دورية أكاديمية

Expression and clinical implications of HLA-G and PD-L1 following kidney transplantation: A cohort study.

التفاصيل البيبلوغرافية
العنوان: Expression and clinical implications of HLA-G and PD-L1 following kidney transplantation: A cohort study.
المؤلفون: Botelho SM; Stricto Sensu Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás (UFG), Goiânia, Brazil., Wastowski IJ; State University of Goiás (UEG), Goiânia, Brazil., Simões RT; Stricto Sensu Graduate Program, Faculdade Santa Casa de Belo Horizonte (FSCBH), Belo Horizonte, Brazil., Cysneiros MAPC; Stricto Sensu Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás (UFG), Goiânia, Brazil., da Silva Menezes A Jr; Faculty of Medicine of the Federal University of Goiás (UFG), Goiânia, Brazil., Rezende AL; Faculty of Medicine of the Federal University of Goiás (UFG), Goiânia, Brazil., da Silva NA; Stricto Sensu Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás (UFG), Goiânia, Brazil.
المصدر: Medicine [Medicine (Baltimore)] 2023 Nov 17; Vol. 102 (46), pp. e36053.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Kidney Transplantation*/adverse effects, Humans ; HLA-G Antigens ; B7-H1 Antigen ; Cohort Studies ; Graft Rejection
مستخلص: Kidney transplantation (KT) is the preferred treatment for end-stage renal diseases. Human leukocyte antigen G (HLA-G) and programmed death-ligand 1 (PD-L1) have notable clinical and therapeutic significance in transplantation because of their roles in promoting tolerance. This study aimed to assess HLA-G and PD-L1 levels at various stages following KT. A cohort of 12 patients was monitored from the pretransplant phase to 12 months post-surgery. Blood samples were taken at specific intervals: before kidney transplantation (T0), and then on the 7th (T7), 30th (T30), 90th (T90), 180th (T180), and 365th days post transplantation. Renal biopsies were performed in patients with graft dysfunction. Plasma levels of soluble HLA-G (sHLA-G) and PD-L1 were quantified using enzyme-linked immunosorbent assays. Additionally, immunohistochemistry was used to detect the presence of both molecules in biopsy samples. Multivariate analysis indicated that episodes of rejection were correlated with decreased expression of sHLA-G (P < .001) and PD-L1 (P < .001). Over the course of the study, the sHLA-G levels also declined (P < .001). Patients who had been transfused had lower PD-L1 levels (P = .03). Furthermore, kidney recipients from related live donors had increased HLA-G expression (P < .001). Our findings suggest that diminished HLA-G and PD-L1 levels correlate with an increased risk of graft rejection. Notably, HLA-G expression significantly decrease after the third-month posttransplantation.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.)
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المشرفين على المادة: 0 (HLA-G Antigens)
0 (CD274 protein, human)
0 (B7-H1 Antigen)
تواريخ الأحداث: Date Created: 20231121 Date Completed: 20231127 Latest Revision: 20231129
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10659681
DOI: 10.1097/MD.0000000000036053
PMID: 37986370
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000036053