About: B-cell-related biomarkers of tolerance are up-regulated in rejection-free kidney transplant recipients     Goto   Sponge   NotDistinct   Permalink

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  • Background: Molecular signatures have recently been identified in operationally tolerant long-term kidney transplant patients; however, their expression in patients on immunosuppression remains unclear. Methods. In this prospective study, the gene expression profiles of eight selected tolerance-associated genes (MS4A1, CD79B, TCL1A, TMEM176B, FOXP3, TOAG-1, MAN1A1, and TLR5) in the peripheral blood of 67 kidney transplant recipients at days 0, 7, 14, 21, 28, 60, 90, and at 6 and 12 months, and in graft biopsies were measured. Similarly, using flow cytometry, CD45(+)CD19(+)CD3(-) B-cell counts were evaluated in the follow-up. Expression patterns were compared among patients with biopsy-proven acute rejection, borderline changes, and in rejection-free patients. A generalized linear mixed model with gamma distribution for repeated measures adjusted for induction therapy was used for statistical analysis of longitudinal data and Kruskal-Wallis test for case biopsy data. Results. Compared to patients with rejection, a significantly higher number of peripheral B cells were observed during follow-up in rejection-free patients and in patients with borderline changes. Gene expression patterns of MS4A1 (CD20), TCL1A, CD79B, TOAG-1, and FOXP3 genes were significantly higher in rejection-free patients as compared to rejection group with the highest differences during the first 3 months. In contrast, TMEM176B (TORID) was up-regulated in the rejection group. Similar trends were also observed between patients with borderline changes and acute rejection. Higher intragraft expression of TOAG-1 was observed in rejection-free patients. Conclusions. These observations suggest an association of B-cell signatures, seen also in drug-free tolerant patients, with controlled alloimmune response.
  • Background: Molecular signatures have recently been identified in operationally tolerant long-term kidney transplant patients; however, their expression in patients on immunosuppression remains unclear. Methods. In this prospective study, the gene expression profiles of eight selected tolerance-associated genes (MS4A1, CD79B, TCL1A, TMEM176B, FOXP3, TOAG-1, MAN1A1, and TLR5) in the peripheral blood of 67 kidney transplant recipients at days 0, 7, 14, 21, 28, 60, 90, and at 6 and 12 months, and in graft biopsies were measured. Similarly, using flow cytometry, CD45(+)CD19(+)CD3(-) B-cell counts were evaluated in the follow-up. Expression patterns were compared among patients with biopsy-proven acute rejection, borderline changes, and in rejection-free patients. A generalized linear mixed model with gamma distribution for repeated measures adjusted for induction therapy was used for statistical analysis of longitudinal data and Kruskal-Wallis test for case biopsy data. Results. Compared to patients with rejection, a significantly higher number of peripheral B cells were observed during follow-up in rejection-free patients and in patients with borderline changes. Gene expression patterns of MS4A1 (CD20), TCL1A, CD79B, TOAG-1, and FOXP3 genes were significantly higher in rejection-free patients as compared to rejection group with the highest differences during the first 3 months. In contrast, TMEM176B (TORID) was up-regulated in the rejection group. Similar trends were also observed between patients with borderline changes and acute rejection. Higher intragraft expression of TOAG-1 was observed in rejection-free patients. Conclusions. These observations suggest an association of B-cell signatures, seen also in drug-free tolerant patients, with controlled alloimmune response. (en)
Title
  • B-cell-related biomarkers of tolerance are up-regulated in rejection-free kidney transplant recipients
  • B-cell-related biomarkers of tolerance are up-regulated in rejection-free kidney transplant recipients (en)
skos:prefLabel
  • B-cell-related biomarkers of tolerance are up-regulated in rejection-free kidney transplant recipients
  • B-cell-related biomarkers of tolerance are up-regulated in rejection-free kidney transplant recipients (en)
skos:notation
  • RIV/00023001:_____/13:00057600!RIV14-GA0-00023001
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(GAP301/11/1568), P(NS10517)
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 62983
http://linked.open...ai/riv/idVysledku
  • RIV/00023001:_____/13:00057600
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Kidney transplantation, Tolerance, B cell, TCL-1, CD20, Rejection (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [34825983AB8D]
http://linked.open...i/riv/nazevZdroje
  • Transplantation
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 95
http://linked.open...iv/tvurceVysledku
  • Brabcová, Irena
  • Hřibová, Petra
  • Viklický, Ondřej
  • Wohlfahrt, Peter
  • Sekerková, Alena
  • Stříž, Ilja
  • Slatinská, Janka
  • Krepsová, Eva
  • Reinke, Petra
  • Sawitzki, Birgit
  • Volk, Hans-Dieter
  • Wohlfahrtová, Mariana
http://linked.open...ain/vavai/riv/wos
  • 000313058700022
issn
  • 0041-1337
number of pages
http://bibframe.org/vocab/doi
  • 10.1097/TP.0b013e3182789a24
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