Prognostic impact of ebv serostatus in ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Prognostic impact of ebv serostatus in patients with lymphomas or chronic malignancies undergoing allogeneic hct
Author(s) :
Styczynski, Jan [Auteur]
Tridello, Gloria [Auteur]
Gil, Lidia [Auteur]
Ljungman, Per [Auteur]
Mikulska, Malgorzata [Auteur]
Ward, Katherine N. [Auteur]
Cordonnier, Catherine [Auteur]
Université Paris-Est Créteil Val-de-Marne - Paris 12 [UPEC UP12]
De La Camara, Rafael [Auteur]
Averbuch, Diana [Auteur]
Knelange, Nina [Auteur]
Socie, Gerard [Auteur]
Chevallier, Patrice [Auteur]
Blaise, Didier [Auteur]
Yakoub-Agha, Ibrahim [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Forcade, Edouard [Auteur]
Cornelissen, Jan J. [Auteur]
Maertens, Johan [Auteur]
Petersen, Eefke [Auteur]
Nguyen, Stephanie [Auteur]
Veelken, Hendrik [Auteur]
Schaap, Nicolaas [Auteur]
Passweg, Jakob [Auteur]
Michallet, Mauricette [Auteur]
Fegueux, Nathalie [Auteur]
Deconinck, Eric [Auteur]
Russell, Nigel [Auteur]
Basak, Grzegorz Wladyslaw [Auteur]
Bader, Peter [Auteur]
Montoto, Silvia [Auteur]
Kroger, Nicolaus [Auteur]
Cesaro, Simone [Auteur]
Tridello, Gloria [Auteur]
Gil, Lidia [Auteur]
Ljungman, Per [Auteur]
Mikulska, Malgorzata [Auteur]
Ward, Katherine N. [Auteur]
Cordonnier, Catherine [Auteur]
Université Paris-Est Créteil Val-de-Marne - Paris 12 [UPEC UP12]
De La Camara, Rafael [Auteur]
Averbuch, Diana [Auteur]
Knelange, Nina [Auteur]
Socie, Gerard [Auteur]
Chevallier, Patrice [Auteur]
Blaise, Didier [Auteur]
Yakoub-Agha, Ibrahim [Auteur]

Lille Inflammation Research International Center - U 995 [LIRIC]
Forcade, Edouard [Auteur]
Cornelissen, Jan J. [Auteur]
Maertens, Johan [Auteur]
Petersen, Eefke [Auteur]
Nguyen, Stephanie [Auteur]
Veelken, Hendrik [Auteur]
Schaap, Nicolaas [Auteur]
Passweg, Jakob [Auteur]
Michallet, Mauricette [Auteur]
Fegueux, Nathalie [Auteur]
Deconinck, Eric [Auteur]
Russell, Nigel [Auteur]
Basak, Grzegorz Wladyslaw [Auteur]
Bader, Peter [Auteur]
Montoto, Silvia [Auteur]
Kroger, Nicolaus [Auteur]
Cesaro, Simone [Auteur]
Journal title :
Bone Marrow Transplantation
Abbreviated title :
Bone Marrow Transplant.
Volume number :
54
Pages :
2060–2071
Publication date :
2019-12
ISSN :
1476-5365
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
The influence of the donor (D) and recipient (R) pre-transplant Epstein-Barr Virus (EBV) serostatus on transplant outcomes (overall survival, relapse-free survival, relapse incidence, non-relapse mortality, acute and chronic ...
Show more >The influence of the donor (D) and recipient (R) pre-transplant Epstein-Barr Virus (EBV) serostatus on transplant outcomes (overall survival, relapse-free survival, relapse incidence, non-relapse mortality, acute and chronic GVHD) in 12,931 patients with lymphomas or chronic malignancies undergoing allogeneic hematopoietic cell transplant (allo-HCT) between 1997-2016 was analyzed. In multivariate analysis, the risk of development of chronic GVHD was increased for EBV R+/D+ (HR = 1.26; p = 0.003), R+/D- (HR = 1.21; p = 0.044), and R-/D + (HR = 1.21; p = 0.048) in comparison to R-/D- transplants. No significance was shown for other transplant outcomes; however, in univariate analysis, EBV-seropositive patients receiving grafts from EBV-seropositive donors (EBV R+/D+transplants) had inferior transplant outcomes in comparison to EBV-seronegative recipients of grafts from EBV-seronegative donors (EBV R-/D-): inferior overall survival (59.6% vs 65.9%), inferior relapse-free survival (51.1% vs 57.5%), increased incidence of chronic GVHD (49.5% vs 41.8%), and increased incidence of de novo chronic GVHD (30.5% vs 24.0%). In conclusion, an EBV-negative recipient with lymphoma or chronic malignancy can benefit from selection of an EBV-negative donor in context of chronic GVHD, while there are no preferences in donor EBV serostatus for EBV-seropositive recipient.Show less >
Show more >The influence of the donor (D) and recipient (R) pre-transplant Epstein-Barr Virus (EBV) serostatus on transplant outcomes (overall survival, relapse-free survival, relapse incidence, non-relapse mortality, acute and chronic GVHD) in 12,931 patients with lymphomas or chronic malignancies undergoing allogeneic hematopoietic cell transplant (allo-HCT) between 1997-2016 was analyzed. In multivariate analysis, the risk of development of chronic GVHD was increased for EBV R+/D+ (HR = 1.26; p = 0.003), R+/D- (HR = 1.21; p = 0.044), and R-/D + (HR = 1.21; p = 0.048) in comparison to R-/D- transplants. No significance was shown for other transplant outcomes; however, in univariate analysis, EBV-seropositive patients receiving grafts from EBV-seropositive donors (EBV R+/D+transplants) had inferior transplant outcomes in comparison to EBV-seronegative recipients of grafts from EBV-seronegative donors (EBV R-/D-): inferior overall survival (59.6% vs 65.9%), inferior relapse-free survival (51.1% vs 57.5%), increased incidence of chronic GVHD (49.5% vs 41.8%), and increased incidence of de novo chronic GVHD (30.5% vs 24.0%). In conclusion, an EBV-negative recipient with lymphoma or chronic malignancy can benefit from selection of an EBV-negative donor in context of chronic GVHD, while there are no preferences in donor EBV serostatus for EBV-seropositive recipient.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Submission date :
2024-01-30T10:27:06Z
2024-01-30T14:24:39Z
2024-01-30T14:24:39Z