Ajay K Baranwal1, Sanjeev Goswami1, Deepali K Bhat1, Gurvinder Kaur1, Sanjay K Agarwal2, Narinder K Mehra3. 1. Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. 2. Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India. 3. Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. Electronic address: narin.mehra@gmail.com.
Abstract
BACKGROUND: Since soluble isoforms of MICA play an important role in modulating the immune response, we evaluated a possible correlation between their levels and development of acute rejection following renal transplantation. METHODS: Serum samples collected at pre- and different time points post-transplant from 137 live related donor renal transplant recipients were evaluated retrospectively for sMICA levels and for the presence of MICA antibodies. Samples from 30 healthy volunteers were also tested as controls. RESULTS: Significantly higher levels of sMICA were observed in the pretransplant sera of allograft recipients as compared to healthy controls. Patients with acute cellular rejection experienced a significant fall in their levels at the time of diagnosis as compared to their pretransplant values and posttransplant follow up time points (p = .01, .003, .005 and .04 respectively at pre vs biopsy (Bx), POD7 vs Bx, POD 30 vs Bx, POD 90 vs Bx). However, no such difference was noted in patients undergoing antibody mediated rejection. Further the study did not reveal any correlation on the presence/absence of MICA antibodies with either an increase or decrease in sMICA levels. CONCLUSIONS: Estimating circulating levels of soluble MICA could provide useful information of prognostic importance in assessing graft outcome following renal transplantation.
BACKGROUND: Since soluble isoforms of MICA play an important role in modulating the immune response, we evaluated a possible correlation between their levels and development of acute rejection following renal transplantation. METHODS: Serum samples collected at pre- and different time points post-transplant from 137 live related donor renal transplant recipients were evaluated retrospectively for sMICA levels and for the presence of MICA antibodies. Samples from 30 healthy volunteers were also tested as controls. RESULTS: Significantly higher levels of sMICA were observed in the pretransplant sera of allograft recipients as compared to healthy controls. Patients with acute cellular rejection experienced a significant fall in their levels at the time of diagnosis as compared to their pretransplant values and posttransplant follow up time points (p = .01, .003, .005 and .04 respectively at pre vs biopsy (Bx), POD7 vs Bx, POD 30 vs Bx, POD 90 vs Bx). However, no such difference was noted in patients undergoing antibody mediated rejection. Further the study did not reveal any correlation on the presence/absence of MICA antibodies with either an increase or decrease in sMICA levels. CONCLUSIONS: Estimating circulating levels of soluble MICA could provide useful information of prognostic importance in assessing graft outcome following renal transplantation.
Authors: Rafael Tomoya Michita; José Artur Bogo Chies; Sabine Schramm; Peter A Horn; Falko M Heinemann; Andreas Wunsch; Richard Viebahn; Peter Schenker; Vera Rebmann Journal: Int J Mol Sci Date: 2018-09-04 Impact factor: 5.923