Evidence map›Paper›PMID 40301662›Full record

ArticleBone marrow transplantation2025

Outcomes of human leukocyte antigen matched sibling transplant from consanguineous versus non-consanguineous parents, a single center experience.

Riad El Fakih, Mohamed I Sharif, Shaykhah Alotaibi, Abdulrahman Almujalli, Sara Samarkandi, Salman Almhareb, Yasamiyan Saud Alsgaih, Feras Alfraih, Saud Alhayli, Syed Osman Ahmed and 18 more

Abstract read
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Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Riad El FakihKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. riadfakih@hotmail.com.ORCID 0000-0003-4498-3865
Mohamed I SharifKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Shaykhah AlotaibiKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Abdulrahman AlmujalliKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Sara SamarkandiKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Salman AlmharebCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Yasamiyan Saud AlsgaihKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Feras AlfraihKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Saud AlhayliKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Syed Osman AhmedKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Marwan ShaheenKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Naeem ChaudhriKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0001-8623-1798
Fahad AlsharifKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Amr HanbaliKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ayman SaadKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0003-0003-0130
Abdullah AlamerKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Alfadel AlshaibaniKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Mansour AlfayezKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Abdulwahab A AlbabtainKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Hanan AlkhaldiKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ahmad S AlotaibiKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Tusneem ElhassanKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Fahad AlmoharebKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ali AlahmariKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Ghulam MuftiKings College, London, UK.
Walid RasheedKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Hazzaa AlzahraniKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Mahmoud AljurfKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.ORCID 0000-0003-3942-7370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Matching HLA between donor and recipient pairs significantly improves engraftment and decreases GvHD. However, even in HLA matched siblings, the risk of graft failure and GvHD still exist and is partially attributed to the bidirectional alloreactivity generated from minor histocompatibility antigens (miHA) mismatching between donors and recipients. Consanguineous marriage increases the chance of miHA matching. This fact may be an advantage or disadvantage in consanguineous MSD transplants. We retrospectively reviewed our institutional transplant registry and selected AML and ALL patients who received a MSD allo-HCT between January 2006 and December 2020. The objective was to compare the outcomes of transplant among consanguineous vs non-consanguineous pairs. Analysis was conducted using RStudio. Version 1.4.1106 © 2009-2021 RStudio, PBC. 271 patients met the eligibility criteria were included in this study. Sixty-three were consanguineous and 208 were not. The median follow-up time was 72.6 months. The five years OS and DFS were not statistically different between consanguineous and non-consanguineous group. A trend toward a higher relapse rate in the consanguineous group was observed. The five years NRM for the whole group was 10.5% with no statistically significant difference between groups. The grade II-IV aGvHD incidence was 25.8% for the whole group with no statistically significant difference between groups. The all grade cGvHD incidence was 52.8% with no statistically significant difference between groups. Populations with high levels of consanguinity, complex consanguinity loops often arise from cousin marriages across multiple generations. This means that even individuals who consider themselves non-consanguineous may still share genetic traits associated with consanguinity. Therefore, high level of homozygosity probably exist in the non-consanguineous cohort and explain these results.

Indexed as

ConsanguinityHematopoietic Stem Cell TransplantationHLA AntigensSiblingsAdolescentAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedParentsRetrospective StudiesYoung AdultHLA Antigens

Identifiers

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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.