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转化生长因子-β1 和精氨酸酶-1 水平与肾移植后长期生存的关系。

Relationship of Transforming Growth Factor-βl and Arginase-1 Levels with Long-term Survival after Kidney Transplantation.

机构信息

Institute of Organ Transplantation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Key Laboratory of Organ Transplantation, Ministry of Health, and Key Laboratory of Organ Transplantation, Ministry of Education, Wuhan, 430030, China.

Department of Otolaryngology-Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

Curr Med Sci. 2018 Jun;38(3):455-460. doi: 10.1007/s11596-018-1900-7. Epub 2018 Jun 22.

Abstract

In this study, we compared the serum levels of transforming growth factor-pi (TGF-β1), interleukin-10 (IL-10), and arginase-1 in long-term survival kidney transplant recipients (LTSKTRs) with those in short-term survival kidney transplant recipients (STSKTRs). We then evaluated the relationship between these levels and graft function. Blood samples were collected from 50 adult LTSKTRs and 20 STSKTRs (graft survival approximately 1-3 years post-transplantation). All patients had stable kidney function. The samples were collected at our institution during the patients' follow-up examinations between March 2017 and September 2017. The plasma levels of TGF-β1, IL-10, and arginase-1 were analyzed using enzyme-linked immunosorbent assays (ELIS A). The levels of TGF-β1 and arginase-1 were significantly higher in the LTSKTRs than in the STSKTRs. The time elapsed since transplantation was positively correlated with the levels of TGF-β1 and arginase-1 in the LTSKTRs. The estimated glomerular filtration rate was positively correlated with the TGF-β1 level, and the serum creatinine level was negatively correlated with the TGF-β1 level. Higher serum levels of TGF-pi and arginase-1 were found in LTSKTRs than in STSKTRs, and we found that TGF-β1 was positively correlated with long-term graft survival and function. Additionally, TGF-β1 and arginase-1 levels were positively correlated with the time elapsed since transplantation. On the basis of these findings, TGF-β1 and arginase-1 may play important roles in determining long-term graft survival. Thus, we propose that TGF-pi and arginase-1 may potentially be used as predictive markers for evaluating long-term graft survival.

摘要

在这项研究中,我们比较了长期存活肾移植受者(LTSKTR)与短期存活肾移植受者(STSKTR)的血清转化生长因子-β1(TGF-β1)、白细胞介素-10(IL-10)和精氨酸酶-1 水平。然后,我们评估了这些水平与移植物功能之间的关系。采集了 50 名成年 LTSKTR 和 20 名 STSKTR(移植后约 1-3 年)的血液样本。所有患者均具有稳定的肾功能。这些样本是在 2017 年 3 月至 2017 年 9 月期间,在我们机构对患者的随访检查中采集的。使用酶联免疫吸附测定(ELISA)分析 TGF-β1、IL-10 和精氨酸酶-1 的血浆水平。LTSKTR 中的 TGF-β1 和精氨酸酶-1 水平明显高于 STSKTR。LTSKTR 中 TGF-β1 和精氨酸酶-1 的水平与移植后时间呈正相关。估计肾小球滤过率与 TGF-β1 水平呈正相关,血清肌酐水平与 TGF-β1 水平呈负相关。LTSKTR 中的 TGF-β1 和精氨酸酶-1 血清水平高于 STSKTR,我们发现 TGF-β1 与长期移植物存活和功能呈正相关。此外,TGF-β1 和精氨酸酶-1 水平与移植后时间呈正相关。基于这些发现,TGF-β1 和精氨酸酶-1 可能在决定长期移植物存活中起重要作用。因此,我们提出 TGF-β1 和精氨酸酶-1 可能可作为评估长期移植物存活的预测标志物。

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