Unknown,Transcriptomics,Genomics,Proteomics

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Molecular changes in kidney allografts after simultaneous liver-kidney compared with solitary kidney transplantation


ABSTRACT: The aim of this study was to investigate correlations between early subclinical findings (10 and 90 day histology and gene expression data) and late outcomes (transplant glomerulopathy and graft loss) in positive crossmatch kidney transplants (+XMKTx). Our goal was threefold: first, to confirm that intragraft molecular changes at 12m post-transplant are associated with the observed histologic changes in SLK transplant recipients, compared with KTA transplant recipients; second, to ascertain whether specific molecular pathways/markers that are not accounted for by routine histology are differentially expressed in the kidney allografts of the SLK transplant recipients; and third, to determine whether a molecular signature that is uniquely associated with simultaneous liver transplantation can be identified in kidney allografts. Biopsy samples were from positive and negative crossmatch simultaneous liver-kidney transplant recipients (12 month protocol biopsies) were compared to control patient (positive and negative crossmatch) biopsies obtained at 12 months. This dataset is part of the TransQST collection.

ORGANISM(S): Homo sapiens

SUBMITTER: Walt Park 

PROVIDER: E-GEOD-97780 | biostudies-arrayexpress |

REPOSITORIES: biostudies-arrayexpress

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Publications

Unique molecular changes in kidney allografts after simultaneous liver-kidney compared with solitary kidney transplantation.

Taner Timucin T   Park Walter D WD   Stegall Mark D MD  

Kidney international 20170221 5


Kidney allografts transplanted simultaneously with liver allografts from the same donor are known to be immunologically privileged. This is especially evident in recipients with high levels of donor-specific anti-HLA antibodies. Here we investigated the mechanisms of liver's protective impact using gene expression in the kidney allograft. Select solitary kidney transplant or simultaneous liver-kidney transplant recipients were retrospectively reviewed and separated into four groups: 16 cross-mat  ...[more]

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