Biomarkers for the Diagnosis of the Stable Kidney Transplant and Chronic Transplant Injury Using the ProtoArray® Technology

Abstract Transplant glomerulopathy (TG), a form of chronic renal transplant rejection, carries a poor prognosis. It must be differentiated from the entity defined by the Banff '05 classification, interstitial fibrosis/tubular atrophy (IF/TA). Sequential transplant biopsies have shown that these...

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Veröffentlicht in:Transplantation proceedings 2010-11, Vol.42 (9), p.3475-3481
Hauptverfasser: Le Roux, S, Devys, A, Girard, C, Harb, J, Hourmant, M
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container_title Transplantation proceedings
container_volume 42
creator Le Roux, S
Devys, A
Girard, C
Harb, J
Hourmant, M
description Abstract Transplant glomerulopathy (TG), a form of chronic renal transplant rejection, carries a poor prognosis. It must be differentiated from the entity defined by the Banff '05 classification, interstitial fibrosis/tubular atrophy (IF/TA). Sequential transplant biopsies have shown that these lesions are subclinical long before clinical manifestations. The availability of biomarkers may provide an earlier diagnosis and subsequent treatment. The aim of our study was to identify serum biomarkers in kidney recipients showing TG compared with IF/TA or stable patients, using protein microarray technology. This technology detects auto- or alloantibodies in patient sera. With a high degree of statistical significance, we identified 18 antibody reactivities specific for TG; 11 for IF/TA; and 10 among stable patients. Target proteins were involved in signal transduction, transcription regulation, DNA replication and repair, cell cycle, endocytosis, cell redox, as well as glycolysis. Some markers, such as podocan and collagen XXIII among TG and tubular cell ion channels among IF/TA, possibly provide insights into the pathogenesis of the lesions.
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It must be differentiated from the entity defined by the Banff '05 classification, interstitial fibrosis/tubular atrophy (IF/TA). Sequential transplant biopsies have shown that these lesions are subclinical long before clinical manifestations. The availability of biomarkers may provide an earlier diagnosis and subsequent treatment. The aim of our study was to identify serum biomarkers in kidney recipients showing TG compared with IF/TA or stable patients, using protein microarray technology. This technology detects auto- or alloantibodies in patient sera. With a high degree of statistical significance, we identified 18 antibody reactivities specific for TG; 11 for IF/TA; and 10 among stable patients. Target proteins were involved in signal transduction, transcription regulation, DNA replication and repair, cell cycle, endocytosis, cell redox, as well as glycolysis. Some markers, such as podocan and collagen XXIII among TG and tubular cell ion channels among IF/TA, possibly provide insights into the pathogenesis of the lesions.</description><identifier>ISSN: 0041-1345</identifier><identifier>EISSN: 1873-2623</identifier><identifier>DOI: 10.1016/j.transproceed.2010.09.006</identifier><identifier>PMID: 21094800</identifier><identifier>CODEN: TRPPA8</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adult ; Aged ; Atrophy ; Autoantibodies - blood ; Biological and medical sciences ; Biomarkers - blood ; Biopsy ; Chronic Disease ; Female ; Fibrosis ; France ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Graft Rejection - diagnosis ; Graft Rejection - etiology ; Graft Rejection - immunology ; Graft Rejection - pathology ; Humans ; Injuries of the urinary system. Foreign bodies. Diseases due to physical agents ; Isoantibodies - blood ; Kidney - pathology ; Kidney Transplantation - adverse effects ; Male ; Medical sciences ; Middle Aged ; Predictive Value of Tests ; Protein Array Analysis ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tissue, organ and graft immunology ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>Transplantation proceedings, 2010-11, Vol.42 (9), p.3475-3481</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 Elsevier Inc. 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It must be differentiated from the entity defined by the Banff '05 classification, interstitial fibrosis/tubular atrophy (IF/TA). Sequential transplant biopsies have shown that these lesions are subclinical long before clinical manifestations. The availability of biomarkers may provide an earlier diagnosis and subsequent treatment. The aim of our study was to identify serum biomarkers in kidney recipients showing TG compared with IF/TA or stable patients, using protein microarray technology. This technology detects auto- or alloantibodies in patient sera. With a high degree of statistical significance, we identified 18 antibody reactivities specific for TG; 11 for IF/TA; and 10 among stable patients. Target proteins were involved in signal transduction, transcription regulation, DNA replication and repair, cell cycle, endocytosis, cell redox, as well as glycolysis. Some markers, such as podocan and collagen XXIII among TG and tubular cell ion channels among IF/TA, possibly provide insights into the pathogenesis of the lesions.</description><subject>Adult</subject><subject>Aged</subject><subject>Atrophy</subject><subject>Autoantibodies - blood</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Biopsy</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Fibrosis</subject><subject>France</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Graft Rejection - diagnosis</subject><subject>Graft Rejection - etiology</subject><subject>Graft Rejection - immunology</subject><subject>Graft Rejection - pathology</subject><subject>Humans</subject><subject>Injuries of the urinary system. Foreign bodies. Diseases due to physical agents</subject><subject>Isoantibodies - blood</subject><subject>Kidney - pathology</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Protein Array Analysis</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tissue, organ and graft immunology</subject><subject>Traumas. 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subjects Adult
Aged
Atrophy
Autoantibodies - blood
Biological and medical sciences
Biomarkers - blood
Biopsy
Chronic Disease
Female
Fibrosis
France
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Graft Rejection - diagnosis
Graft Rejection - etiology
Graft Rejection - immunology
Graft Rejection - pathology
Humans
Injuries of the urinary system. Foreign bodies. Diseases due to physical agents
Isoantibodies - blood
Kidney - pathology
Kidney Transplantation - adverse effects
Male
Medical sciences
Middle Aged
Predictive Value of Tests
Protein Array Analysis
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Traumas. Diseases due to physical agents
Treatment Outcome
Young Adult
title Biomarkers for the Diagnosis of the Stable Kidney Transplant and Chronic Transplant Injury Using the ProtoArray® Technology
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