Graft-versus-host disease (gvhd) is one of the serious complications of hsct. its prevalence has been reported as 20-50 percent.the study attempts to assess the relationship between chimerism analysis using polymerase chain reaction of short tandem repeat (str) and the incidence of chronic graft versus host disease (gvhd) as well as survival
Methods
The retrospective cohort included all patients who received allo-hsct during 2005-2013. data collected by day +100 were reviewed in terms of the incidence of chronic gvhd and survival. chimerism was evaluated for whole blood, t-cell and pmn cells on days 15, 30 and 60, respectively using polymerase chain reaction of short tandem repeat (str).
Results
Forty (69%) patients developed chronic gvhd, 11 (19%) relapsed and 22 (39.7%) expired during the study. there was a significant relationship between chronic gvhd and chimerism analysis including whole blood on day 60 (p=0.001), polymorphonuclear neutrophil (pmn) on day 60 (p=0.05), t-cell on days 15 (p=0.028), 30 (p=0.01) and 60 (p=0.004). patients with chronic gvhd showed a long-term survival as compared with those without chronic gvhd (p=0.0013)
Conclusion
Conducting continuous analysis of chimerism provides an opportunity to initiate immediate measures in order to prevent complications
