Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants

Maria Cappuccilli,1 Gabriele Donati,1 Giorgia Comai,1 Olga Baraldi,1 Diletta Conte,1 Irene Capelli,1 Valeria Aiello,1 Andrea Pession,2 Gaetano La Manna1 1Department of Experimental Diagnostic and Specialty Medicine (DIMES), Nephrology, Dialysis, and Renal Transplant Unit, 2Molecular Laboratory of Pe...

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Autores principales: Cappuccilli M, Donati G, Comai G, Baraldi O, Conte D, Capelli I, Aiello V, Pession A, La Manna G
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:0ae714a48f4a44bf8210a762e51d780a2021-12-02T00:17:38ZIdentification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants1178-7031https://doaj.org/article/0ae714a48f4a44bf8210a762e51d780a2017-05-01T00:00:00Zhttps://www.dovepress.com/identification-of-expanded-t-cell-clones-by-spectratyping-in-nonfuncti-peer-reviewed-article-JIRhttps://doaj.org/toc/1178-7031Maria Cappuccilli,1 Gabriele Donati,1 Giorgia Comai,1 Olga Baraldi,1 Diletta Conte,1 Irene Capelli,1 Valeria Aiello,1 Andrea Pession,2 Gaetano La Manna1 1Department of Experimental Diagnostic and Specialty Medicine (DIMES), Nephrology, Dialysis, and Renal Transplant Unit, 2Molecular Laboratory of Pediatrics, Hematology–Oncology Unit, St Orsola Hospital, University of Bologna, Bologna, Italy Background: The aim of this study was the application of complementarity-determining region-3 spectratyping analysis to determine T-cell-repertoire complexity and to detect T-cell-clone expansion, as a measure of immune response in nonfunctioning kidney transplants (group hemodialysis-transplant [HD-Tx]), nontransplanted dialysis patients (group hemodialysis [HD]), and normal subjects as controls (group C).Patients and methods: Analysis of T-cell receptor (TCR) diversity by spectratyping was applied to peripheral blood samples collected from 21 subjects: eight in group HD-Tx, seven in group HD, and six in group C.Results: Considering the extent of the skew in TCR variable region repertoires as a measure of clonal T cells, we found that the number of altered spectra showed a progressive increase from normal subjects to dialysis patients and to nonfunctioning kidney transplants, respectively. Healthy subjects had the lowest number of altered spectra, and patients with nonfunctioning kidney transplants the highest. Differences were significant for group HD-Tx vs group C (P=0.017) and group HD vs group C (P=0.015), but not between nonfunctioning kidney-transplant recipients and dialysis patients (group HD-Tx vs group HD).Conclusion: Although dialysis appears to be a weaker trigger for clonal expansion of T cells, our data suggest that the utilization of complementarity-determining region-3 spectratyping analysis of the TCR repertoire might be useful to monitor specific immunoactivation in patients before and after kidney transplantation. Keywords: dialysis, nonfunctioning kidney transplant, T-cell repertoire, TCR spectratyping Cappuccilli MDonati GComai GBaraldi OConte DCapelli IAiello VPession ALa Manna GDove Medical PressarticleDialysisNon-functioning kidney transplantT-cell repertoireTCR spectratypingPathologyRB1-214Therapeutics. PharmacologyRM1-950ENJournal of Inflammation Research, Vol Volume 10, Pp 41-47 (2017)
institution DOAJ
collection DOAJ
language EN
topic Dialysis
Non-functioning kidney transplant
T-cell repertoire
TCR spectratyping
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
spellingShingle Dialysis
Non-functioning kidney transplant
T-cell repertoire
TCR spectratyping
Pathology
RB1-214
Therapeutics. Pharmacology
RM1-950
Cappuccilli M
Donati G
Comai G
Baraldi O
Conte D
Capelli I
Aiello V
Pession A
La Manna G
Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
description Maria Cappuccilli,1 Gabriele Donati,1 Giorgia Comai,1 Olga Baraldi,1 Diletta Conte,1 Irene Capelli,1 Valeria Aiello,1 Andrea Pession,2 Gaetano La Manna1 1Department of Experimental Diagnostic and Specialty Medicine (DIMES), Nephrology, Dialysis, and Renal Transplant Unit, 2Molecular Laboratory of Pediatrics, Hematology–Oncology Unit, St Orsola Hospital, University of Bologna, Bologna, Italy Background: The aim of this study was the application of complementarity-determining region-3 spectratyping analysis to determine T-cell-repertoire complexity and to detect T-cell-clone expansion, as a measure of immune response in nonfunctioning kidney transplants (group hemodialysis-transplant [HD-Tx]), nontransplanted dialysis patients (group hemodialysis [HD]), and normal subjects as controls (group C).Patients and methods: Analysis of T-cell receptor (TCR) diversity by spectratyping was applied to peripheral blood samples collected from 21 subjects: eight in group HD-Tx, seven in group HD, and six in group C.Results: Considering the extent of the skew in TCR variable region repertoires as a measure of clonal T cells, we found that the number of altered spectra showed a progressive increase from normal subjects to dialysis patients and to nonfunctioning kidney transplants, respectively. Healthy subjects had the lowest number of altered spectra, and patients with nonfunctioning kidney transplants the highest. Differences were significant for group HD-Tx vs group C (P=0.017) and group HD vs group C (P=0.015), but not between nonfunctioning kidney-transplant recipients and dialysis patients (group HD-Tx vs group HD).Conclusion: Although dialysis appears to be a weaker trigger for clonal expansion of T cells, our data suggest that the utilization of complementarity-determining region-3 spectratyping analysis of the TCR repertoire might be useful to monitor specific immunoactivation in patients before and after kidney transplantation. Keywords: dialysis, nonfunctioning kidney transplant, T-cell repertoire, TCR spectratyping 
format article
author Cappuccilli M
Donati G
Comai G
Baraldi O
Conte D
Capelli I
Aiello V
Pession A
La Manna G
author_facet Cappuccilli M
Donati G
Comai G
Baraldi O
Conte D
Capelli I
Aiello V
Pession A
La Manna G
author_sort Cappuccilli M
title Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
title_short Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
title_full Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
title_fullStr Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
title_full_unstemmed Identification of expanded T-cell clones by spectratyping in nonfunctioning kidney transplants
title_sort identification of expanded t-cell clones by spectratyping in nonfunctioning kidney transplants
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/0ae714a48f4a44bf8210a762e51d780a
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