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1.
Nature ; 597(7876): 355-359, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34526708

RESUMO

The precise stacking of different two-dimensional (2D) structures such as graphene and MoS2 has reinvigorated the field of 2D materials, revealing exotic phenomena at their interfaces1,2. These unique interfaces are typically constructed using mechanical or deposition-based methods to build a heterostructure one monolayer at a time2,3. By contrast, self-assembly is a scalable technique, where complex materials can selectively form in solution4-6. Here we show a synthetic strategy for the self-assembly of layered perovskite-non-perovskite heterostructures into large single crystals in aqueous solution. Using bifunctional organic molecules as directing groups, we have isolated six layered heterostructures that form as an interleaving of perovskite slabs with a different inorganic lattice, previously unknown to crystallize with perovskites. In many cases, these intergrown lattices are 2D congeners of canonical inorganic structure types. To our knowledge, these compounds are the first layered perovskite heterostructures formed using organic templates and characterized by single-crystal X-ray diffraction. Notably, this interleaving of inorganic structures can markedly transform the band structure. Optical data and first principles calculations show that substantive coupling between perovskite and intergrowth layers leads to new electronic transitions distributed across both sublattices. Given the technological promise of halide perovskites4, this intuitive synthetic route sets a foundation for the directed synthesis of richly structured complex semiconductors that self-assemble in water.

2.
J Am Chem Soc ; 144(49): 22403-22408, 2022 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-36416496

RESUMO

Although sulfide perovskites usually require high-temperature syntheses, we demonstrate that organosulfides can be used in the milder syntheses of halide perovskites. The zwitterionic organosulfide, cysteamine (CYS; +NH3(CH2)2S-), serves as both the X- site and A+ site in the ABX3 halide perovskites, yielding the first examples of 3D organosulfide-halide perovskites: (CYS)PbX2 (X- = Cl- or Br-). Notably, the band structures of (CYS)PbX2 capture the direct bandgaps and dispersive bands of APbX3 perovskites. The sulfur orbitals compose the top of the valence band in (CYS)PbX2, affording unusually small direct bandgaps of 2.31 and 2.16 eV for X- = Cl- and Br-, respectively, falling in the ideal range for the top absorber in a perovskite-based tandem solar cell. Measurements of the carrier dynamics in (CYS)PbCl2 suggest carrier trapping due to defects or lattice distortions. The highly desirable bandgaps, band dispersion, and improved stability of the organosulfide perovskites demonstrated here motivate the continued expansion and exploration of this new family of materials, particularly with respect to extracting photocurrent. Our strategy of combining the A+ and X- sites with zwitterions may offer more members in this family of mixed-anion 3D hybrid perovskites.


Assuntos
Compostos de Cálcio , Compostos Inorgânicos , Óxidos , Sulfetos
3.
Am J Transplant ; 21(1): 322-328, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32888256

RESUMO

Clinicians have few tools to predict the risk of alloimmune injury that would guide immunosuppression management in renal transplant patients. We evaluated human leukocyte antigen (HLA)-DR/DQ molecular mismatch to predict de novo donor-specific antibodies (DSAs) during the first year of transplant and explored how differences in tacrolimus exposure may modulate this risk. HLA-DR and -DQ eplet mismatches were determined between 444 donor-recipient pairs in Denver, Colorado between 2007 and 2013. Previously defined mismatch thresholds stratified recipients into low- (N = 119), intermediate- (N = 153), and high- (N = 172) risk categories. The area under the curve for DSA at 1 year was 0.84 and 0.82 for HLA-DR and HLA-DQ eplet mismatches, respectively. Compared to low-risk patients, there was a graded increase in risk of DR/DQ DSA in intermediate (HR 15.39, 95% CI 2.01-118.09, p = .009) and high-risk (HR 23.81, 95% CI 3.17-178.66, p = 0.002) categories. Intermediate- and high-risk patients with a mean tacrolimus <6 ng/ml versus >8 ng/ml had increased risk of DR/DQ DSA at 1 year (HR 2.34, 95% CI 1.05-5.22, p = .04). HLA molecular mismatch represents a reproducible, objective, and clinically relevant tool to stratify patients by alloimmune risk and may help guide personalized immunosuppression management.


Assuntos
Rejeição de Enxerto , Tacrolimo , Rejeição de Enxerto/etiologia , Sobrevivência de Enxerto , Antígenos HLA/genética , Antígenos HLA-DR , Teste de Histocompatibilidade , Humanos , Estados Unidos
5.
J Am Chem Soc ; 141(12): 5005-5013, 2019 03 27.
Artigo em Inglês | MEDLINE | ID: mdl-30827099

RESUMO

The development of new chemiresistive materials for use in chemical sensors that operate near ambient conditions could potentially reduce the costs of implementation, encouraging their use in new areas. Conductive metal-organic frameworks represent one intriguing class of materials for further investigation in this area, given their vast structural diversity and the specificity of adsorbate interactions afforded by their crystallinity. Here, we re-examine the electronic conductivity of the desolvated and acetonitrile-solvated microporous framework Cu[Ni(pdt)2] (pdt2- = 2,3-pyrazinedithiolate), and find that the conductivity in the pristine material is 200-fold greater than in the solvated state, highlighting the sensitivity of sample conductivity to guest inclusion. Additionally, the desolvated material is demonstrated to selectively adsorb the gaseous hydrocarbons ethane, ethylene, acetylene, propane, propylene, and cis-2-butene at ambient temperature. Investigation of the effect of gas adsorption on conductivity using an in situ measurement cell reveals a chemiresistive response for each adsorbate, and the change in conductivity with adsorbate pressure closely follows an empirical model identical in form to the Langmuir-Freundlich equation. The relative sensitivity of the framework to each adsorbate is, surprisingly, not correlated with binding strength. Instead, the differences in chemiresistive response between adsorbates are found to correlate strongly with gas phase specific heat capacity of the adsorbate. Nanoconfinement effects, manifesting as a relative deviation from the expected chemiresistive response, may influence charge transport in the case of the largest adsorbate considered, cis-2-butene. Time-resolved conductance and adsorption measurements additionally show that the chemiresistive response of the sensor equilibrates on a shorter time scale than gas adsorption, suggesting that interparticle contacts limit conduction through the bulk material and that conductivity at the crystallite surfaces is most responsive to gas adsorption.

6.
Nat Mater ; 17(7): 625-632, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29867169

RESUMO

Conductive metal-organic frameworks are an emerging class of three-dimensional architectures with degrees of modularity, synthetic flexibility and structural predictability that are unprecedented in other porous materials. However, engendering long-range charge delocalization and establishing synthetic strategies that are broadly applicable to the diverse range of structures encountered for this class of materials remain challenging. Here, we report the synthesis of K x Fe2(BDP)3 (0 ≤ x ≤ 2; BDP2- = 1,4-benzenedipyrazolate), which exhibits full charge delocalization within the parent framework and charge mobilities comparable to technologically relevant polymers and ceramics. Through a battery of spectroscopic methods, computational techniques and single-microcrystal field-effect transistor measurements, we demonstrate that fractional reduction of Fe2(BDP)3 results in a metal-organic framework that displays a nearly 10,000-fold enhancement in conductivity along a single crystallographic axis. The attainment of such properties in a K x Fe2(BDP)3 field-effect transistor represents the realization of a general synthetic strategy for the creation of new porous conductor-based devices.

8.
J Am Chem Soc ; 140(27): 8526-8534, 2018 07 11.
Artigo em Inglês | MEDLINE | ID: mdl-29893567

RESUMO

Metal-organic frameworks are of interest for use in a variety of electrochemical and electronic applications, although a detailed understanding of their charge transport behavior, which is of critical importance for enhancing electronic conductivities, remains limited. Herein, we report isolation of the mixed-valence framework materials, Fe(tri)2(BF4) x (tri- = 1,2,3-triazolate; x = 0.09, 0.22, and 0.33), obtained from the stoichiometric chemical oxidation of the poorly conductive iron(II) framework Fe(tri)2, and find that the conductivity increases dramatically with iron oxidation level. Notably, the most oxidized variant, Fe(tri)2(BF4)0.33, displays a room-temperature conductivity of 0.3(1) S/cm, which represents an increase of 8 orders of magnitude from that of the parent material and is one of the highest conductivity values reported among three-dimensional metal-organic frameworks. Detailed characterization of Fe(tri)2 and the Fe(tri)2(BF4) x materials via powder X-ray diffraction, Mössbauer spectroscopy, and IR and UV-vis-NIR diffuse reflectance spectroscopies reveals that the high conductivity arises from intervalence charge transfer between mixed-valence low-spin FeII/III centers. Further, Mössbauer spectroscopy indicates the presence of a valence-delocalized FeII/III species in Fe(tri)2(BF4) x at 290 K, one of the first such observations for a metal-organic framework. The electronic structure of valence-pure Fe(tri)2 and the charge transport mechanism and electronic structure of mixed-valence Fe(tri)2(BF4) x frameworks are discussed in detail.

9.
Biol Blood Marrow Transplant ; 24(4): 789-798, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29355721

RESUMO

The use of post-transplant cyclophosphamide (PTCy)-based haploidentical (haplo) transplant is increasing worldwide. However, because multiple potential haplo donors are usually available, data-driven guidance is clearly needed to help transplant centers prioritize donors. To that end, we retrospectively analyzed 208 consecutive donor-recipient pairs receiving PTCy-based haplo transplant at a single institution. Median recipient and donor age were 52 years (range, 19 to 75) and 38 years (range, 15 to 73), peripheral blood stem cell was the stem cell source in 66%, and myeloablative conditioning was used in 41%. Median follow-up for surviving patients was 33 months (range, 7 to 130). Donor variables analyzed included age, sex, relationship, cytomegalovirus (CMV) status, ABO compatibility, HLA disparity, and several natural killer (NK) alloreactivity models. Multivariate Cox analysis was used to adjust for known patient, disease, and transplant covariates. Donor characteristics independently associated with improved survival included presence of HLA-DR mismatch, HLA-DP nonpermissive mismatch, killer cell immunoglobulin-like receptor (KIR) receptor-ligand mismatch, and KIR B/x haplotype with KIR2DS2. Donor characteristics associated with inferior survival included parental donor relationship and the use of a CMV-seronegative donor for a CMV-seropositive patient. Increased HLA disparity (≥4/10 HLA allelic mismatches [graft-versus-host direction]) resulted in relapse protection at the expense of increased nonrelapse mortality with no associated survival effect. We further propose a donor risk factor scoring system to permit a more evidence-based selection algorithm for potential haplo donors. This large, single-institution analysis demonstrates the importance of HLA-DR/HLA-DP disparity, NK alloreactivity, and other clinical variables in the haplo donor selection process and suggests that KIR and HLA-DP genotyping should be performed routinely for haplo donor selection.


Assuntos
Algoritmos , Seleção do Doador/métodos , Antígenos HLA/genética , Transplante de Células-Tronco de Sangue Periférico , Receptores KIR/genética , Doadores de Tecidos , Condicionamento Pré-Transplante , Adulto , Idoso , Aloenxertos , Feminino , Seguimentos , Técnicas de Genotipagem , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
10.
J Autoimmun ; 72: 25-32, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27143337

RESUMO

Genetic susceptibility to rheumatoid arthritis (RA) is often defined by the presence of a shared epitope (QKRAA, QRRAA, or RRRAA) at positions 70-74 in HLA-DRß1. However, DRß1*01:01 and 01:02 contain the same QRRAA epitope, but differ considerably in their susceptibility to RA. The purpose of this study was to determine if this difference could be explained by their ability to bind three arthritogenic peptides that we have previously shown to bind to the archetypal RA-susceptible allele, DRß1*04:01, but not to the resistant DRß1*08:01 allele. Binding of type II collagen(258-272), citrullinated and native vimentin(66-78), and citrullinated and native α-enolase(11-25) were measured on cell lines expressing either DRß1*01:01, *01:02 or *01:03 in association with DRα1*01:01. DRß1*01:01 and *01:02 both exhibited a 6.5-fold preference for citrullinated vimentin(66-78) compared to native vimentin. However, DRß1*01:01 also exhibited a 1.7-fold preference for citrullinated α-enolase(11-25) and bound collagen(258-272), while DRß1*01:02 bound neither of these peptides. Consistent with its known resistance to RA, DRß1*01:03 preferentially bound native vimentin(66-78) and α-enolase(11-25) over the citrullinated forms of these peptides, and also failed to bind collagen(258-272). Site-directed mutagenesis was performed to determine which amino acid residues were responsible for the differences between these alleles. Mutating position 86 in DRß1*01:01 from glycine to the valine residue found in DRß1*01:02 eliminated binding of both citrullinated α-enolase(11-25) and collagen(258-272), thereby recapitulating the peptide-binding profile of DRß1*01:02. The difference in susceptibility to rheumatoid arthritis between DRß1*01:01 and *01:02 thus correlates with the effect of position 86 on the binding of these arthritogenic peptides. Consistent with their association with RA resistance, positions I67, D70 and E71 all contributed to the inability of DRß1*01:03 to bind these arthritogenic peptides.


Assuntos
Artrite Reumatoide/genética , Predisposição Genética para Doença/genética , Cadeias HLA-DRB1/genética , Peptídeos/genética , Alelos , Sequência de Aminoácidos , Artrite Reumatoide/metabolismo , Linhagem Celular , Colágeno Tipo II/metabolismo , Epitopos/genética , Epitopos/metabolismo , Citometria de Fluxo , Células HEK293 , Cadeias HLA-DRB1/metabolismo , Humanos , Mutagênese Sítio-Dirigida , Peptídeos/metabolismo , Peptídeos Cíclicos/metabolismo , Fosfopiruvato Hidratase/metabolismo , Ligação Proteica , Homologia de Sequência de Aminoácidos , Vimentina/metabolismo
11.
J Am Chem Soc ; 137(42): 13594-602, 2015 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-26436465

RESUMO

A redox-active metal-organic framework, Fe2(dobpdc) (dobpdc(4-) = 4,4'-dioxidobiphenyl-3,3'-dicarboxylate), is shown to undergo a topotactic oxidative insertion reaction with a variety of weakly coordinating anions, including BF4(-) and PF6(-). The reaction results in just a minor lattice contraction, and a broad intervalence charge-transfer band emerges, indicative of charge mobility. Although both metal- and ligand-based oxidations can be accessed, only the former were found to be fully reversible and, importantly, proceed stoichiometrically under both chemical and electrochemical conditions. Electrochemical measurements probing the effects of nanoconfinement on the insertion reaction revealed strong anion size and solvent dependences. Significantly, the anion insertion behavior of Fe2(dobpdc) enabled its use in the construction of a dual-ion battery prototype incorporating a sodium anode. As a cathode, the material displays a particularly high initial reduction potential and is further stable for at least 50 charge/discharge cycles, exhibiting a maximum specific energy of 316 Wh/kg.

12.
J Am Chem Soc ; 137(50): 15703-11, 2015 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-26573183

RESUMO

A three-dimensional network solid composed of Fe(III) centers and paramagnetic semiquinoid linkers, (NBu4)2Fe(III)2(dhbq)3 (dhbq(2-/3-) = 2,5-dioxidobenzoquinone/1,2-dioxido-4,5-semiquinone), is shown to exhibit a conductivity of 0.16 ± 0.01 S/cm at 298 K, one of the highest values yet observed for a metal-organic framework (MOF). The origin of this electronic conductivity is determined to be ligand mixed-valency, which is characterized using a suite of spectroscopic techniques, slow-scan cyclic voltammetry, and variable-temperature conductivity and magnetic susceptibility measurements. Importantly, UV-vis-NIR diffuse reflectance measurements reveal the first observation of Robin-Day Class II/III mixed valency in a MOF. Pursuit of stoichiometric control over the ligand redox states resulted in synthesis of the reduced framework material Na0.9(NBu4)1.8Fe(III)2(dhbq)3. Differences in electronic conductivity and magnetic ordering temperature between the two compounds are investigated and correlated to the relative ratio of the two different ligand redox states. Overall, the transition metal-semiquinoid system is established as a particularly promising scaffold for achieving tunable long-range electronic communication in MOFs.

13.
Transplant Cell Ther ; 30(6): 608.e1-608.e10, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38561140

RESUMO

The presence of an HLA-DPB1 nonpermissive mismatch (NPMM) by the TCE-3 model has been associated with improved survival following haploidentical donor transplantation (HIDT) using post-transplantation cyclophosphamide (PTCy). With the development of a revised model (TCE-Core) that further separates TCE-3 "group 3" alleles into "core" (C) and "noncore" (NC) alleles, a formerly permissive mismatch (PMM) resulting from group 3 alleles in both donor and recipient is now considered a C-NPMM if 1 or more of those alleles is NC. We aimed to study the additional effect of HLA-DPB1 C-NPMM according to the TCE-Core algorithm, as well as the directional vector of the mismatch, on outcomes following HIDT. To this end, we analyzed 242 consecutive HIDT recipients with acute leukemia or myelodysplastic syndrome who underwent transplantation between 2005 and 2021 (median age, 51 years; range, 19 to 80 years). The median follow-up was 62 months (range, 23 to 199 months). Of the 136 HIDTs classified as PMM by TCE-3, 73 were reclassified as a C-NPMM by the TCE-Core algorithm, of which 36 were in the graft-versus host (GVH) vector (37 were host-versus-graft [HVG] only). Given comparable survival between conventional NPMM and C-NPMM, GVH/bidirectional were analyzed together (nonpermissive). HVG-only C-NPMM were combined with HLA-DPB1-matched and PMM (permissive) because of similar outcomes. The presence of a TCE-Core-defined nonpermissive HLA-DP mismatch resulted in superior 5-year overall survival (OS) (66% versus 47%) and disease-free survival (DFS) (60% versus 43%). Compared to the conventional TCE-3 algorithm, TCE-Core identified a higher percentage of nonpermissive transplants (38% versus 23%) and better discriminated outcomes between nonpermissive and permissive status, with a larger difference in survival outcomes using TCE-Core compared to TCE-3 (OS Δ, 18.3% versus 12.7%; DFS Δ, 16.5% versus 8.5%). In multivariable analysis (MVA), a nonpermissive TCE-Core mismatch led to improved OS (hazard ratio [HR], .54; P = .003) and DFS (HR, .62; P = .013), largely due to decreased relapse risk (HR, .63; P = .049). In contrast, nonrelapse mortality (NRM) and graft-versus-host disease (GVHD) outcomes were not significantly impacted. In summary, the presence of nonpermissive TCE-Core HLA-DP mismatch strongly predicts survival following PTCy-based HIDT, owing to a reduction in relapse risk without a corresponding increase in GVHD or NRM. As a donor selection tool, TCE-Core appears to better discriminate HIDT outcomes while at the same time identifying a larger percentage of the potential donor pool.


Assuntos
Recidiva , Transplante Haploidêntico , Humanos , Pessoa de Meia-Idade , Adulto , Feminino , Masculino , Idoso , Adulto Jovem , Cadeias beta de HLA-DP/genética , Cadeias beta de HLA-DP/metabolismo , Idoso de 80 Anos ou mais , Transplante de Células-Tronco Hematopoéticas , Síndromes Mielodisplásicas/terapia , Síndromes Mielodisplásicas/mortalidade , Alelos , Doença Enxerto-Hospedeiro/imunologia
14.
J Am Chem Soc ; 135(42): 15880-4, 2013 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-24066720

RESUMO

Molecules exhibiting bistability have been proposed as elementary binary units (bits) for information storage, potentially enabling fast and efficient computing. In particular, transition metal complexes can display magnetic bistability via either spin-crossover or single-molecule magnet behavior. We now show that the octahedral iron(II) complexes in the molecular salt [Fe(1-propyltetrazole)6](BF4)2, when placed in its high-symmetry form, can combine both types of behavior. Light irradiation under an applied magnetic field enables fully reversible switching between an S = 0 state and an S = 2 state with either up (M(S) = +2) or down (M(S) = -2) polarities. The resulting tristability suggests the possibility of using molecules for ternary information storage in direct analogy to current binary systems that employ magnetic switching and the magneto-optical Kerr effect as write and read mechanisms.

15.
Chemistry ; 19(18): 5533-6, 2013 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-23495187

RESUMO

Shields up! Post-synthetic modification of the secondary building units in the metal-organic framework UiO-66 (Zr6O4(OH)4(O2CR)12) by dehydration and subsequent grafting of LiOtBu yields a solid Li(+) electrolyte with a conductivity of 1.8×10(-5) S cm(-1) at 293 K. As the grafting leads to screening of the anionic charge, the activation energy for ionic conduction is significantly lower than when Li(+) is introduced through deprotonation.

16.
Arthritis Rheum ; 63(12): 3733-9, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22094856

RESUMO

OBJECTIVE: Although rheumatoid arthritis (RA) has long been associated with an HLA-DRB1 shared epitope, a systematic search for other epitopes has never been conducted. In addition, the relationship between these epitopes and the binding of citrullinated autoantigens has not been investigated. We developed a program that can analyze HLA data for all possible epitopes of up to 5 amino acids and used this program to assess the shared epitope hypothesis in RA. METHODS: We analyzed high-resolution data from the International Histocompatibility Working Group, which included a group of 488 patients with RA and a group of 448 racially and ethnically balanced control subjects, for all combinations of up to 5 amino acids among polymorphic HLA-DRB1 positions 8-93. Statistical significance was determined by chi-square and Fisher's exact tests, with a false discovery rate correction. RESULTS: Three residues (V(11), H(13), and L(67)) were found to have the highest degree of association with RA susceptibility (P < 10(-11)), and D(70) was found to correlate best with RA resistance (P = 2 × 10(-11)). Of >2 million epitopes examined, LA(67, 74) exhibited the highest correlation with RA susceptibility (P = 2 × 10(-20); odds ratio 4.07 [95% confidence interval 3.07-5.39]). HLA alleles containing the LA(67, 74) epitope exhibited significantly greater binding to citrullinated vimentin(65-77) than did alleles containing D(70). Only 1 allele (DRB1*16:02) contained both LA(67, 74) and D(70); it bound citrullinated vimentin weakly and was not associated with RA. CONCLUSION: The findings of these studies confirm the importance of HLA-DRB1 amino acids in pocket 4 for the binding of citrullinated autoantigens and susceptibility to RA.


Assuntos
Artrite Reumatoide/genética , Artrite Reumatoide/metabolismo , Epitopos/genética , Cadeias HLA-DRB1/genética , Peptídeos Cíclicos/metabolismo , Vimentina/metabolismo , Alelos , Aminoácidos/metabolismo , Artrite Reumatoide/etnologia , Povo Asiático/genética , População Negra/genética , Estudos de Casos e Controles , Predisposição Genética para Doença/genética , Cadeias HLA-DRB1/química , Humanos , Cooperação Internacional , Ligação Proteica/genética , População Branca/genética
17.
Transplant Cell Ther ; 28(9): 601.e1-601.e8, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35788088

RESUMO

The role of NK cell alloreactivity on outcomes after T cell-replete haploidentical donor transplantation (HIDT) remains uncertain. After transplantation, newly formed NK cells are licensed through interactions of donor inhibitory KIR (iKIR) and NKG2A receptors with their cognate ligands on recipient cells. Donor NKG2A recognizes HLA-E bound by recipient HLA class I leader peptides, a process requiring methionine (M) at position -21 of the leader sequence. An rs1050458C/T dimorphism results in approximately 40% of individuals expressing at least one copy of -21M HLA-B (M/M or M/T [M+]), allowing ligand expression. We assessed the impact of recipient HLA-B-leader genotype (M+ versus M- [T/T]) and HLA-C-group iKIR missing ligand (ML, C1C1/C2C2 versus C1C2) on relapse and disease-free survival (DFS) in recipients of post-transplantation cyclophosphamide (PTCy)-based HIDT. Based on preclinical data, we hypothesized that the relative impact of each variable may depend on disease lineage (lymphoid versus myeloid). To this end, we analyzed outcomes of 322 consecutive PTCy-based HIDT recipients with hematologic malignancy who underwent transplantation at a single institution using standardized supportive care measures with mature follow-up (median 45 months). Primary endpoints were relapse and DFS of patients based on HLA-B-leader genotype and HLA-C-group iKIR ML. Planned subgroup analysis included patient with lymphoid versus myeloid malignancy. M+ HLA-B-leader genotype and HLA-C-group iKIR ML were seen in 42% and 49% of recipients, respectively. The presence of a recipient M+ B-leader (versus M-) improved overall survival (OS) and DFS and lowered cumulative incidence of relapse (CIR), an effect primarily seen in lymphoid malignancies (80% versus 51%, 72% versus 41%, 16% versus 42%, respectively). In contrast, myeloid malignancy patients benefited most from HLA-C-group iKIR ML with better OS and DFS and lower CIR (67% versus 51%, 64% versus 44%, 25% versus 45%, respectively). Multivariate analysis confirmed the disease-specific associations of improved relapse/DFS with M+ HLA-B-leader in lymphoid malignancy (hazard ratio [HR] 0.20, P < .001/HR 0.34, P <.001) and HLA-C-group iKIR ML in myeloid malignancy (HR 0.44, P = .004/HR 0.54, P = .009). Neither HLA-B-leader nor iKIR ML was associated with the incidence of non-relapse mortality or acute or chronic graft-versus-host disease. Two distinct NK cell education pathways predict relapse and DFS after HIDT-PTCy in a disease-specific manner: the presence of recipient M+ HLA-B-leader genotype improves outcome in patients with lymphoid malignancies, whereas HLA-C-group iKIR ML improves outcome in patients with myeloid malignancies. These findings strengthen the essential role of NK cells for optimal GVL in the context of HIDT-PTCy and may suggest different approaches to improving transplant outcome depending on disease type.


Assuntos
Antígenos HLA-B , Antígenos HLA-C , Recidiva Local de Neoplasia , Transplante Haploidêntico , Ciclofosfamida/uso terapêutico , Genótipo , Antígenos HLA-B/genética , Antígenos HLA-C/genética , Humanos , Ligantes , Recidiva Local de Neoplasia/diagnóstico , Receptores KIR
18.
Hum Immunol ; 83(10): 730-735, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35953408

RESUMO

The "heterozygote advantage" hypothesis has been postulated regarding the role of human leukocyte antigen (HLA) in non-Hodgkin lymphoma (NHL), where homozygous loci are associated with an increased risk of disease. In this retrospective study, we analyzed the HLA homozygosity of 3789 patients with aplastic anemia (AA), acute lymphocytic leukemia (ALL), acute myeloblastic leukemia (AML), chronic lymphocytic leukemia (CLL), chronic myeloid leukemia (CML), myelodysplastic syndrome (MDS), multiple myeloma (MM), and non-Hodgkin lymphoma (NHL) at HLA-A, B, C, DRB1 and DQB1 loci compared to 169,964 normal controls. HLA homozygosity at one or more loci was only associated with an increased risk in NHL patients (OR = 1.28, 95% CI [1.09, 1.50], p = 0.002). This association was not seen in any of the other hematologic diseases. Homozygosity at HLA-A alone, HLA-B + C only, and HLA-DRB1 + DQB1 only was also significantly associated with NHL. Finally, we observed a 17% increased risk of NHL with each additional homozygous locus (OR per locus = 1.17, 95% CI [1.08, 1.25], p trend = 2.4 × 10-5). These results suggest that reduction of HLA diversity could predispose individuals to an increased risk of developing NHL.


Assuntos
Linfoma não Hodgkin , Antígenos HLA-A , Antígenos de Histocompatibilidade , Antígenos de Histocompatibilidade Classe I , Antígenos de Histocompatibilidade Classe II , Humanos , Linfoma não Hodgkin/genética , Estudos Retrospectivos
19.
Nat Commun ; 13(1): 5766, 2022 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-36180432

RESUMO

Electronic synergy between metal ions and organic linkers is a key to engineering molecule-based materials with a high electrical conductivity and, ultimately, metallicity. To enhance conductivity in metal-organic solids, chemists aim to bring the electrochemical potentials of the constituent metal ions and bridging organic ligands closer in a quest to obtain metal-d and ligand-π admixed frontier bands. Herein, we demonstrate the critical role of the metal ion in tuning the electronic ground state of such materials. While VCl2(pyrazine)2 is an electrical insulator, TiCl2(pyrazine)2 displays the highest room-temperature electronic conductivity (5.3 S cm-1) for any metal-organic solid involving octahedrally coordinated metal ions. Notably, TiCl2(pyrazine)2 exhibits Pauli paramagnetism consistent with the specific heat, supporting the existence of a Fermi liquid state (i.e., a correlated metal). This result widens perspectives for designing molecule-based systems with strong metal-ligand covalency and electronic correlations.

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