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Access through your institution Buy or subscribe Mannan-binding lectin (MBL) is an acute phase protein that is synthesized in the liver and involved in first-line immune defense. Together
with MBL-associated serine proteases (MASPs), MBL mediates opsonization and activates the lectin pathway of C'. The MBL gene is highly polymorphic and specific single-nucleotide
polymorhism (SNP) patterns define at least 7 common haplotypes, giving 28 genotype possibilities. Exon-1 and/or promoter SNPs affect MBL serum levels and/or function (reviewed in ref. 1).
Particular SNPs and/or low serum levels are listed among common human immunodeficiencies but only rarely translate into a severe clinical phenotype.1 Nonetheless, in hematopoietic stem cell
transplantation (HSCT), a setting that _per se_ causes a transient but profound state of immunodeficiency, low MBL levels or particular MBL genotypes are reported to contribute to and
increase the rate of transplant-related infections. In consideration of the so far inconsistent findings of the role of MBL in HSCT in adult,2, 3, 4, 5 as well as pediatric6 HSCT, we
prospectively investigated the impact of MBL levels, genotypes and MASP-2 levels in a series of 99 pediatric (_n_=96) and young adult (_n_=3) HSCT recipients. MBL deficiency was defined by
MBL levels <300 ng/mL and/or particular MBL haplotypes. Patient characteristics, MBL genotype data and corresponding MBL levels are summarized in the Supplementary Information together
with MASP-2 serum levels and statistical analyses. This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this
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support REFERENCES * Heitzeneder S, Seidel M, Forster-Waldl E, Heitger A . Mannan-binding lectin deficiency—good news, bad news, doesn't matter? _Clin Immunol_ 2012; 143: 22–38. Article
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myeloablative sibling allogeneic hematopoietic stem cell transplantation. _Blood_ 2008; 112: 2120–2128. Article CAS Google Scholar * Rocha V, Franco RF, Porcher R, Bittencourt H, Silva WA
Jr., Latouche A _et al_. Host defense and inflammatory gene polymorphisms are associated with outcomes after HLA-identical sibling bone marrow transplantation. _Blood_ 2002; 100: 3908–3918.
Article CAS Google Scholar * Neth OW, Bacher U, Das P, Zabelina T, Kabisch H, Kroeger N _et al_. Influence of mannose-binding lectin genotypes and serostatus in Allo-SCT: analysis of 131
recipients and donors. _Bone Marrow Transplant_ 2009; 45: 13–19. Article Google Scholar * Granell M, Urbano-Ispizua A, Suarez B, Rovira M, Fernandez-Aviles F, Martinez C _et al_.
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references ACKNOWLEDGEMENTS We express our gratitude to the nurses of the stem cell transplantation unit and outpatient clinic for collecting the samples and, most of all, to the patients
and their parents for supporting the study by giving their informed consent and donating blood. This work was supported in part by a grant from the Austrian National Bank (#13075) and by an
Institutional Grant of the CCRI. It is dedicated to our friend, colleague and mentor—AH, who planned and supervised this study and who unexpectedly passed away after finalization of the
manuscript. AUTHOR INFORMATION Author notes * S Heitzeneder Present address: Pediatric Oncology Branch, National Cancer Institute, Bldg 10-CRC, R 1W-3840, 10 Center Dr, Bethesda, MD 20892,
USA, AUTHORS AND AFFILIATIONS * Transplantation Immunology, Children’s Cancer Research Institute, Vienna, Austria S Heitzeneder, U Pötschger, M Hölzl, D Heja, O A Haas & A Heitger *
medgen.at GmbH, Vienna, Austria P Zeitlhofer & O A Haas * St. Anna Kinderspital, Medical University Vienna, Vienna, Austria E Nowak, M G Seidel, A Lawitschka, E Förster-Waldl, S
Matthes-Martin, O A Haas & A Heitger * Department of Pediatrics, Medical University Vienna, Vienna, Austria E Förster-Waldl Authors * S Heitzeneder View author publications You can also
search for this author inPubMed Google Scholar * P Zeitlhofer View author publications You can also search for this author inPubMed Google Scholar * U Pötschger View author publications You
can also search for this author inPubMed Google Scholar * E Nowak View author publications You can also search for this author inPubMed Google Scholar * M G Seidel View author publications
You can also search for this author inPubMed Google Scholar * M Hölzl View author publications You can also search for this author inPubMed Google Scholar * A Lawitschka View author
publications You can also search for this author inPubMed Google Scholar * E Förster-Waldl View author publications You can also search for this author inPubMed Google Scholar * S
Matthes-Martin View author publications You can also search for this author inPubMed Google Scholar * D Heja View author publications You can also search for this author inPubMed Google
Scholar * O A Haas View author publications You can also search for this author inPubMed Google Scholar * A Heitger View author publications You can also search for this author inPubMed
Google Scholar CORRESPONDING AUTHOR Correspondence to S Heitzeneder. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. ADDITIONAL INFORMATION Supplementary
Information accompanies this paper on Bone Marrow Transplantation website SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION (DOC 147 KB) RIGHTS AND PERMISSIONS Reprints and permissions
ABOUT THIS ARTICLE CITE THIS ARTICLE Heitzeneder, S., Zeitlhofer, P., Pötschger, U. _et al._ Mannan-binding lectin deficiency attenuates acute GvHD in pediatric hematopoietic stem cell
transplantation. _Bone Marrow Transplant_ 50, 1127–1129 (2015). https://doi.org/10.1038/bmt.2015.81 Download citation * Published: 11 May 2015 * Issue Date: August 2015 * DOI:
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