Identification of Molecular Markers of Delayed Graft Function Based on the Regulation of Biological Ageing

INTRODUCTION: Delayed graft function is a prevalent clinical problem in renal transplantation for which there is no objective system to predict occurrence in advance. It can result in a significant increase in the necessity for hospitalisation post-transplant and is a significant risk factor for other post-transplant complications.

METHODOLOGY: The importance of microRNAs (miRNAs), a specific subclass of small RNA, have been clearly demonstrated to influence many pathways in health and disease. To investigate the influence of miRNAs on renal allograft performance post-transplant, the expression of a panel of miRNAs in pre-transplant renal biopsies was measured using qPCR. Expression was then related to clinical parameters and outcomes in two independent renal transplant cohorts.

RESULTS: Here we demonstrate, in two independent cohorts of pre-implantation human renal allograft biopsies, that a novel pre-transplant renal performance scoring system (GRPSS), can determine the occurrence of DGF with a high sensitivity (>90%) and specificity (>60%) for donor allografts pre-transplant, using just three senescence associated microRNAs combined with donor age and type of organ donation.

CONCLUSION: These results demonstrate a relationship between pre-transplant microRNA expression levels, cellular biological ageing pathways and clinical outcomes for renal transplantation. They provide for a simple, rapid quantitative molecular pre-transplant assay to determine post-transplant allograft function and scope for future intervention. Furthermore, these results demonstrate the involvement of senescence pathways in ischaemic injury during the organ transplantation process and an indication of accelerated bio-ageing as a consequence of both warm and cold ischaemia.

Errataetall:

ErratumIn: PLoS One. 2016;11(3):e0151506. - PMID 26964037

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

PloS one - 11(2016), 1 vom: 01., Seite e0146378

Sprache:

Englisch

Beteiligte Personen:

McGuinness, Dagmara [VerfasserIn]
Leierer, Johannes [VerfasserIn]
Shapter, Olivier [VerfasserIn]
Mohammed, Suhaib [VerfasserIn]
Gingell-Littlejohn, Marc [VerfasserIn]
Kingsmore, David B [VerfasserIn]
Little, Ann-Margaret [VerfasserIn]
Kerschbaum, Julia [VerfasserIn]
Schneeberger, Stefan [VerfasserIn]
Maglione, Manuel [VerfasserIn]
Nadalin, Silvio [VerfasserIn]
Wagner, Sylvia [VerfasserIn]
Königsrainer, Alfred [VerfasserIn]
Aitken, Emma [VerfasserIn]
Whalen, Henry [VerfasserIn]
Clancy, Marc [VerfasserIn]
McConnachie, Alex [VerfasserIn]
Koppelstaetter, Christian [VerfasserIn]
Stevenson, Karen S [VerfasserIn]
Shiels, Paul G [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Cyclin-Dependent Kinase Inhibitor p16
Journal Article
MIRN125 microRNA, human
MIRN217 microRNA, human
MicroRNAs
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 06.07.2016

Date Revised 13.11.2018

published: Electronic-eCollection

ErratumIn: PLoS One. 2016;11(3):e0151506. - PMID 26964037

Citation Status MEDLINE

doi:

10.1371/journal.pone.0146378

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM256172943