Toll-Like Receptor 4 Polymorphisms and Risk of Gram-Negative Bacteremia after Allogeneic Stem Cell Transplantation. A Prospective Pilot Study
| Autor: | Nana Yaa, Mensah, Mensah Nana, Yaa, Paolo, Peterlongo, Peterlongo, Paolo, Peter, Steinherz, Steinherz, Peter, Eric G, Pamer, Pamer G, Eric, Jaya, Satagopan, Satagopan, Jaya, Genovefa Anna, Papanicolaou |
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| Rok vydání: | 2009 |
| Předmět: |
Bone marrow transplantation
Bacteremia Pilot Projects Polymorphism Single Nucleotide Loss of heterozygosity Toll-like receptor Genotype Gram-Negative Bacteria Genetic predisposition Medicine Humans Transplantation Homologous Cumulative incidence Genetic Predisposition to Disease Prospective Studies Polymorphism Prospective cohort study Innate immunity Univariate analysis Transplantation business.industry Hematopoietic Stem Cell Transplantation Hematology Toll-Like Receptor 4 Gram-negative infection Immunology Mutation Multivariate Analysis Stem cell business Gram-Negative Bacterial Infections |
| Zdroj: | Biology of Blood and Marrow Transplantation. 15(9):1130-1133 |
| ISSN: | 1083-8791 |
| DOI: | 10.1016/j.bbmt.2009.04.012 |
| Popis: | The Toll-like receptor 4 (TLR4) gene is a major recognition receptor for lipopolysaccharide (LPS). In a pilot prospective study, we examined the association of 2 TLR4 polymorphisms (Asp299Gly and Thr399Ile) in the donor or the recipient with Gram-negative bloodstream infection (BSI) in 77 allogeneic hematopoietic stem cell transplant (HSCT) patients. Heterozygosity at both loci was defined as "risk genotype." The cumulative incidence of infection was estimated by treating death prior to infection as a competing risk event and compared between relevant groups using a modified chi-square test. Nine patients had the risk genotype based on donor and 5 based on recipient genotype data. Donor risk genotype showed marginal statistical significance (0.06) in univariate analysis, but not in multivariate analysis. A larger study is required to validate our findings and define genetic susceptibility to this serious infection in HSTC patients. |
| Databáze: | OpenAIRE |
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