Publications by authors named "Slawomir Gwozdowicz"

Viral infections are the main cause of increased morbidity and mortality among recipients in allogeneic hematopoietic stem cell transplantation (HSCT). Natural killer (NK) cells fight virally infected cells provided directional activation of cytotoxicity. In this study, we analyzed the role of receptor-ligand pairs that include inhibitory or activating killer cell immunoglobulin-like receptors (KIRs) with their HLA class I ligands in the course of viral infections.

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Natural killer (NK) cells make vital contributions to the immune system and the reproductive system. Notably, NK cells of donor origin can recognize and kill residual leukaemic cells and cure malignant patients in hematopoietic stem cell (HSC) transplant setting. NK cell function is regulated by KIRs that recognize cognate HLA class I molecules on target cells, depending on their amino acid residues.

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HLA are functional in cancer immunosurveillance in adaptive and innate immunity pathways. In unrelated hematopoietic stem cell transplantation (HSCT) in 688 patients with hematological malignancies we compared antitumor efficacy of transplant in three models including the level of: (a) donor-recipient HLA class I mismatch, (b) KIR-ligand mismatch, (c) post-transplant cognate HLA:KIR pairing. The effects were directly compared in multivariate models with backward elimination including all three effects in initial model.

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Article Synopsis
  • Unrelated hematopoietic stem cell transplantation (HSCT) poses serious risks like graft versus host disease (GvHD) and mortality, which are heightened by differences in HLA (human leukocyte antigen) between donors and recipients.
  • A study involving 889 patients revealed that higher levels of Ehp (extended MHC haplotype) mismatch lead to increased incidences of GvHD and mortality, independent of the HLA mismatch level.
  • Patients with a single HLA mismatch but double Ehp disparity showed significantly lower overall survival rates and higher non-relapse mortality compared to those with only one Ehp mismatch, suggesting that Ehp matching is crucial in HSCT outcomes.
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Natural killer (NK) cell licensing status depends on clonal expression of inhibitory killer cell immunoglobulin-like receptors (iKIR) and short term HLA environment. Licensed NK cells are more efficient in tumor killing than unlicensed NK cells. Cognate KIR-HLA pairs in hematopoietic stem cell transplant (HSCT) donor and recipient are decisive for the possible change in the NK cell licensing status after HSCT.

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