Serum amyloid A protein concentration in bone marrow transplantation for β thalassaemia

M. Uguccioni, R. Meliconi, E. Lalli, S. Nesci, C. Delfini, G. Lucarelli, G. Gasbarrini, A. Facchini

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: To investigate whether serum amyloid A protein (SAA) and C-reactive protein (CRP) concentrations could be used in the management of β thalassaemic patients undergoing bone marrow transplantation (BMT). Methods: Serum SAA and CRP concentrations were determined in paired samples from 66 patients with β thalassaemia before and after BMT. Serum SAA concentrations were determined by an enzyme linked immunoassay (EIA); serum CRP concentrations were determined by a nephelometric assay. Results: Serum SAA concentrations before transplantation were significantly higher in the group that subsequently rejected the transplant than the group without complications. SAA concentrations increased after BMT in acute graft versus host disease (GvHD) and rejection. No significant increase in SAA or CRP was found in chronic GvHD. Increases in serum in SAA and CRP concentrations were not related to concomitant infection episodes. Conclusions: The different acute phase response in acute GvHD and rejection compared with chronic GvHD suggests that different immunopathogenic mechanisms are responsible.

Original languageEnglish
Pages (from-to)348-351
Number of pages4
JournalJournal of Clinical Pathology
Volume45
Issue number4
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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