Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors

Background. Delayed graft function (DGF) remains an important problem after kidney transplantation and reduced long-term graft survival of the transplanted organ. The aim of the present study was to determine if the development of DGF was associated with a specific pattern of inflammatory gene expre...

Full description

Saved in:
Bibliographic Details
Main Authors: Diego Guerrieri, Luis Re, Jorgelina Petroni, Nella Ambrosi, Roxana E. Pilotti, H. Eduardo Chuluyan, Domingo Casadei, Claudio Incardona
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2014/167361
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545494202580992
author Diego Guerrieri
Luis Re
Jorgelina Petroni
Nella Ambrosi
Roxana E. Pilotti
H. Eduardo Chuluyan
Domingo Casadei
Claudio Incardona
author_facet Diego Guerrieri
Luis Re
Jorgelina Petroni
Nella Ambrosi
Roxana E. Pilotti
H. Eduardo Chuluyan
Domingo Casadei
Claudio Incardona
author_sort Diego Guerrieri
collection DOAJ
description Background. Delayed graft function (DGF) remains an important problem after kidney transplantation and reduced long-term graft survival of the transplanted organ. The aim of the present study was to determine if the development of DGF was associated with a specific pattern of inflammatory gene expression in expanded criteria of deceased donor kidney transplantation. Also, we explored the presence of correlations between DGF risk factors and the profile that was found. Methods. Seven days after kidney transplant, a cDNA microarray was performed on biopsies of graft from patients with and without DGF. Data was confirmed by real-time PCR. Correlations were performed between inflammatory gene expression and clinical risk factors. Results. From a total of 84 genes analyzed, 58 genes were upregulated while only 1 gene was downregulated in patients with DGF compared with no DGF (P=0.01). The most relevant genes fold changes observed was IFNA1, IL-10, IL-1F7, IL-1R1, HMOX-1, and TGF-β. The results were confirmed for IFNA1, IL-1R1, HMOX-1 and TGF-β. A correlation was observed between TGF-β, donor age, and preablation creatinine, but not body mass index (BMI). Also, TGF-β showed an association with recipient age, while IFNA1 correlated with recipient BMI. Furthermore, TGF-β, IFNA1 and HMOX-1 correlated with several posttransplant kidney function markers, such as diuresis, ultrasound Doppler, and glycemia. Conclusions. Overall, the present study shows that DGF is associated with inflammatory markers, which are correlated with donor and recipient DGF risk factors.
format Article
id doaj-art-3619b214ca8743698eb9283f1dfa4ace
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-3619b214ca8743698eb9283f1dfa4ace2025-02-03T07:25:29ZengWileyMediators of Inflammation0962-93511466-18612014-01-01201410.1155/2014/167361167361Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk FactorsDiego Guerrieri0Luis Re1Jorgelina Petroni2Nella Ambrosi3Roxana E. Pilotti4H. Eduardo Chuluyan5Domingo Casadei6Claudio Incardona7CEFYBO-School of Medicine, University of Buenos Aires, Paraguay 2155, 16th Floor, C1121ABG Buenos Aires, ArgentinaInstituto de Nefrología de Buenos Aires, Cabello 3889, C1425APQ Buenos Aires, ArgentinaInstituto de Nefrología de Buenos Aires, Cabello 3889, C1425APQ Buenos Aires, ArgentinaCEFYBO-School of Medicine, University of Buenos Aires, Paraguay 2155, 16th Floor, C1121ABG Buenos Aires, ArgentinaInstituto de Nefrología de Buenos Aires, Cabello 3889, C1425APQ Buenos Aires, ArgentinaCEFYBO-School of Medicine, University of Buenos Aires, Paraguay 2155, 16th Floor, C1121ABG Buenos Aires, ArgentinaInstituto de Nefrología de Buenos Aires, Cabello 3889, C1425APQ Buenos Aires, ArgentinaGADOR S.A., Darwin 429, C1414CUH Buenos Aires, ArgentinaBackground. Delayed graft function (DGF) remains an important problem after kidney transplantation and reduced long-term graft survival of the transplanted organ. The aim of the present study was to determine if the development of DGF was associated with a specific pattern of inflammatory gene expression in expanded criteria of deceased donor kidney transplantation. Also, we explored the presence of correlations between DGF risk factors and the profile that was found. Methods. Seven days after kidney transplant, a cDNA microarray was performed on biopsies of graft from patients with and without DGF. Data was confirmed by real-time PCR. Correlations were performed between inflammatory gene expression and clinical risk factors. Results. From a total of 84 genes analyzed, 58 genes were upregulated while only 1 gene was downregulated in patients with DGF compared with no DGF (P=0.01). The most relevant genes fold changes observed was IFNA1, IL-10, IL-1F7, IL-1R1, HMOX-1, and TGF-β. The results were confirmed for IFNA1, IL-1R1, HMOX-1 and TGF-β. A correlation was observed between TGF-β, donor age, and preablation creatinine, but not body mass index (BMI). Also, TGF-β showed an association with recipient age, while IFNA1 correlated with recipient BMI. Furthermore, TGF-β, IFNA1 and HMOX-1 correlated with several posttransplant kidney function markers, such as diuresis, ultrasound Doppler, and glycemia. Conclusions. Overall, the present study shows that DGF is associated with inflammatory markers, which are correlated with donor and recipient DGF risk factors.http://dx.doi.org/10.1155/2014/167361
spellingShingle Diego Guerrieri
Luis Re
Jorgelina Petroni
Nella Ambrosi
Roxana E. Pilotti
H. Eduardo Chuluyan
Domingo Casadei
Claudio Incardona
Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
Mediators of Inflammation
title Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
title_full Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
title_fullStr Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
title_full_unstemmed Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
title_short Gene Expression Profile in Delay Graft Function: Inflammatory Markers Are Associated with Recipient and Donor Risk Factors
title_sort gene expression profile in delay graft function inflammatory markers are associated with recipient and donor risk factors
url http://dx.doi.org/10.1155/2014/167361
work_keys_str_mv AT diegoguerrieri geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT luisre geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT jorgelinapetroni geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT nellaambrosi geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT roxanaepilotti geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT heduardochuluyan geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT domingocasadei geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors
AT claudioincardona geneexpressionprofileindelaygraftfunctioninflammatorymarkersareassociatedwithrecipientanddonorriskfactors