Evidence map›Paper›PMID 33570653›Full record

ArticleBlood advances2021

Allogeneic hematopoietic stem cell transplantation in leukocyte adhesion deficiency type I and III.

Shahrzad Bakhtiar, Emilia Salzmann-Manrique, Henric-Jan Blok, Dirk-Jan Eikema, Sheree Hazelaar, Mouhab Ayas, Amos Toren, Gal Goldstein, Despina Moshous, Franco Locatelli and 34 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  8. Lymphoblastoid andFrontiers in bioengineering and biotechnology · 2025
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  14. DualFrontiers in immunology · 2024
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  15. NovelJournal of pediatric genetics · 2023
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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

44 authors at 14 institutions in 12 countries.

Shahrzad BakhtiarDivision for Stem Cell Transplantation, Immunology and Intensive Care Medicine, Department for Children and Adolescents Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Emilia Salzmann-ManriqueDivision for Stem Cell Transplantation, Immunology and Intensive Care Medicine, Department for Children and Adolescents Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Henric-Jan BlokDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Dirk-Jan EikemaDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Sheree HazelaarDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Mouhab AyasDepartment of Pediatric Hematology-Oncology, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Amos TorenPaediatric Haemato Oncology & BMT, Edmond & Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel.
Gal GoldsteinPaediatric Haemato Oncology & BMT, Edmond & Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel.
Despina MoshousPediatric Immunology, Hematology, and Rheumatology Unit, Hôpital Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris France.
Franco LocatelliDepartment of Pediatric Hematology/Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Pediatrico Bambino Gesù, Sapienza University of Rome, Rome, Italy.
Pietro MerliDepartment of Pediatric Hematology/Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Pediatrico Bambino Gesù, Sapienza University of Rome, Rome, Italy.
Gerard MichelDepartment of Pediatric Hematology, Immunology and Oncology, La Timone Children's Hospital, Assistance Publique-Hôpitaux de Marseille (AP-HM)/Aix-Marseille University, Marseille, France.
Gülyüz ÖztürkPediatric BMT Unit, Acibadem University Atakent Hospital, Istanbul, Turkey.
Ansgar SchulzDepartment of Pediatrics, University Medical Center Ulm, Ulm, Germany.
Carsten HeilmannBMT Unit, Department of Hematology, Rigshospitalet, Copenhagen, Denmark.
Marianne IfversenBMT Unit, Department of Hematology, Rigshospitalet, Copenhagen, Denmark.
Rob F WynnBlood and Marrow Transplant Unit, Department of Paediatric Haematology, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Olga AleinikovaBelarussian Centre for Paediatric Oncology and Hematology, Minsk, Belarus.
Yves BertrandInstitut d'Hématologie et d'Oncologie Pédiatrique, Hospices Civils de Lyon and Université Claude Bernard, Lyon, France.
Abdelghani TbakhiKing Hussein Cancer Centre, Amman, Jordan.
Paul VeysGreat Ormond Street (GOS) Hospital for Children, NHS Foundation Trust, University College London, GOS Institute of Child Health/National Institute for Health Research (NIHR) GOS Hospital Biomedical Research Centre (BRC), London, United Kingdom.
Musa KarakukcuDivision of Pediatric Hematology and Oncology, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Alphan KupesizDepartment of Pediatric Hematology, Akdeniz University Medical School, Antalya, Turkey.
Ardeshir GhavamzadehArdeshir Ghavamzadeh, Hematology-Oncology and BMT Research, Shariati Hospital, Tehran, Iran.
Rupert HandgretingerDepartment of Pediatrics, University Hospital Tuebingen, Tuebingen, Germany.
Emel UnalDivision of Pediatric Hematology-Oncology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.
Antonio Perez-MartinezHospital Infantil, Hematologia-Oncologia, Hospital Universitario La Paz, Madrid, Spain.
Muge GokcePediatric BMT Unit, Department of Pediatric Hematology and Oncology, Gaziosmanpasa Hospital, Yeniyuzyil University, Istanbul, Turkey.
Fulvio PortaOncohaematology and BMT Unit, Ospedale dei Bambini, Brescia, Italy.
Tekin AksuPediatric Hematology, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Ankara, Turkey.
Gülsün KarasuPediatric Stem Cell Transplantation Unit, Medical Park Goztepe Hospital, Istanbul, Turkey.
Isabel BadellDepartment of Pediatrics, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Per LjungmanCentre for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Stockholm, Sweden.
Elena SkorobogatovaDepartment of Bone Marrow Transplantation, The Russian Children's Research Hospital, Moscow, Russia.
Akif YesilipekPediatric Stem Cell Transplantation Unit, Medical Park Antalya Hospital, Antalya, Turkey.
Tsila ZuckermanDepartment of Hematology & BMT, Rambam Medical Center, Haifa, Israel.
Robbert R G BrediusWillem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Polina StepenskyDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Hadassah University Hospital, Jerusalem, Israel.
Bella ShadurDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Hadassah University Hospital, Jerusalem, Israel.
Mary SlatterGreat North Children's Hospital, Royal Victoria Infirmary, and Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom; and.
Andrew R GenneryGreat North Children's Hospital, Royal Victoria Infirmary, and Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom; and.
Michael H AlbertDr. v. Hauner University Children's Hospital, Ludwig-Maximilians Universität, Munich, Germany.
Peter BaderDivision for Stem Cell Transplantation, Immunology and Intensive Care Medicine, Department for Children and Adolescents Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany.
Arjan LankesterWillem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLGoethe University Frankfurt · DEGreat North Children's Hospital · GBHadassah Academic College · ILRigshospitalet · DKAkdeniz University · TRAntalya IVF · TRHospital de Sant Pau · ESKarolinska University Hospital · SEKing Faisal Specialist Hospital & Research Centre · SAKing Hussein Cancer Center · JORussian Children's Clinical Hospital · RUUniversité Paris Cité · FRUniversity Hospital Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type I and III leukocyte adhesion deficiencies (LADs) are primary immunodeficiency disorders resulting in early death due to infections and additional bleeding tendency in LAD-III. The curative treatment of LAD-I and LAD-III is allogeneic hematopoietic stem cell transplantation (allo-HSCT). In this retrospective multicenter study, data were collected using the European Society for Blood and Marrow Transplantation registry; we analyzed data from 84 LAD patients from 33 centers, all receiving an allo-HSCT from 2007 to 2017. The 3-year overall survival estimate (95% confidence interval [CI]) was 83% (74-92) for the entire cohort: 84% (75-94) and 75% (50-100) for LAD-I and LAD-III, respectively. We observed cumulative incidences (95% CI) of graft failure (GF) at 3 years of 17% (9%-26%) and grade II to IV acute graft-versus-host disease (aGVHD) at 100 days of 24% (15%-34%). The estimate (95% CI) at 3 years for GF- and GVHD-II to IV-free survival as event-free survival (EFS) was 56% (46-69) for the entire cohort; 58% (46-72) and 56% (23-88) for LAD-I and LAD-III, respectively. Grade II to IV acute GVHD was a relevant risk factor for death (hazard ratio 3.6; 95% CI 1.4-9.1; P = .006). Patients' age at transplant ≥13 months, transplantation from a nonsibling donor, and any serological cytomegalovirus mismatch in donor-recipient pairs were significantly associated with severe acute GVHD and inferior EFS. The choice of busulfan- or treosulfan-based conditioning, type of GVHD prophylaxis, and serotherapy did not impact overall survival, EFS, or aGVHD. An intrinsic inflammatory component of LAD may contribute to inflammatory complications during allo-HSCT, thus providing the rationale for considering anti-inflammatory therapy pretreatment.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukocyte-Adhesion Deficiency SyndromeHumansLeukocytesRetrospective Studies

Identifiers

PMID33570653
PMCPMC7805328
OpenAlexW3119469718

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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.