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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3995-4001.
Prepublished online as a Blood First Edition Paper on August 18, 2005; DOI 10.1182/blood-2004-11-4338.


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TRANSPLANTATION

Genetic variation in the IL-10 pathway modulates severity of acute graft-versus-host disease following hematopoietic cell transplantation: synergism between IL-10 genotype of patient and IL-10 receptor {beta} genotype of donor

Ming-Tseh Lin, Barry Storer, Paul J. Martin, Li-Hui Tseng, Bryan Grogan, Pei-Jer Chen, Lue P. Zhao, and John A. Hansen

From The Fred Hutchinson Cancer Research Center, Seattle, WA; the University of Washington, School of Medicine, Seattle, WA; National Taiwan University Hospital, Department of Medical Genetics and Internal Medicine, and National Taiwan University, College of Medicine, Graduate Institutes of Clinical Medicine, Taipei, Taiwan; and The Albany Medical Center, Department of Pathology, Albany, NY.

We have previously shown that the interleukin 10 (IL-10)/-592*A allele of the recipient is associated with less severe acute graft-versus-host disease (GVHD) and a lower risk of nonrelapse mortality after hematopoietic cell transplantation (HCT) from an HLA-identical sibling. In the present study, we examined variation in the IL-10 receptor {beta} gene as a further test of the hypothesis that the IL-10 pathway regulates the risk of acute GVHD. A single nucleotide polymorphism (A/G) at cDNA position 238 of the IL-10 receptor {beta} gene (IL10RB/c238) was genotyped in 953 HC transplant recipients and their HLA-identical sibling donors. IL-10/-592 and IL10RB/c238 genotypes were tested for association with GVHD by multivariable analysis. The IL-10/-592*A allele of the recipient and IL10RB/c238*G allele of the donor were significantly associated with a lower risk of grades III-IV acute GVHD (trend P < .001 and P = .02, respectively). The donor IL10RB/c238*G allele provided protection among patients with the IL-10/-592 A/C or A/A genotypes but not among patients with the high-risk IL-10/-592 C/C genotype. These data suggest an interaction of the patient IL-10/-592 and donor IL10RB/c238 genotypes on risk of GVHD, further supporting the hypothesis that the IL-10 pathway plays an important role in controlling the severity of acute GVHD.


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