Details

Autor(en) / Beteiligte

• Millán, O
• Rafael-Valdivia, L
• San Segundo, D
• Boix, F
• Castro-Panete, M.J
• López-Hoyos, M
• Muro, M
• Valero-Hervás, D
• Rimola, A
• Navasa, M
• Muñoz, P
• Miras, M
• Andrés, A
• Guirado, L
• Pascual, J
• Brunet, M

Titel

Should IFN-γ, IL-17 and IL-2 be considered predictive biomarkers of acute rejection in liver and kidney transplant? Results of a multicentric study

Ist Teil von

• Clinical immunology (Orlando, Fla.), 2014-10, Vol.154 (2), p.141-154

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Acute rejection (AR) remains a major challenge in organ transplantation, and there is a need for predictive biomarkers. In the present multicenter study, we prospectively examined a series of biomarkers in liver and kidney recipients. Intracellular expression of IFN-γ, IL-17 and IL-2 and IL-17 soluble production were evaluated both pre-transplantation and post-transplantation (1st and 2nd week, 1st, 2nd and 3rd month). 142 transplant patients (63 liver/79 kidney) were included in the study. Twenty-eight recipients (14 liver/14 kidney) developed AR. Pre- and post-transplantation intracellular expression of %IFN-γ+ in CD4+ CD69+ and in CD8+ CD69+ and soluble IL17 identified liver and kidney transplant patients at high risk of AR. Pre-transplantation, %IL-2+ in CD8+ CD69+ also identified kidney patients at high risk. We constructed pre- and post-transplantation risk prediction models, based on a composite panel of biomarkers, which could provide the basis for future studies and will be a useful tool for the selection and adjustment of immunosuppressive treatments.