肾移植受者中伴有亚临床炎症的间质纤维化和肾小管萎缩的mRNA分析

Profiling of mRNA of interstitial fibrosis and tubular atrophy with subclinical inflammation in recipients after kidney transplantation.

作者信息

Fu Qiang, Liao Minxue, Feng Cheng, Tang Jichao, Liao Rui, Wei Liang, Yang Hongji, Markmann James F, Chen Kai, Deng Shaoping

机构信息

Organ Transplantation Center, Sichuan Provincial People's Hospital and School of Medicine of University of Electronic Science and Technology of China, Chengdu 610072, Sichuan, China.

Transplant Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02148, USA.

出版信息

Aging (Albany NY). 2019 Jul 25;11(14):5215-5231. doi: 10.18632/aging.102115.

Abstract

Interstitial fibrosis and tubular atrophy (IFTA) with inflammation (IFTA-I) is strongly correlated with kidney allograft failure. Diagnosis of IFTA-I accurately and early is critical to prevent graft failure and improve graft survival. In the current study, through analyzing the renal allograft biopsy in patients with stable function after kidney transplantation (STA), IFTA and IFTA-I group with semi-supervised principal components methods, we found that CD2, IL7R, CCL5 based signature could not only distinguish STA and IFTA-I well, but predict IFTA-I with a high degree of accuracy with an area under the curve (AUC) of 0.91 ( = 0.00023). Additionally, IRF8 demonstrated significant differences among STA, IFTA and IFTA-I groups, suggesting that IRF8 had the capacity to discriminate the different classifications of graft biopsies well. Also, with Kaplan-Meier and log-rank methods, we found that IRF8 could serve as the prognostic marker for renal graft failure in those biopsies without rejection (AUC = 0.75) and the recipients expressing high had a higher risk for renal graft loss ( < 0.0001). This research may provide new targets for therapeutic prevention and intervention for post-transplantation IFTA with or with inflammation.

摘要

伴有炎症的间质纤维化和肾小管萎缩(IFTA-I)与肾移植失败密切相关。准确早期诊断IFTA-I对于预防移植失败和提高移植存活率至关重要。在本研究中,通过使用半监督主成分方法分析肾移植后功能稳定患者(STA)的肾移植活检、IFTA和IFTA-I组,我们发现基于CD2、IL7R、CCL5的特征不仅能很好地区分STA和IFTA-I,而且能以0.91的曲线下面积(AUC)(P = 0.00023)高度准确地预测IFTA-I。此外,IRF8在STA、IFTA和IFTA-I组之间表现出显著差异,表明IRF8有能力很好地区分移植活检的不同分类。同样,通过Kaplan-Meier和对数秩检验方法,我们发现IRF8可作为无排斥反应活检中肾移植失败的预后标志物(AUC = 0.75),且表达高水平IRF8的受者肾移植丢失风险更高(P < 0.0001)。本研究可能为有或无炎症的移植后IFTA的治疗预防和干预提供新靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fad5/6682514/74d4cb3f7d6f/aging-11-102115-g001.jpg

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