Urinary CXCL9 and CXCL10 Levels and Acute Renal Graft Rejection
Monitoring of chemokines, CXCL9 and CXCL10, in serum may present a non-invasive detection method for rejection. To investigate the relationship between urinary levels of CXCL9 and CXCL10 and graft function following renal transplantation. 75 living-related donor renal transplant recipients were stud...
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Published in: | International journal of organ transplantation medicine Vol. 10; no. 2; pp. 53 - 63 |
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Main Authors: | , , , , , , , , , , , , , , |
Format: | Journal Article |
Language: | English |
Published: |
Iran
Shiraz University of Medical Sciences
01-01-2019
Avicenna Organ Transplantation Institute |
Subjects: | |
Online Access: | Get full text |
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Summary: | Monitoring of chemokines, CXCL9 and CXCL10, in serum may present a non-invasive detection method for rejection.
To investigate the relationship between urinary levels of CXCL9 and CXCL10 and graft function following renal transplantation.
75 living-related donor renal transplant recipients were studied. Urinary levels of chemokines were collected pre-operatively, on post-operative 1
day, 7
day, 1
month, 3
month, and at the time of rejection. Chemokines levels were assayed using and enzyme-linked immunosorbent assay.
Clinical variables were monitored. 10 (15%) patients had biopsy-proven rejection during the follow-up period. The urinary CXCL9 level in those with rejection was significantly higher than that in those with non-rejection group at the 1
day (p<0.001), 7
day (p<0.001), and at the time of rejection (p=0.002). The urinary CXCL10 level was also significantly higher in those with rejection compared with non-rejection group at 1
day (p<0.001), 7
day (p<0.001), and at the time of rejection (p=0.001). Serum creatinine level was strongly correlated with the urinary CXCL9 and CXCL10 levels at the time of rejection (r=0.615, p=0.002; and r=0.519, p=0.022, respectively). Among those with T cell-mediated rejections the mean urinary CXCL10 level increased to as high as 258.12 ng/mL.
Urinary CXCL9 and CXCL10 levels might have a predictive value for T cell-mediated rejection in early post-transplantation period. Measurement of urinary CXCL9 and CXCL10 levels could provide an additional tool for the diagnosis of rejection. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 2008-6482 2008-6490 |