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Analysis of HLA genotype in the recipients' different tissues after haploidentical hematopoietic stem cell transplantation - PubMed

7 hours ago
  • #HLA genotyping
  • #tissue analysis
  • #haplo-HSCT
  • Peripheral blood samples are commonly used for HLA genotyping due to easy accessibility and high-quality DNA.
  • Haploidentical hematopoietic stem cell transplantation (haplo-HSCT) poses challenges for HLA genotyping in disease relapse cases requiring second transplantation.
  • This study analyzed HLA genotypes in various tissues (peripheral blood, buccal swab, saliva) of 66 haplo-HSCT recipients.
  • Most peripheral blood samples (55/57) showed the donor's HLA genotype, while buccal swabs (54/62) retained the patient's pre-HSCT genotype.
  • Saliva samples showed mixed results: 45% retained patient's genotype, 30% exhibited donor's genotype, and chimerism/HLA loss was detected.
  • One patient's buccal sample displayed complete donor HLA genotype replacement.
  • Findings aid in selecting tissue samples and interpreting HLA genotyping data for post-HSCT patients.