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High-resolution donor-recipient HLA matching contributes to the success of unrelated donor marrow transplantation

Open access
Lee, Stephanie J., Klein, John, Haagenson, Michael, Baxter-Lowe, Lee Ann, Confer, Dennis L., Eapen, Mary, Fernandez-Vina, Marcelo, Flomenberg, Neal, Horowitz, Mary, Hurley, Carolyn K., Noreen, Harriet, Oudshoorn, Machteld, Petersdorf, Effie, Setterholm, Michelle, Spellman, Stephen, Weisdorf, Daniel, Williams, Thomas M., Anasetti, Claudio·2007·Blood

Abstract

The relative importance of various human leukocyte antigen (HLA) loci and the resolution level at which they are matched has not been fully defined for unrelated donor transplantation. To address this question, National Marrow Donor Program data from 3857 transplantations performed from 1988 to 2003 in the United States were analyzed. Patient-donor pairs were fully typed for HLA-A, -B, -C, -DRB1, -DQB1, -DQA1, -DPB1, and -DPA1 alleles. High-resolution DNA matching for HLA-A, -B, -C, and -DRB1 (8/8 match) was the minimum level of matching associated with the highest survival. A single mismatch detected by low- or high-resolution DNA testing at HLA-A, -B, -C or -DRB1 (7/8 match) was associated with higher mortality (relative risk, 1.25; 95% CI, 1.13-1.38; P < .001) and 1-year survival of 43% compared with 52% for 8/8 matched pairs. Single mismatches at HLA-B or HLA-C appear better tolerated than mismatches at HLA-A or HLA-DRB1. Mismatching at 2 or more loci compounded the risk. Mismatching at HLA-DP or -DQ loci and donor factors other than HLA type were not associated with survival. In multivariate modeling, patient age, race, disease stage, and cytomegalovirus status were as predictive of survival as donor HLA matching. High-resolution DNA matching for HLA-A, -B, -C, and -DRB1 alleles is associated with higher rates of survival.

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Metadata

Authors
Lee, S. J., Klein, J., Haagenson, M., Baxter-Lowe, L. A., Confer, D. L., Eapen, M., Fernandez-Vina, M., Flomenberg, N., Horowitz, M., Hurley, C. K., Noreen, H., Oudshoorn, M., Petersdorf, E., Setterholm, M., Spellman, S., Weisdorf, D., Williams, T. M., & Anasetti, C.
Venue
Blood
Published
2007-12-15
Volume
110
Issue
13
Pages
4576-4583
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2061069485
Cited by
1,255
References
15
FWCI
35.56
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: High-resolution donor-recipient HLA matching contributes to the success of unrelated donor marrow transplantation. https://app.cochat.ai/papers/10.1182/blood-2007-06-097386
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Lee, S. J., Klein, J., Haagenson, M., Baxter-Lowe, L. A., Confer, D. L., Eapen, M., Fernandez-Vina, M., Flomenberg, N., Horowitz, M., Hurley, C. K., Noreen, H., Oudshoorn, M., Petersdorf, E., Setterholm, M., Spellman, S., Weisdorf, D., Williams, T. M., & Anasetti, C. (2007). High-resolution donor-recipient HLA matching contributes to the success of unrelated donor marrow transplantation. Blood. https://doi.org/10.1182/blood-2007-06-097386

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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