The Molecular Landscape of Antibody‐Mediated Kidney Transplant Rejection: Evidence for NK Involvement Through CD16a Fc Receptors

The recent recognition that antibody‐mediated rejection (ABMR) is the major cause of kidney transplant loss creates strong interest in its pathogenesis. We used microarray analysis of kidney transplant biopsies to identify the changes in pure ABMR. We found that the ABMR transcript changes in the in...

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Veröffentlicht in:American journal of transplantation 2015-05, Vol.15 (5), p.1336-1348
Hauptverfasser: Venner, J. M., Hidalgo, L. G., Famulski, K. S., Chang, J., Halloran, P. F.
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container_end_page 1348
container_issue 5
container_start_page 1336
container_title American journal of transplantation
container_volume 15
creator Venner, J. M.
Hidalgo, L. G.
Famulski, K. S.
Chang, J.
Halloran, P. F.
description The recent recognition that antibody‐mediated rejection (ABMR) is the major cause of kidney transplant loss creates strong interest in its pathogenesis. We used microarray analysis of kidney transplant biopsies to identify the changes in pure ABMR. We found that the ABMR transcript changes in the initial Discovery Set were strongly conserved in a subsequent Validation Set. In the Combined Set of 703 biopsies, 2603 transcripts were significantly changed (FDR 
doi_str_mv 10.1111/ajt.13115
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M. ; Hidalgo, L. G. ; Famulski, K. S. ; Chang, J. ; Halloran, P. F.</creator><creatorcontrib>Venner, J. M. ; Hidalgo, L. G. ; Famulski, K. S. ; Chang, J. ; Halloran, P. F.</creatorcontrib><description>The recent recognition that antibody‐mediated rejection (ABMR) is the major cause of kidney transplant loss creates strong interest in its pathogenesis. We used microarray analysis of kidney transplant biopsies to identify the changes in pure ABMR. We found that the ABMR transcript changes in the initial Discovery Set were strongly conserved in a subsequent Validation Set. In the Combined Set of 703 biopsies, 2603 transcripts were significantly changed (FDR &lt; 0.05) in ABMR versus all other biopsies. In cultured cells, the transcripts strongly associated with ABMR were expressed in endothelial cells, e.g. cadherins CDH5 and CDH13; IFNG‐treated endothelial cells, e.g. phospholipase PLA1A and chemokine CXCL11; or NK cells, e.g. cytotoxicity molecules granulysin (GNLY) and FGFBP2. Other ABMR transcripts were expressed in normal kidney but not cell lines, either increased e.g. Duffy chemokine receptor (DARC) or decreased e.g. sclerostin (SOST). Pathway analysis of ABMR transcripts identified angiogenesis, with roles for angiopoietin and vascular endothelial growth factors; leukocyte‐endothelial interactions; and NK signaling, including evidence for CD16a Fc receptor signaling elements shared with T cells. These data support a model of ABMR involving injury‐repair in the microcirculation induced by cognate recognition involving antibody and CD16a, triggering IFNG release and antibody‐dependent NK cell‐mediated cytotoxicity. 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M.</creatorcontrib><creatorcontrib>Hidalgo, L. G.</creatorcontrib><creatorcontrib>Famulski, K. S.</creatorcontrib><creatorcontrib>Chang, J.</creatorcontrib><creatorcontrib>Halloran, P. F.</creatorcontrib><title>The Molecular Landscape of Antibody‐Mediated Kidney Transplant Rejection: Evidence for NK Involvement Through CD16a Fc Receptors</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>The recent recognition that antibody‐mediated rejection (ABMR) is the major cause of kidney transplant loss creates strong interest in its pathogenesis. We used microarray analysis of kidney transplant biopsies to identify the changes in pure ABMR. We found that the ABMR transcript changes in the initial Discovery Set were strongly conserved in a subsequent Validation Set. In the Combined Set of 703 biopsies, 2603 transcripts were significantly changed (FDR &lt; 0.05) in ABMR versus all other biopsies. In cultured cells, the transcripts strongly associated with ABMR were expressed in endothelial cells, e.g. cadherins CDH5 and CDH13; IFNG‐treated endothelial cells, e.g. phospholipase PLA1A and chemokine CXCL11; or NK cells, e.g. cytotoxicity molecules granulysin (GNLY) and FGFBP2. Other ABMR transcripts were expressed in normal kidney but not cell lines, either increased e.g. Duffy chemokine receptor (DARC) or decreased e.g. sclerostin (SOST). Pathway analysis of ABMR transcripts identified angiogenesis, with roles for angiopoietin and vascular endothelial growth factors; leukocyte‐endothelial interactions; and NK signaling, including evidence for CD16a Fc receptor signaling elements shared with T cells. These data support a model of ABMR involving injury‐repair in the microcirculation induced by cognate recognition involving antibody and CD16a, triggering IFNG release and antibody‐dependent NK cell‐mediated cytotoxicity. 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In the Combined Set of 703 biopsies, 2603 transcripts were significantly changed (FDR &lt; 0.05) in ABMR versus all other biopsies. In cultured cells, the transcripts strongly associated with ABMR were expressed in endothelial cells, e.g. cadherins CDH5 and CDH13; IFNG‐treated endothelial cells, e.g. phospholipase PLA1A and chemokine CXCL11; or NK cells, e.g. cytotoxicity molecules granulysin (GNLY) and FGFBP2. Other ABMR transcripts were expressed in normal kidney but not cell lines, either increased e.g. Duffy chemokine receptor (DARC) or decreased e.g. sclerostin (SOST). Pathway analysis of ABMR transcripts identified angiogenesis, with roles for angiopoietin and vascular endothelial growth factors; leukocyte‐endothelial interactions; and NK signaling, including evidence for CD16a Fc receptor signaling elements shared with T cells. These data support a model of ABMR involving injury‐repair in the microcirculation induced by cognate recognition involving antibody and CD16a, triggering IFNG release and antibody‐dependent NK cell‐mediated cytotoxicity. The molecules that distinguish antibody‐mediated rejection of human kidney transplants from other diseases reflect CD16a Fc receptor signaling elements of NK cells and an endothelial injury‐repair response induced by cognate recognition involving antibody and CD16a.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>25787894</pmid><doi>10.1111/ajt.13115</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Algorithms
Antibodies - chemistry
basic (laboratory) research / science
Biopsy
CD4-Positive T-Lymphocytes - cytology
CD8-Positive T-Lymphocytes - cytology
Chemokines
Cohort Studies
Cytotoxicity
Databases, Factual
Female
Graft Rejection
Human Umbilical Vein Endothelial Cells
Humans
Kidney Diseases - pathology
Kidney Diseases - surgery
Kidney Transplantation
kidney transplantation / nephrology
Killer Cells, Natural - cytology
Macrophages - metabolism
Male
Microcirculation
Middle Aged
natural killer (NK) cells / NK receptors
Receptors, IgG - metabolism
rejection: antibody‐mediated (ABMR)
Rodents
signaling / signaling pathways
Transplants & implants
Young Adult
title The Molecular Landscape of Antibody‐Mediated Kidney Transplant Rejection: Evidence for NK Involvement Through CD16a Fc Receptors
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