Kariminik Ashraf, Yaghobi Ramin, Dabiri Shahriar
From the Department of Microbiology, Shiraz Branch, Islamic Azad University, Shiraz, Iran; and the Department of Microbiology, Kerman Branch, Islamic Azad University,Kerman,Iran.
Exp Clin Transplant. 2018 Feb;16(1):50-54. doi: 10.6002/ect.2015.0361. Epub 2016 Oct 14.
It has been hypothesized that BK polyomavirus infection leads to nephropathy in kidney transplant patients via various plausible mechanisms, such as stimulation of chemokines. The CXCL11 gene may also play a role in BK polyomavirus-associated nephropathy. Our aim was to compare expression levels of CXCL11 in BK polyomavirus-infected versus noninfected kidney transplant patients with nephropathy and healthy controls.
We performed a cross-sectional study of 58 kidney transplant patients with the risk of BK polyomavirus infection; these patients were subgrouped as BK polyomavirus-infected (23 patients) and noninfected (35 patients). We also enrolled 30 healthy patients as controls in this study. The BK polyomavirus genome load was evaluated using a quantitative real-time polymerase chain reaction protocol in kidney transplant patients. We analyzed CXCL11 gene expression and protein levels using in-house SYBR green real-time polymerase chain reaction and enzyme-linked immunosorbent assay protocols.
The expression level of the CXCL11 gene was increased 22.37 ± 23.1-fold in BK polyomavirus-infected kidney recipients and 12 ± 24-fold in noninfected patients versus that shown in controls.
From these results, we concluded that BK polyomavirus infection can induce CXCL11 gene expression in kidney transplant patients compared with that shown in patients without BK infection and healthy patients. However, further studies are needed to determine the accurate counteraction between BK polyomavirus infection and CXCL11 in kidney transplant patients.
据推测,BK多瘤病毒感染通过多种可能机制导致肾移植患者发生肾病,如刺激趋化因子。CXCL11基因可能在BK多瘤病毒相关性肾病中也发挥作用。我们的目的是比较BK多瘤病毒感染的与未感染的肾病肾移植患者以及健康对照者中CXCL11的表达水平。
我们对58例有BK多瘤病毒感染风险的肾移植患者进行了一项横断面研究;这些患者被分为BK多瘤病毒感染组(23例患者)和未感染组(35例患者)。我们还纳入了30例健康患者作为本研究的对照。使用定量实时聚合酶链反应方案评估肾移植患者的BK多瘤病毒基因组负荷。我们使用内部SYBR绿实时聚合酶链反应和酶联免疫吸附测定方案分析CXCL11基因表达和蛋白水平。
与对照组相比,BK多瘤病毒感染的肾移植受者中CXCL11基因表达水平增加了22.37±23.1倍,未感染患者中增加了12±24倍。
根据这些结果我们得出结论,与未感染BK的患者和健康患者相比,BK多瘤病毒感染可诱导肾移植患者CXCL11基因表达。然而,需要进一步研究以确定BK多瘤病毒感染与肾移植患者中CXCL11之间的确切相互作用。