دورية أكاديمية
Autosomal Minor Histocompatibility Antigens: How Genetic Variants Create Diversity in Immune Targets.
العنوان: | Autosomal Minor Histocompatibility Antigens: How Genetic Variants Create Diversity in Immune Targets. |
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المؤلفون: | Griffioen M; Department of Hematology, Leiden University Medical Center , Leiden , Netherlands., van Bergen CA; Department of Hematology, Leiden University Medical Center , Leiden , Netherlands., Falkenburg JH; Department of Hematology, Leiden University Medical Center , Leiden , Netherlands. |
المصدر: | Frontiers in immunology [Front Immunol] 2016 Mar 15; Vol. 7, pp. 100. Date of Electronic Publication: 2016 Mar 15 (Print Publication: 2016). |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Frontiers Research Foundation] Country of Publication: Switzerland NLM ID: 101560960 Publication Model: eCollection Cited Medium: Print ISSN: 1664-3224 (Print) Linking ISSN: 16643224 NLM ISO Abbreviation: Front Immunol Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: [Lausanne : Frontiers Research Foundation] |
مستخلص: | Allogeneic stem cell transplantation (alloSCT) can be a curative treatment for hematological malignancies. Unfortunately, the desired anti-tumor or graft-versus-leukemia (GvL) effect is often accompanied with undesired side effects against healthy tissues known as graft-versus-host disease (GvHD). After HLA-matched alloSCT, GvL and GvHD are both mediated by donor-derived T-cells recognizing polymorphic peptides presented by HLA surface molecules on patient cells. These polymorphic peptides or minor histocompatibility antigens (MiHA) are produced by genetic differences between patient and donor. Since polymorphic peptides may be useful targets to manipulate the balance between GvL and GvHD, the dominant repertoire of MiHA needs to be discovered. In this review, the diversity of autosomal MiHA characterized thus far as well as the various molecular mechanisms by which genetic variants create immune targets and the role of cryptic transcripts and proteins as antigen sources are described. The tissue distribution of MiHA as important factor in GvL and GvHD is considered as well as possibilities how hematopoietic MiHA can be used for immunotherapy to augment GvL after alloSCT. Although more MiHA are still needed for comprehensive understanding of the biology of GvL and GvHD and manipulation by immunotherapy, this review shows insight into the composition and kinetics of in vivo immune responses with respect to specificity, diversity, and frequency of specific T-cells and surface expression of HLA-peptide complexes and other (accessory) molecules on the target cell. A complex interplay between these factors and their environment ultimately determines the spectrum of clinical manifestations caused by immune responses after alloSCT. |
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فهرسة مساهمة: | Keywords: T-lymphocytes; allogeneic stem cell transplantation; donor lymphocyte infusion; graft-versus-host disease; graft-versus-leukemia reactivity; hematological malignancy; immunotherapy; minor histocompatibility antigens |
تواريخ الأحداث: | Date Created: 20160326 Date Completed: 20160325 Latest Revision: 20181113 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC4791598 |
DOI: | 10.3389/fimmu.2016.00100 |
PMID: | 27014279 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1664-3224 |
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DOI: | 10.3389/fimmu.2016.00100 |