Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model

Bone marrow transplantation (BMT) is currently the treatment of choice for patients with globoid cell leukodystrophy (GLD), particularly in the early phases of the disease. Elevated interleukin (IL)-6 levels in the central nervous system of the twitcher mouse, an animal model for GLD, have be...

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Main Authors: Maide Ozen, Duygu Uçkan, Mualla Cetin, Ilhan Tezcan, Murat Tuncer, Banu Anlar
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2007-07-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/2556
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author Maide Ozen
Duygu Uçkan
Mualla Cetin
Ilhan Tezcan
Murat Tuncer
Banu Anlar
author_facet Maide Ozen
Duygu Uçkan
Mualla Cetin
Ilhan Tezcan
Murat Tuncer
Banu Anlar
author_sort Maide Ozen
collection DOAJ
description Bone marrow transplantation (BMT) is currently the treatment of choice for patients with globoid cell leukodystrophy (GLD), particularly in the early phases of the disease. Elevated interleukin (IL)-6 levels in the central nervous system of the twitcher mouse, an animal model for GLD, have been held responsible for severe graft versus host disease (GVHD), and IL-6 knock-out mice have shown lower incidence of GVHD after BMT. Here we report an eight-year-old girl with late-onset advanced stage of GLD who developed severe GVHD and died following unrelated 5/6 matched cord blood transplantation. Serum IL-6 levels pre-BMT and at day +38 were elevated (20 pg/ml and 15 pg/ml, respectively). This observation may support the findings in twitcher mice suggesting a possible role for IL-6 in the pathogenesis of GVHD in transplanted patients with GLD.
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institution OA Journals
issn 0041-4301
2791-6421
language English
publishDate 2007-07-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-e1f00f799bdb4021b7c729b9e50c8c1c2025-08-20T02:01:49ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212007-07-01493Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse modelMaide Ozen0Duygu UçkanMualla CetinIlhan TezcanMurat TuncerBanu AnlarUnit of Bone Marrow Transplantation, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey. Bone marrow transplantation (BMT) is currently the treatment of choice for patients with globoid cell leukodystrophy (GLD), particularly in the early phases of the disease. Elevated interleukin (IL)-6 levels in the central nervous system of the twitcher mouse, an animal model for GLD, have been held responsible for severe graft versus host disease (GVHD), and IL-6 knock-out mice have shown lower incidence of GVHD after BMT. Here we report an eight-year-old girl with late-onset advanced stage of GLD who developed severe GVHD and died following unrelated 5/6 matched cord blood transplantation. Serum IL-6 levels pre-BMT and at day +38 were elevated (20 pg/ml and 15 pg/ml, respectively). This observation may support the findings in twitcher mice suggesting a possible role for IL-6 in the pathogenesis of GVHD in transplanted patients with GLD. https://turkjpediatr.org/article/view/2556
spellingShingle Maide Ozen
Duygu Uçkan
Mualla Cetin
Ilhan Tezcan
Murat Tuncer
Banu Anlar
Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
The Turkish Journal of Pediatrics
title Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
title_full Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
title_fullStr Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
title_full_unstemmed Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
title_short Severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation: resemblance to the twitcher mouse model
title_sort severe graft versus host disease in a patient with globoid cell leukodystrophy following umbilical cord blood transplantation resemblance to the twitcher mouse model
url https://turkjpediatr.org/article/view/2556
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AT muallacetin severegraftversushostdiseaseinapatientwithgloboidcellleukodystrophyfollowingumbilicalcordbloodtransplantationresemblancetothetwitchermousemodel
AT ilhantezcan severegraftversushostdiseaseinapatientwithgloboidcellleukodystrophyfollowingumbilicalcordbloodtransplantationresemblancetothetwitchermousemodel
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