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Personalized Peptide Arrays for Detection of HLA Alloantibodies in Organ Transplantation
Published on: September 6, 2017
HLA-G polymorphism (rs16375) and acute rejection in liver transplant recipients
Negar Azarpira1, Mahdokht H Aghdaie1, Kurosh Kazemi2
1Organ Transplant Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Zand Street, Shiraz 7193711351, Iran.
Background:
HLA-G molecules exhibit immunomodulatory properties that can delay graft rejection. The 14 bp insertion/deletion polymorphism (INDEL) (rs16375) influences the stability of final HLA-G mRNA and its soluble isoforms.
Objective:
The present study aimed to investigate the possible association between this polymorphism and the incidence of acute rejection in Iranian liver transplant recipients.
Methods:
Different genotypes were evaluated by PCR. The patients who had acute rejection within 6 months after transplantation were classified as acute rejection (AR) group, while others were considered as nonacute rejection (NAR) group.
Results:
Among the recipients, 21 patients (21%) had at least one episode of AR, while the other 79 patients (79%) had normal liver function. No significant differences were found between the two groups regarding sex, MELD score, and primary liver disease. Also, no difference was observed concerning rs16375 genotype and allele frequency (P = 0.44, OR: 0.69; CI: 0.21-2.10).
Conclusion:
The study results revealed no significant difference between the AR and the NAR groups regarding the 14 bp INDEL genotypes and alleles. Further studies are recommended to be conducted on other polymorphic sites as well as monitoring of serum HLA-G concentration in order to ascertain the potential implications of this marker in our population.
Insights
The 14 bp insertion/deletion polymorphism (INDEL) in HLA-G does not appear to influence acute rejection in Iranian liver transplant recipients. Further research is needed to explore other genetic markers and HLA-G levels.
Area of Science:
- Immunogenetics
- Transplantation Immunology
Background:
- Human Leukocyte Antigen-G (HLA-G) molecules possess immunomodulatory functions crucial for delaying graft rejection.
- The 14 bp insertion/deletion polymorphism (INDEL) at rs16375 affects HLA-G mRNA stability and soluble isoform production.
Purpose of the Study:
- To investigate the association between the HLA-G 14 bp INDEL polymorphism (rs16375) and the incidence of acute rejection in Iranian liver transplant recipients.
Main Methods:
- Genotyping of the HLA-G 14 bp INDEL polymorphism was performed using PCR.
- Patients were categorized into acute rejection (AR) and non-acute rejection (NAR) groups based on post-transplant outcomes within six months.
Main Results:
- No significant differences were observed in demographic factors (sex, MELD score, primary liver disease) between AR and NAR groups.
- The frequency of rs16375 genotypes and alleles did not differ significantly between the AR and NAR groups (P = 0.44).
Conclusions:
- The HLA-G 14 bp INDEL polymorphism is not significantly associated with acute rejection in this cohort of Iranian liver transplant recipients.
- Further investigations into other polymorphic sites and serum HLA-G concentrations are recommended to clarify its role in this population.
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