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Clinical significance of B cell-activating factor (BAFF) and a proliferation-inducing ligand (APRIL) in acute graft-versus-host disease after allogeneic hematopoietic stem cell transplantation

 Jin Seok Kim  ;  Soo-Jeong Kim  ;  Yoo Hong Min  ;  Shin Young Hyun  ;  Jieun Jang  ;  Sulhee Yoon  ;  Doh Yu Hwang  ;  Yundeok Kim  ;  June-Won Cheong 
 Korean Journal of Hematology, Vol.46(3) : 175-179, 2011 
Journal Title
 Korean Journal of Hematology 
Issue Date
proliferation. We evaluated the correlation between serum concentration of BAFF or APRIL and severity of acute graft-versus-host disease (GVHD). METHODS: Fifteen patients who received allogeneic hematopoietic stem transplantation for leukemia and developed acute GVHD were enrolled. We determined serum concentrations of BAFF and APRIL at the onset of the first clinical manifestation of GVHD by enzyme-linked immunosorbent assay. RESULTS: Nine patients had grade 2 acute GVHD, and 6 had grade 3-4 acute GVHD. The BAFF serum concentration was higher in patients with grade 3-4 acute GVHD (1,093.42 in grade 2 vs. 2,171.99 pg/mL in grade 3-4), although the difference was not significant (P=0.077). However, the ratio of BAFF serum concentration to absolute lymphocyte count (ALC) (BAFF/ALC) was significantly higher in patients with grade 3-4 acute GVHD (P=0.045). The APRIL serum concentration and APRIL/ALC ratio showed similar results (P=0.077 and P=0.013, respectively). CONCLUSION: Patients with grade 3-4 acute GVHD had higher BAFF/ALC and APRIL/ALC ratios than patients with grade 2 acute GVHD. These findings suggest that B cells might play an important role in the development of acute GVHD, and that the BAFF and APRIL concentrations in serum might be significant predictive factors for estimating the severity of acute GVHD. Their clinical significance should be further evaluated in a larger patient population
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김수정(Kim, Soo Jeong) ; 김윤덕(Kim, Yun Deok) ; 김진석(Kim, Jin Seok) ; 민유홍(Min, Yoo Hong) ; 윤설희(Yoon, Sul Hee) ; 장지은(Jang, Ji Eun) ; 정준원(Cheong, June Won) ; 현신영(Hyun, Shin Yong) ; 황도유(Hwang, Doh Yu)
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