Immunology Service, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA), 30120 Murcia, Spain.
Nephrology Service, Instituto Murciano de Investigación Biosanitaria (IMIB), Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA), 30120 Murcia, Spain.
Int J Mol Sci. 2023 Feb 15;24(4):3908. doi: 10.3390/ijms24043908.
The process and evolution of an organ transplant procedure has evolved in terms of the prevention of immunological rejection with the improvement in the determination of immune response genes. These techniques include considering more important genes, more polymorphism detection, more refinement of the response motifs, as well as the analysis of epitopes and eplets, its capacity to fix complement, the PIRCHE algorithm and post-transplant monitoring with promising new biomarkers that surpass the classic serum markers such as creatine and other similar parameters of renal function. Among these new biomarkers, we analyze new serological, urine, cellular, genomic and transcriptomic biomarkers and computational prediction, with particular attention to the analysis of donor free circulating DNA as an optimal marker of kidney damage.
器官移植程序的过程和演变在免疫反应基因的确定方面得到了改进,从而防止了免疫排斥。这些技术包括考虑更重要的基因,更多的多态性检测,更精细的反应基序,以及表位和小表位的分析,其固定补体的能力,PIRCHE 算法以及具有有前途的新生物标志物的移植后监测,这些新生物标志物超过了经典的血清标志物,如肌酐和其他类似的肾功能参数。在这些新的生物标志物中,我们分析了新的血清学、尿液、细胞、基因组和转录组生物标志物和计算预测,特别关注分析作为肾脏损伤最佳标志物的供体游离循环 DNA。