CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT

It is known at the present time that immunological biomarkers may become more sensitive, non-invasive methods of graft rejection diagnosis than those currently used. A growing amount of studies in animal models shows that chemokines, as active participants in the immune process, may be used to this...

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Autores principales: T. V. Fedorenko, N. V. Kolesnikova, I. A. Pashkova, V. A. Porhanov, E. A. Gubareva, E. V. Kuevda
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Publicado: SPb RAACI 2019
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spelling oai:doaj.org-article:c6710467511d4d46be502991979d5ced2021-11-18T08:03:48ZCHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT1563-06252313-741X10.15789/1563-0625-2019-4-749-754https://doaj.org/article/c6710467511d4d46be502991979d5ced2019-10-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1625https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XIt is known at the present time that immunological biomarkers may become more sensitive, non-invasive methods of graft rejection diagnosis than those currently used. A growing amount of studies in animal models shows that chemokines, as active participants in the immune process, may be used to this purpose. Our earlier studies have shown an important prognostic significance of IL-6, IL-2, 17A and IL-1RA increase in pre-operative period as markers of acute kidney allograft rejection. When assessing changes in studied peripheral blood growth factors, we concluded that a sharp decrease in BDNF content is a diagnostically significant early sign of kidney allograft rejection. The aim of this study was to identify the prognostic role of serum chemokine levels at the preoperative stage, taking into account the production of anti-HLA antibodies during the post-transplant period as a risk factor of kidney allograft rejection. A comparative analysis of chemokine serum concentrations was performed in the patients with terminal-stage chronic kidney disease (CKD). In the patients from main clinical groups, the blood cytokine levels were measured 6 hours before transplantation, i.e., Eotaxin (CCL11), GRO-α (CXCL1), IL-8 (CXCL8), IP-10 (CXCL10), MCP-1 (CCL2), MIP-1α (CCL3), MIP-1β (CCL4), SDF-1α (CXCL12), RANTES (CCL5), MIG (CXCL9) by means of multiplex immunological assays, using appropriate test systems. The studies have shown significant changes in several chemokines in the CKD patients compared to age-matched controls. However, the following diagnostically significant biomarkers associated with early rejection of transplanted kidney should be considered: increased concentration of CCL2 and CCL4 chemokines, as well as an acute decrease in CCL11. Significantly decreased CXCL12 concentration in peripheral blood could be considered a marker of favorable posttransplant clinical course.  Occurence of HLA antibodies in recipients is also associated with elevated serum levels of CXCL8, CXCL10, CCL4, and CCL5.T. V. FedorenkoN. V. KolesnikovaI. A. PashkovaV. A. PorhanovE. A. GubarevaE. V. KuevdaSPb RAACIarticlekidney transplantationchemokinesallograft rejectiontransplantation immunitybiomarkerImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 21, Iss 4, Pp 749-754 (2019)
institution DOAJ
collection DOAJ
language RU
topic kidney transplantation
chemokines
allograft rejection
transplantation immunity
biomarker
Immunologic diseases. Allergy
RC581-607
spellingShingle kidney transplantation
chemokines
allograft rejection
transplantation immunity
biomarker
Immunologic diseases. Allergy
RC581-607
T. V. Fedorenko
N. V. Kolesnikova
I. A. Pashkova
V. A. Porhanov
E. A. Gubareva
E. V. Kuevda
CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
description It is known at the present time that immunological biomarkers may become more sensitive, non-invasive methods of graft rejection diagnosis than those currently used. A growing amount of studies in animal models shows that chemokines, as active participants in the immune process, may be used to this purpose. Our earlier studies have shown an important prognostic significance of IL-6, IL-2, 17A and IL-1RA increase in pre-operative period as markers of acute kidney allograft rejection. When assessing changes in studied peripheral blood growth factors, we concluded that a sharp decrease in BDNF content is a diagnostically significant early sign of kidney allograft rejection. The aim of this study was to identify the prognostic role of serum chemokine levels at the preoperative stage, taking into account the production of anti-HLA antibodies during the post-transplant period as a risk factor of kidney allograft rejection. A comparative analysis of chemokine serum concentrations was performed in the patients with terminal-stage chronic kidney disease (CKD). In the patients from main clinical groups, the blood cytokine levels were measured 6 hours before transplantation, i.e., Eotaxin (CCL11), GRO-α (CXCL1), IL-8 (CXCL8), IP-10 (CXCL10), MCP-1 (CCL2), MIP-1α (CCL3), MIP-1β (CCL4), SDF-1α (CXCL12), RANTES (CCL5), MIG (CXCL9) by means of multiplex immunological assays, using appropriate test systems. The studies have shown significant changes in several chemokines in the CKD patients compared to age-matched controls. However, the following diagnostically significant biomarkers associated with early rejection of transplanted kidney should be considered: increased concentration of CCL2 and CCL4 chemokines, as well as an acute decrease in CCL11. Significantly decreased CXCL12 concentration in peripheral blood could be considered a marker of favorable posttransplant clinical course.  Occurence of HLA antibodies in recipients is also associated with elevated serum levels of CXCL8, CXCL10, CCL4, and CCL5.
format article
author T. V. Fedorenko
N. V. Kolesnikova
I. A. Pashkova
V. A. Porhanov
E. A. Gubareva
E. V. Kuevda
author_facet T. V. Fedorenko
N. V. Kolesnikova
I. A. Pashkova
V. A. Porhanov
E. A. Gubareva
E. V. Kuevda
author_sort T. V. Fedorenko
title CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
title_short CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
title_full CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
title_fullStr CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
title_full_unstemmed CHEMOKINE MARKERS ASSOCIATED WITH EARLY REJECTION OF KIDNEY ALLOGRAFT
title_sort chemokine markers associated with early rejection of kidney allograft
publisher SPb RAACI
publishDate 2019
url https://doaj.org/article/c6710467511d4d46be502991979d5ced
work_keys_str_mv AT tvfedorenko chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
AT nvkolesnikova chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
AT iapashkova chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
AT vaporhanov chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
AT eagubareva chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
AT evkuevda chemokinemarkersassociatedwithearlyrejectionofkidneyallograft
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