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The goal of this research proposal is to identify a miRNA expression profile as a biomarker to diagnose and predict acute graft versus host disease (aGVHD) in patients who undergo allogeneic transplantation. This biomarker, once identified, will need validation in larger cohorts.
Human subjects that volunteer to participate in this study will be requested to have approximately 20 cc of blood drawn (about 12 tablespoons) at several time intervals. These time intervals include prior to conditioning regimen for transplant, the day of transplantation, day +30, +60 and +100 after transplantation. If a given subject develops acute graft-versus-host disease, a blood sample will be obtained at that time as well. The amount of blood samples collected in an 8 week period will not exceed 50 ml and collection will not occur more than twice a week. There will be no pregnant women or children involved in the investigators study.
All patients involved in the study will be undergoing bone marrow transplant and pregnancy screening is done in pre-transplant testing. This blood will be collected in lavender top, EDTA tubes; some plasma (or serum) may be collected and stored for additional analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| aGVHD | Patient who undergo allogeneic transplant with clinical and/or biopsy-proven diagnosis of aGVHD within the first 100 days post-transplant. |
| |
| non aGVHD | Patients who undergo allogeneic transplant but do not develop aGVHD. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peripheral Venipuncture or Blood draw from Central Line | Other |
|
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| Measure | Description | Time Frame |
|---|---|---|
| Identify plasma microRNA expression in stem cell transplant patients with acute graft versus host disease compared to controls. | 24 months |
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Inclusion Criteria:
Exclusion Criteria:
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All patients included in the study will be patients undergoing allogeneic transplantation, and some will suffer from aGVHD and some will not.
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| Name | Affiliation | Role |
|---|---|---|
| Cheryl Mensah, MD | Northwell Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Monter Cancer Center | Lake Success | New York | 11042 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19282026 | Result | Ferrara JL, Levine JE, Reddy P, Holler E. Graft-versus-host disease. Lancet. 2009 May 2;373(9674):1550-61. doi: 10.1016/S0140-6736(09)60237-3. Epub 2009 Mar 11. | |
| 23165480 | Result | Paczesny S. Discovery and validation of graft-versus-host disease biomarkers. Blood. 2013 Jan 24;121(4):585-94. doi: 10.1182/blood-2012-08-355990. Epub 2012 Nov 19. |
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| ID | Term |
|---|---|
| D018962 | Phlebotomy |
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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This blood will be collected in lavender top, EDTA tubes; some plasma (or serum) may be collected and stored for additional analysis.
Plasma and serum samples from all patients will be frozen at -20 o C immediately after collection. RNAs will be extracted from plasma using Ambion RecoverAll kits, according to the directions provided by the manufacturer. Quantitative reverse-transcriptase polymerase chain reaction (qRT-PCR) will be performed on the samples as well. 754 microRNAs will be tested using ABI OpenArray platform.
| 24041574 | Result | Xiao B, Wang Y, Li W, Baker M, Guo J, Corbet K, Tsalik EL, Li QJ, Palmer SM, Woods CW, Li Z, Chao NJ, He YW. Plasma microRNA signature as a noninvasive biomarker for acute graft-versus-host disease. Blood. 2013 Nov 7;122(19):3365-75. doi: 10.1182/blood-2013-06-510586. Epub 2013 Sep 16. |
| 24494749 | Result | Xie LN, Zhou F, Liu XM, Fang Y, Yu Z, Song NX, Kong FS. Serum microRNA155 is increased in patients with acute graft-versus-host disease. Clin Transplant. 2014 Mar;28(3):314-23. doi: 10.1111/ctr.12314. Epub 2014 Feb 4. |
| D011677 | Punctures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |