Evidence map›Paper›PMID 29599509›Full record

ArticleScientific reports2018

Hidden genomic MHC disparity between HLA-matched sibling pairs in hematopoietic stem cell transplantation.

Satu Koskela, Jarmo Ritari, Kati Hyvärinen, Tony Kwan, Riitta Niittyvuopio, Maija Itälä-Remes, Tomi Pastinen, Jukka Partanen

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. HLA Genetics for the Human Diseases.Advances in experimental medicine and biology · 2024
    Review
  6. Review
  7. Article
  8. Article
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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

8 authors.

Satu KoskelaResearch and Development, Finnish Red Cross Blood Service, Helsinki, Finland. satu.koskela@veripalvelu.fi.ORCID 0000-0001-9258-9163
Jarmo RitariResearch and Development, Finnish Red Cross Blood Service, Helsinki, Finland.
Kati HyvärinenResearch and Development, Finnish Red Cross Blood Service, Helsinki, Finland.
Tony KwanMcGill University and Genome Quebec Innovation Centre, Montreal, Canada.ORCID 0000-0001-8929-2334
Riitta NiittyvuopioHelsinki University Hospital Comprehensive Cancer Center, Stem Cell Transplant Unit, Helsinki, Finland.
Maija Itälä-RemesHelsinki University Hospital Comprehensive Cancer Center, Stem Cell Transplant Unit, Helsinki, Finland.
Tomi PastinenMcGill University and Genome Quebec Innovation Centre, Montreal, Canada.
Jukka PartanenResearch and Development, Finnish Red Cross Blood Service, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Matching classical HLA alleles between donor and recipient is an important factor in avoiding adverse immunological effects in HSCT. Siblings with no differences in HLA alleles, either due to identical-by-state or identical-by-descent status, are considered to be optimal donors. We carried out a retrospective genomic sequence and SNP analysis of 336 fully HLA-A, -B, -DRB1 matched and 14 partially HLA-matched sibling HSCT pairs to determine the level of undetected mismatching within the MHC segment as well as to map their recombination sites. The genomic sequence of 34 genes locating in the MHC region revealed allelic mismatching at 1 to 8 additional genes in partially HLA-matched pairs. Also, fully matched pairs were found to have mismatching either at HLA-DPB1 or at non-HLA region within the MHC segment. Altogether, 3.9% of fully HLA-matched HSCT pairs had large genomic mismatching in the MHC segment. Recombination sites mapped to certain restricted locations. The number of mismatched nucleotides correlated with the risk of GvHD supporting the central role of full HLA matching in HSCT. High-density genome analysis revealed that fully HLA-matched siblings may not have identical MHC segments and even single allelic mismatching at any classical HLA gene often implies larger genomic differences along MHC.

Indexed as

Hematopoietic Stem Cell TransplantationAllelesGraft vs Host DiseaseHistocompatibility TestingHLA-A AntigensHLA AntigensHLA-B AntigensHLA-DP beta-ChainsHumansPolymorphism, Single NucleotideRetrospective StudiesRisk FactorsSiblingsHLA-A AntigensHLA AntigensHLA-B AntigensHLA-DPB1 antigenHLA-DP beta-Chains

Identifiers

PMID29599509
PMCPMC5876349

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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.