Heterogeneity of chronic graft-versus-host disease biomarkers: Association with CXCL10 and CXCR3+ NK cells

Amina Kariminia, Shernan G. Holtan, Sabine Ivison, Jacob Rozmus, Marie Josée Hebert, Paul J. Martin, Stephanie J. Lee, Daniel Wolff, Peter Subrt, Sayeh Abdossamadi, Susanna Sung, Jan Storek, Megan Levings, Mahmoud Aljurf, Mukta Arora, Corey Cutler, Geneviève Gallagher, John Kuruvilla, Jeff Lipton, Thomas J. NevillLaura F. Newell, Tony Panzarella, Joseph Pidala, Gizelle Popradi, David Szwajcer, Jason Tay, Cynthia L. Toze, Irwin Walker, Stephen Couban, Barry E. Storer, Kirk R. Schultz

Research output: Contribution to journalArticlepeer-review

61 Scopus citations


Chronic graft-versus-host disease (cGVHD) remains one of the most significant long-term complications after allogeneic blood and marrow transplantation. Diagnostic biomarkers for cGVHD are needed for early diagnosis and may guide identification of prognostic markers. No cGVHD biomarker has yet been validated for use in clinical practice. We evaluated both previously known markers and performed discovery-based analysis for cGVHD biomarkers in a 2 independent test sets (total of 36 cases ≤1 month from diagnosis and 31 time-matched controls with no cGVHD). On the basis of these results, 11 markers were selected and evaluated in 2 independent replication cohorts (total of 134 cGVHD cases and 154 controls). cGVHD cases and controls were evaluated for several clinical covariates, and their impact on biomarkers was identified by univariate analysis. The 2 replications sets were relatively disparate in the biomarkers they replicated. Only sBAFF and, most consistently, CXCL10 were identified as significant in both replication sets. Other markers identified as significant in only 1 replication set included intercellular adhesion molecule 1 (ICAM-1), anti-LG3, aminopeptidase N, CXCL9, endothelin-1, and gelsolin. Multivariate analysis found that all covariates evaluated affected interpretation of the biomarkers. CXCL10 had an increased significance in combination with anti-LG3 and CXCL9, or inversely with CXCR3+ CD56bright natural killer (NK) cells. There was significant heterogeneity of cGVHD biomarkers in a large comprehensive evaluation of cGVHD biomarkers impacted by several covariates. Only CXCL10 strongly correlated in both replication sets. Future analyses for plasma cGVHD biomarkers will need to be performed on very large patient groups with consideration of multiple covariates.

Original languageEnglish (US)
Pages (from-to)3082-3091
Number of pages10
Issue number24
StatePublished - Jun 16 2016

ASJC Scopus subject areas

  • Biochemistry
  • Immunology
  • Hematology
  • Cell Biology


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