Review Article

NOD2 Polymorphisms and Their Impact on Haematopoietic Stem Cell Transplant Outcome

Table 1

A comparison of the results published on NOD2 genotype and haematopoietic stem cell transplant outcome.

StudyDonor sourceaRecipient diagnosisbT-cell depletionEffect of NOD2 SNPs

Yes—in vivo Increased severe aGvHD (gr. III-IV) in SNP-positive donors and pairs
Holler et al. 2004 [76]MixedMixed43% WT pairsIncreased severe GI aGvHD with SNP-positive pairs;
48% SNP pairsIncreased transplant-related mortality in SNP-positive pairs

Reduced overall survival with SNP-positive recipients and when both recipient and donor are SNP positive
Holler et al. 2006 [77]RDMixedIncreased transplant-related mortality with increasing numbers of SNPs
Increased severe (gr. III-IV) and severe GI aGvHD with increasing numbers of SNPs

Lower overall and severe aGvHD (gr. III-IV) with SNP-positive donors
Elmaagacli et al. 2006 [78]MixedMixedYes 30%Increased severe aGvHD (gr. III-IV) when both recipient and donor are SNP positive
Reduced disease relapse when both recipient and donor are SNP-positive

Granell et al. 2006 [81]RDMixedYes, 100%Reduced disease-free survival in SNP positive recipients.

Yes—in vivo AlemtuzumabReduced overall survival in SNP-positive recipients and pairs
Mayor et al. 2007 [82]UDAcute
leukaemia
82% WT pairsIncreased disease relapse in SNP-positive recipients and pairs
85% SNP pairsReduced disease-free survival in SNP-positive recipients and pairs

Yes,Reduced overall survival in SNP-positive pairs (sibling HSCT) and SNP 13 positive donors (UD)
Holler et al. 2008 [78, 83]MixedMixed78% cohort 1,Increased severe aGvHD (gr III-IV) with SNP-positive pairs (sibling and UD) and SNP 13 positive donors (UD)
22% cohort 2Increased transplant-related mortality with SNP-positive pairs (sibling HSCT) and SNP 13 positive donors (UD)

van der Velden et al. 2009 [79]RDMixedYes, 100%Increased severe aGvHD (gr. III-IV) in SNP-positive pairs
Increased transplant-related mortality in SNP-positive pairs

Wermke et al. 2010 [84]MixedMixedYes, in vivo ATG for UD, 31.6%Increased disease relapse in SNP-positive recipients (trend at MV)
Trend for less GI aGvHD in SNP-positive recipients (UV only)

Elmaagacli et al. 2011 [85]RDAMLNoneIncrease in overall (gr. I–IV) and severe (gr. III-IV) aGvHD in SNP-positive recipients

Kreyenberg et al. 2011 [86]Unknown
allogeneic
MixedReduced overall survival in SNP 13 positive recipients
Increased transplant-related mortality in SNP 13 positive recipients

Ditschkowski et al. 2007 [87]MixedMixedYes, 30% in vivo No significant effects on BO or BOOP

Hildebrandt et al. 2008 [88]MixedMixedYes, 37%BO increased in SNP-positive recipients

Sairafi et al. 2008 [89]MixedMixedYes, 61%No significant effects

Gruhn et al. 2009 [90]MixedMixedNoneNo significant effects

Nguyen et al. 2010 [91]UDMixedNoneNo significant effects

van der Straaten et al. 2011 [92]MixedMixedYes, in vivo ATG for UD and HLA-mismatched RDNo significant effects

aMixed as a donor source denotes both related (RD) and unrelated donors (UD) were used.
bMixed as a recipient diagnosis indicates that the included recipients underwent HSCT for any one of a number of diseases.