on Outcomes after Reduced-Intensity Conditioning Hematopoietic Cell Transplantation.

Ronald M Sobecks, Tao Wang, Medhat Askar, Meighan M Gallagher, Michael Haagenson, Stephen Spellman, Marcelo Fernandez-Vina, Karl-Johan Malmberg, Carlheinz Müller, Minoo Battiwalla and 16 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Haploidentical Natural Killer Cells Infused before Allogeneic Stem Cell Transplantation for Myeloid Malignancies: A Phase I Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  5. A Scalable Framework for Comprehensive Typing of Polymorphic Immune Genes from Long-Read Data.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  6. Article
  7. Article
  8. Advancements in HLA Typing Techniques and Their Impact on Transplantation Medicine.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Genetic barriers in transplantation medicine.World journal of transplantation · 2016
    Review
  18. Killer Cell Immunoglobulin-Like Receptor-Ligand Matching and Outcomes after Unrelated Cord Blood Transplantation in Acute Myeloid Leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 5 countries.

Ronald M SobecksDepartment of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: sobeckr@ccf.org.
Tao WangDivision of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medhat AskarTransplant Center, Cleveland Clinic, Cleveland, Ohio.
Meighan M GallagherThe Marie-Josée and Henry R. Kravis Center for Molecular Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York.
Michael HaagensonCenter for International Blood and Marrow Transplant Research, Minneapolis, Minnesota.
Stephen SpellmanCenter for International Blood and Marrow Transplant Research, Minneapolis, Minnesota.
Marcelo Fernandez-VinaDepartment of Pathology, Stanford University School of Medicine, Stanford, California.
Karl-Johan MalmbergOslo University Hospital, Oslo, Norway.
Carlheinz MüllerZentrales Knochenmarkspender-Register Deutschland, Ulm, Germany.
Minoo BattiwallaHematology Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
James GajewskiDivision of Hematology & Medical Oncology, Center for Hematologic Malignancies, Oregon Health and Science University, Portland, Oregon.
Michael R VernerisBlood and Marrow Transplantation, University of Minnesota, Minneapolis, Minnesota.
Olle RingdénDepartment of Therapeutic Immunology, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Susana MarinoDepartment of Pathology, University of Chicago Hospitals, Chicago, Illinois.
Stella DaviesDepartment of Pediatrics, Division of Bone Marrow Transplant and Immune Deficiency, Cincinnati Children's Hospital, Cincinnati, Ohio.
Jason DehnImmunogenetic Operations and Research, National Marrow Donor Program, Minneapolis, Minnesota.
Martin BornhäuserUniversitatsklinikum Carl Gustav Carus, Dresden, Germany.
Yoshihiro InamotoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Ann WoolfreyClinical Research Division, Fred Hutchinson Cancer Research Center, Pediatrics, University of Washington, Seattle, Washington.
Peter ShawThe Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Marilyn PollackDepartment of Pathology, Histocompatibility and Immunogenetics Laboratory, Children's Hospital, Oakland, California.
Daniel WeisdorfBlood and Marrow Transplantation, University of Minnesota, Minneapolis, Minnesota.
Jeffrey MilllerBlood and Marrow Transplantation, University of Minnesota, Minneapolis, Minnesota.
Carolyn HurleyDepartment of Oncology, Georgetown University Hospital, Washington, DC.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Katharine HsuDepartment of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Medicine, Weill Cornell Medical College, New York, New York.
University of Minnesota · USCleveland Clinic · USFred Hutch Cancer Center · USMemorial Sloan Kettering Cancer Center · USChildren's Hospital at Westmead · AUCincinnati Children's Hospital Medical Center · USGeorgetown University · USGerman National Bone Marrow Donor Registry · DEKarolinska University Hospital · SEMedical College of Wisconsin · USNational Institutes of Health · USNational Marrow Donor Program · USOregon Health & Science University · USOslo University Hospital · NOStanford Medicine · USUniversity Hospital Carl Gustav Carus · DEUniversity of Chicago · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAMER, ERIC G. · 1985 to 2023
$59.0M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
Hematopopietic Stem Cell TransplantationU01AI069197 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Effie W Petersdorf · 2005 to 2026
$18.9M
NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA076518NHLBI NIH HHS 5U10HL069294NHLBI NIH HHS U10 HL069294NIAID NIH HHS U01 AI069197
6 · The paper itself

Abstract

Natural killer cells are regulated by killer cell immunoglobulin-like receptor (KIR) interactions with HLA class I ligands. Several models of natural killer cell reactivity have been associated with improved outcomes after myeloablative allogeneic hematopoietic cell transplantation (HCT), but this issue has not been rigorously addressed in reduced-intensity conditioning (RIC) unrelated donor (URD) HCT. We studied 909 patients undergoing RIC-URD HCT. Patients with acute myeloid leukemia (AML, n = 612) lacking ≥ 1 KIR ligands experienced higher grade III to IV acute graft-versus-host disease (GVHD) (HR, 1.6; 95% CI, 1.16 to 2.28; P = .005) compared to those with all ligands present. Absence of HLA-C2 for donor KIR2DL1 was associated with higher grade II to IV (HR, 1.4; P = .002) and III to IV acute GVHD (HR, 1.5; P = .01) compared with HLA-C2(+) patients. AML patients with KIR2DS1(+), HLA-C2 homozygous donors had greater treatment-related mortality compared with others (HR, 2.4; 95% CI, 1.4 to 4.2; P = .002) but did not experience lower relapse. There were no significant associations with outcomes for AML when assessing donor-activating KIRs or centromeric KIR content or for any donor-recipient KIR-HLA assessments in patients with myelodysplastic syndrome (n = 297). KIR-HLA combinations in RIC-URD HCT recapitulate some but not all KIR-HLA effects observed in myeloablative HCT.

Indexed as

GenotypeHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMyelodysplastic SyndromesTransplantation ConditioningAdultDisease-Free SurvivalFemaleGraft vs Host DiseaseHLA-C AntigensHumansMaleMiddle AgedReceptors, KIR2DL1Retrospective StudiesSurvival RateHLA-C*02 antigenHLA-C AntigensKIR2DL1 protein, humanReceptors, KIR2DL1AML/MDSKiller immunoglobulin-like receptor (KIR)Reduced-intensity conditioning HCT

Identifiers

PMID25960307
PMCPMC4537837
OpenAlexW1672775443

What OpenQuestion holds

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Registered trials

None linked

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.