The relationship between str-pcr chimerism analysis and chronic gvhd following hematopoietic stem cell transplantation

Mina Javadi moghaddam,1,* seyed asadollah mousavi ,2 ardeshir ghavamzadeh ,3 kamran alimoghaddam ,4 seyed-hamidollah ghaffari ,5

Abstract


Introduction

Graft-versus-host disease (gvhd) is one of the serious complications of hsct. its prevalence has been reported as 20-50 percent.the study attempts to assess the relationship between chimerism analysis using polymerase chain reaction of short tandem repeat (str) and the incidence of chronic graft versus host disease (gvhd) as well as survival

Methods

The retrospective cohort included all patients who received allo-hsct during 2005-2013. data collected by day +100 were reviewed in terms of the incidence of chronic gvhd and survival. chimerism was evaluated for whole blood, t-cell and pmn cells on days 15, 30 and 60, respectively using polymerase chain reaction of short tandem repeat (str).

Results

Forty (69%) patients developed chronic gvhd, 11 (19%) relapsed and 22 (39.7%) expired during the study. there was a significant relationship between chronic gvhd and chimerism analysis including whole blood on day 60 (p=0.001), polymorphonuclear neutrophil (pmn) on day 60 (p=0.05), t-cell on days 15 (p=0.028), 30 (p=0.01) and 60 (p=0.004). patients with chronic gvhd showed a long-term survival as compared with those without chronic gvhd (p=0.0013)

Conclusion

Conducting continuous analysis of chimerism provides an opportunity to initiate immediate measures in order to prevent complications

Keywords

Hematopoietic stem cell transplantation, chronic gvhd, chimerism, polymerase chain reaction