2009, Number S1
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Rev Mex Med Transfus 2009; 2 (S1)
The Role of the HLA System in Transplantation of Hematopoietic Stem Cells
Martínez ÁJC, Arrazola GA
Language: Spanish
References: 17
Page: 38-42
PDF size: 145.29 Kb.
ABSTRACT
In this article, we describe the clinical impact of HLA system in hematopoietic stem cell transplantation, because HLA molecules provide molecular basis for immunologic response. Hematopoietic stem cell transplantation can provide curative therapy for patients with hematologic malignancies, marrow failure states, severe immunodeficiences. Unfortunately, only 25 to 30% of patients will have a suitable HLA genotypically identical sibling donor available to facilitate transplant therapy thus they have to consider unrelated HLA-matching donors. Histocompatibility testing plays an important role in the selection of bone marrow donors for transplantation. Recently, the techniques involving DNA analysis are used, such as PCR-SSP and PCR-SSOP and others. This techniques give a correct assignment of HLA alleles.
REFERENCES
Mackay I, Rosen FS. The HLA System. N Engl J Med 2000; 343: 702-709.
Klein J. Natural history of the major histocompatibility complex. New York: John Wiley, 1986.
Klein J, Horejsí V. Immunology. 2nd ed. Oxford, England: Blackwell Scientific, 1998.
Forbes SA, Trowsdale J. The MHC quarterly report. Immunogenetics 1999; 50: 152-9.
Klein J, Sato A. Birth of the major histocompatibility complex. Scand J Immunol 1998; 47: 199-209.
Sanders J. Bone Marrow Transplantation in pediatric oncology. In: Pizzo PA, Poplack DG. Principles and Practice of Pediatric Oncology. Lippincot Raven, Philadelphia, 1997: 357-378.
Thomas ED, Storb R, Clift RA. Bone marrow transplantation. N Engl J Med 1975; 292: 832-843.
Bengochea M, Álvarez I, Hidalgo PC, Cabrera A, Senatore O, Toledo R et al. HLA-A, -B, -DR en receptores de trasplante de médula ósea en Uruguay: Sistema Nacional de registro, tipificación y búsqueda de donantes de médula ósea y progenitores hematopoyéticos. Rev Méd Urug 2003; 19 (2): 149-158.
Buckner CD, Clift RA, Sanders J. Marrow harvesting from normal donors. Blood 1984; 64: 630-634.
Bensinger W, Singer J, Applebaum F. Autologous transplantation with peripheral blood mononuclear cells collected after administration of recombinant granulo-cytostimulating factor. Blood 1993; 81: 3158-3163.
Barriga F, Baeza R, Pereira J, Besa P, Caldumbide I, Medel M. Trasplante de médula ósea en pacientes pediátricos. Rev Chil Pediatr1999; 70 (3): 194-200.
Little M, Parham P. Polymorphism and evolution of HLA class I and II genes and molecules. Rev Immunogenetics 1999; 1: 105-123.
Ringden O, Schaffer M, Le Blanc K, Persson U, Hauzenberger D, Abedi MR et al. Which donor should be chosen for hematopoietic stem cell transplantation among unrelated HLA-A, -B, and -DRB1 genomically identical volunteers? Biol Blood Marrow Transplant 2004; 10: 128-134.
Arcese W, Rocha A, Labopin M, Sanz G, Lori A, De Lima M et al. Unrelated cord blood transplants in adults with hematologic malignancies. Hematologica 2006; 91: 223-230.
Kakinuma S, Tanaka Y, Chinzei R, Watanabe M, Shimizu-Saito K, Hara Y et al. Human Umbilical Cord Blood as a source of transplantable hepatic progenitor cells. Stem Cells 2003; 21: 217-227.
American Society for Histocompatibility and Immunogenetics. Laboratory Manual. ASHI. Cuarta edición. Vol. II. 2000, EE.UU.
Glenn ER. HLA Beyond Tears. Introduction to Human Histocompatibility. De Novo Inc, Segunda edición, 2000, EE.UU.