Evidence map›Paper›PMID 27247137›Full record

Trial reportBlood2016

Specific combinations of donor and recipient KIR-HLA genotypes predict for large differences in outcome after cord blood transplantation.

Takuya Sekine, David Marin, Kai Cao, Li Li, Pramod Mehta, Hila Shaim, Catherine Sobieski, Roy Jones, Betul Oran, Chitra Hosing and 22 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 62 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Targeting KIR as a novel approach to improve CAR-NK cell function.Journal of translational genetics and genomics · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. KIR2DS2 Expression Identifies NK Cells With Enhanced Anticancer Activity.Journal of immunology (Baltimore, Md. : 1950) · 2022
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Killer Immunoglobulin-Like Receptor-Ligand Interactions Predict Clinical Outcomes following Unrelated Donor Transplantations.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article
  19. Article
  20. 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

32 authors at 3 institutions in 2 countries.

Takuya SekineDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
David MarinDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Kai CaoDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Li LiDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Pramod MehtaDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Hila ShaimDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Catherine SobieskiDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Roy JonesDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Betul OranDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Chitra HosingDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Gabriela RondonDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Abdullah AlsulimanDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Silke PaustThe Center for Human Immunobiology, Baylor College of Medicine, Houston, TX; and.
Borje AnderssonDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Uday PopatDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Partow KebriaeiDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Muharrem MuftuogluDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Rafet BasarDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Kayo KondoDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Yago NietoDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Nina ShahDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Amanda OlsonDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Amin AlousiDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Enli LiuDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Anushruti SarvariaDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Simrit ParmarDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Darius Armstrong-JamesImperial College, London, United Kingdom.
Nobuhiko ImahashiDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Jeffrey MolldremDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Richard ChamplinDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Elizabeth J ShpallDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
Katayoun RezvaniDepartment of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, Houston, TX;
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · USImperial College London · GB

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
PR1-specific CB T cells for Patients with Myeloid MalignanciesP01CA148600 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KAUR, INDRESHPAL · 2011 to 2022
$24.4M
Hematopoietic Progenitor Cells- Cord BloodR01CA061508 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI REZVANI, KATY, SHPALL, ELIZABETH J · 1993 to 2020
$5.1M
Medical Research Council G0902260NCI NIH HHS P01 CA148600NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA100632NCI NIH HHS R01 CA061508
6 · The paper itself

Abstract

The ability of cord blood transplantation (CBT) to prevent relapse depends partly on donor natural killer (NK) cell alloreactivity. NK effector function depends on specific killer-cell immunoglobulin-like receptors (KIR) and HLA interactions. Thus, it is important to identify optimal combinations of KIR-HLA genotypes in donors and recipients that could improve CBT outcome. We studied clinical data, KIR and HLA genotypes, and NK-cell reconstitution in CBT patients (n = 110). Results were validated in an independent cohort (n = 94). HLA-KIR genotyping of recipient germline and transplanted cord blood (CB) grafts predicted for large differences in outcome. Patients homozygous for HLA-C2 group alleles had higher 1-year relapse rate and worse survival after CBT than did HLA-C1/C1 or HLA-C1/C2 (HLA-C1/x) patients: 67.8% vs 26.0% and 15.0% vs 52.9%, respectively. This inferior outcome was associated with delayed posttransplant recovery of NK cells expressing the HLA-C2-specific KIR2DL1/S1 receptors. HLA-C1/x patients receiving a CB graft with the combined HLA-C1-KIR2DL2/L3/S2 genotype had lower 1-year relapse rate (6.7% vs 40.1%) and superior survival (74.2% vs 41.3%) compared with recipients of grafts lacking KIR2DS2 or HLA-C1 HLA-C2/C2 patients had lower relapse rate (44.7% vs 93.4%) and better survival (30.1% vs 0%) if they received a graft with the combined HLA-C2-KIR2DL1/S1 genotype. Relapsed/refractory disease at CBT, recipient HLA-C2/C2 genotype, and donor HLA-KIR genotype were independent predictors of outcome. Thus, we propose the inclusion of KIR genotyping in graft selection criteria for CBT. HLA-C1/x patients should receive an HLA-C1-KIR2DL2/L3/S2 CB graft, while HLA-C2/C2 patients may benefit from an HLA-C2-KIR2DL1/S1 graft.

Indexed as

Cord Blood Stem Cell TransplantationGenotypeHematologic NeoplasmsUnrelated DonorsAdultAgedAllograftsDisease-Free SurvivalFemaleGenotyping TechniquesHLA AntigensHumansMaleMiddle AgedReceptors, KIRSurvival RateHLA AntigensReceptors, KIR

Identifiers

PMID27247137
PMCPMC4946205
OpenAlexW2417517756

What OpenQuestion holds

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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.