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The handle http://hdl.handle.net/1887/20472 holds various files of this Leiden University dissertation.

Author: Kim, Yeung-Hyen

Title: Mechanistic studies on human minor histocompatibility antigens in graft-versus- host disease

Issue Date: 2013-01-30

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Mechanistic studies on human minor Histocompatibility antigens

in graft-versus-host disease

Yeung-Hyen Kim

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Mechanistic studies on human minor Histocompatibility antigens

in graft-versus-host disease

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden,

op gezag van de Rector Magnificus Prof. mr

.

P.F. van der Heijden volgens besluit van het College voor Promoties

te verdedigen op Woensdag 30 Januari 2013 klokke 16:15 uur

door

Yeung-Hyen Kim

geboren te Cheongdo, Zuid Korea in 1977

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Promotiecommissie:

© Copyright by Yeung-Hyen Kim, 2013

ISBN: 978-90-6464-629-4

The research described in this thesis was conducted at the department of Immunohematology and Blood Transfusion at the Leiden University Medical Center and was financially supported by Dutch Cancer Society (KWF kanker bestrijding).

Financial support for the publication of this thesis was provided by the Dutch Cancer Society (KWF kanker bestrijding).

Cover picture: Detection of antigen-specific T cells in cryopreserved human skin tissues.

Designed by GVO drukkers & vormgevers B.V. | Ponsen & Looijen

Printed by: GVO drukkers & vormgevers B.V. | Ponsen & Looijen Promotor: Prof. Dr. E.A.J.M. Goulmy

Copromotor: Dr. E. Spierings Universiteit Utrecht

Overige leden: Prof. Dr. F.H.J. Claas Prof. Dr. A. Brand

Dr.T. Mutis Universiteit Utrecht

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“For a research worker, the unforgotten moments of his life are those rare ones, which come after years of plodding work, when the veil over nature’s secret seem suddenly to lift and when what was dark and chaotic appears in a clear and beautiful light and pattern.”

- Gerty T. Cori -

For my family

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Contents

Chapter 1 General introduction 9

Chapter 2 In situ detection of antigen-specific T cells 37

In situ visualization of antigen-specific T cells in cryopreserved human tissues.

J Immunol Methods. 2006 Mar 20;310(1-2):78-85

Chapter 3 HY T cells in skin GVHD 53

In situ detection of HY-specific T cells in acute graft-versus-host disease- affected male skin after sex-mismatched stem cell transplantation.

Biol Blood Marrow Transplant. 2012 Mar;18(3):381-7

Chapter 4 HA-1 T cells in skin GVHD 71

Exogenous addition of minor H antigen HA-1+ dendritic cells to skin tissues ex vivo causes infiltration and activation of HA-1-specific cytotoxic T cells.

Biol Blood Marrow Transplant. 2011 Jan;17(1):69-77

Chapter 5 Minor H antigens in GVHD and GVL 93 Multi-center analyses demonstrate significant clinical effects of minor

Histocompatibility antigens on GVHD and GVL after HLA matched related and unrelated stem-cell transplant.

Submitted for publication

Chapter 6 Summary and General discussion 115

Chapter 7 Dutch summary 129

Abbreviations 137

List of publications 141

Curriculum Vitae 145

Acknowledgements 149

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