Donor and recipient plasma follistatin levels are associated with acute GvHD in blood and marrow transplant clinical trials network 0402

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5 Citations (Scopus)

Abstract

Follistatin is an angiogenic factor elevated in the circulation after allogeneic hematopoietic cell transplantation (HCT). Elevations in follistatin plasma concentrations are associated with the onset of and poor survival after acute GvHD (aGvHD). Using data from the Blood and Marrow Transplant Clinical Trials Network 0402 study (n = 247), we sought to further quantify the longitudinal associations between plasma follistatin levels in transplant recipients, as well as baseline HCT donor follistatin levels, and allogeneic HCT outcomes. Higher recipient baseline follistatin levels were predictive of development of aGvHD (P = 0.04). High donor follistatin levels were also associated with the incidence of aGvHD (P o 0.01). Elevated follistatin levels on day 28 were associated with the onset of grade II–IV aGvHD before day 28, higher 1-year non-relapse mortality (NRM) and lower overall survival. In multivariate analyses, individuals with follistatin levels 41088 pg/mL at day 28 had a 4-fold increased risk for NRM (relative risk (RR) = 4.3, 95% confidence interval (CI) 1.9–9.9, P o 0.01) and a nearly three-fold increased overall risk for mortality (RR = 2.8, 95% CI 1.5–5.2, P o 0.01). Given the multiple roles of follistatin in tissue inflammation and repair, and the confirmation that this biomarker is predictive of important HCT outcomes, the pathobiology of these relationships need further study.

Original languageEnglish (US)
Pages (from-to)64-68
Number of pages5
JournalBone marrow transplantation
Volume53
Issue number1
DOIs
StatePublished - Jan 1 2018

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Follistatin
Bone Marrow
Tissue Donors
Clinical Trials
Transplants
Cell Transplantation
Mortality
Confidence Intervals
Survival
Angiogenesis Inducing Agents
Multivariate Analysis
Biomarkers
Inflammation

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

Cite this

@article{992fcd5b9d1244ddb87b0c98b6f94022,
title = "Donor and recipient plasma follistatin levels are associated with acute GvHD in blood and marrow transplant clinical trials network 0402",
abstract = "Follistatin is an angiogenic factor elevated in the circulation after allogeneic hematopoietic cell transplantation (HCT). Elevations in follistatin plasma concentrations are associated with the onset of and poor survival after acute GvHD (aGvHD). Using data from the Blood and Marrow Transplant Clinical Trials Network 0402 study (n = 247), we sought to further quantify the longitudinal associations between plasma follistatin levels in transplant recipients, as well as baseline HCT donor follistatin levels, and allogeneic HCT outcomes. Higher recipient baseline follistatin levels were predictive of development of aGvHD (P = 0.04). High donor follistatin levels were also associated with the incidence of aGvHD (P o 0.01). Elevated follistatin levels on day 28 were associated with the onset of grade II–IV aGvHD before day 28, higher 1-year non-relapse mortality (NRM) and lower overall survival. In multivariate analyses, individuals with follistatin levels 41088 pg/mL at day 28 had a 4-fold increased risk for NRM (relative risk (RR) = 4.3, 95{\%} confidence interval (CI) 1.9–9.9, P o 0.01) and a nearly three-fold increased overall risk for mortality (RR = 2.8, 95{\%} CI 1.5–5.2, P o 0.01). Given the multiple roles of follistatin in tissue inflammation and repair, and the confirmation that this biomarker is predictive of important HCT outcomes, the pathobiology of these relationships need further study.",
author = "Turcotte, {L. M.} and DeFor, {T. E.} and Newell, {L. F.} and Cutler, {C. S.} and Verneris, {M. R.} and J. Wu and A. Howard and MacMillan, {M. L.} and Antin, {J. H.} and Vercellotti, {G. M.} and Ane Slungaard and Blazar, {B. R.} and Weisdorf, {D. J.} and A. Panoskaltsis-Mortari and Holtan, {S. G.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1038/bmt.2017.236",
language = "English (US)",
volume = "53",
pages = "64--68",
journal = "Bone Marrow Transplantation",
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TY - JOUR

T1 - Donor and recipient plasma follistatin levels are associated with acute GvHD in blood and marrow transplant clinical trials network 0402

AU - Turcotte, L. M.

AU - DeFor, T. E.

AU - Newell, L. F.

AU - Cutler, C. S.

AU - Verneris, M. R.

AU - Wu, J.

AU - Howard, A.

AU - MacMillan, M. L.

AU - Antin, J. H.

AU - Vercellotti, G. M.

AU - Slungaard, Ane

AU - Blazar, B. R.

AU - Weisdorf, D. J.

AU - Panoskaltsis-Mortari, A.

AU - Holtan, S. G.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Follistatin is an angiogenic factor elevated in the circulation after allogeneic hematopoietic cell transplantation (HCT). Elevations in follistatin plasma concentrations are associated with the onset of and poor survival after acute GvHD (aGvHD). Using data from the Blood and Marrow Transplant Clinical Trials Network 0402 study (n = 247), we sought to further quantify the longitudinal associations between plasma follistatin levels in transplant recipients, as well as baseline HCT donor follistatin levels, and allogeneic HCT outcomes. Higher recipient baseline follistatin levels were predictive of development of aGvHD (P = 0.04). High donor follistatin levels were also associated with the incidence of aGvHD (P o 0.01). Elevated follistatin levels on day 28 were associated with the onset of grade II–IV aGvHD before day 28, higher 1-year non-relapse mortality (NRM) and lower overall survival. In multivariate analyses, individuals with follistatin levels 41088 pg/mL at day 28 had a 4-fold increased risk for NRM (relative risk (RR) = 4.3, 95% confidence interval (CI) 1.9–9.9, P o 0.01) and a nearly three-fold increased overall risk for mortality (RR = 2.8, 95% CI 1.5–5.2, P o 0.01). Given the multiple roles of follistatin in tissue inflammation and repair, and the confirmation that this biomarker is predictive of important HCT outcomes, the pathobiology of these relationships need further study.

AB - Follistatin is an angiogenic factor elevated in the circulation after allogeneic hematopoietic cell transplantation (HCT). Elevations in follistatin plasma concentrations are associated with the onset of and poor survival after acute GvHD (aGvHD). Using data from the Blood and Marrow Transplant Clinical Trials Network 0402 study (n = 247), we sought to further quantify the longitudinal associations between plasma follistatin levels in transplant recipients, as well as baseline HCT donor follistatin levels, and allogeneic HCT outcomes. Higher recipient baseline follistatin levels were predictive of development of aGvHD (P = 0.04). High donor follistatin levels were also associated with the incidence of aGvHD (P o 0.01). Elevated follistatin levels on day 28 were associated with the onset of grade II–IV aGvHD before day 28, higher 1-year non-relapse mortality (NRM) and lower overall survival. In multivariate analyses, individuals with follistatin levels 41088 pg/mL at day 28 had a 4-fold increased risk for NRM (relative risk (RR) = 4.3, 95% confidence interval (CI) 1.9–9.9, P o 0.01) and a nearly three-fold increased overall risk for mortality (RR = 2.8, 95% CI 1.5–5.2, P o 0.01). Given the multiple roles of follistatin in tissue inflammation and repair, and the confirmation that this biomarker is predictive of important HCT outcomes, the pathobiology of these relationships need further study.

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U2 - 10.1038/bmt.2017.236

DO - 10.1038/bmt.2017.236

M3 - Article

VL - 53

SP - 64

EP - 68

JO - Bone Marrow Transplantation

JF - Bone Marrow Transplantation

SN - 0268-3369

IS - 1

ER -