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Murine Kidney Transplant Technique
Published on: October 20, 2015
Donor-derived peripheral mononuclear cell DNA is associated with stable kidney allograft function: a randomized
Ghasem Solgi1, Joannis Mytilineos, Vijayakrishna Gadi
1Immunology Department, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Chimerism
|April 18, 2012
Summary
Donor bone marrow infusion (DBMI) in kidney transplant patients significantly increases microchimerism, a marker associated with stable graft function. Higher microchimerism levels correlate with infused cell dose, suggesting a role in transplant success.
Area of Science:
- Transplantation immunology
- Molecular biology
Background:
- Peripheral donor cell chimerism's link to kidney transplant tolerance is inconsistent.
- Previous studies lacked sensitivity in detecting microchimerism.
Purpose of the Study:
- To investigate the association between microchimerism and stable graft function in kidney transplant recipients.
- To compare microchimerism levels in patients receiving donor bone marrow infusion (DBMI) versus controls.
Main Methods:
- Prospective monitoring of 40 renal transplant patients (20 DBMI, 20 controls) for peripheral blood microchimerism.
- Utilized highly sensitive donor polymorphism-specific quantitative real-time PCR assays.
- Assessed microchimerism frequency and concentration.
Main Results:
- DBMI patients showed significantly higher frequency (95% vs. 58%) and concentration (115 vs. 13 genomes/million) of microchimerism.
- Stable graft function was more frequent in DBMI patients with microchimerism (94% vs. 50%).
- A significant correlation was found between infused cell dose and post-transplant microchimerism levels.
Conclusions:
- Highly sensitive assays reveal a strong association between microchimerism and stable graft function in kidney transplant recipients, particularly those undergoing DBMI.
- Microchimerism presence and quantity are linked to successful graft outcomes.
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