Genome-wide association study biomarkers in T-cell mediated rejection : selective effect according to the Banff classification

© 2022. The Author(s) under exclusive licence to Italian Society of Nephrology..

BACKGROUND: A genome-wide association study (GWAS) in kidney transplant recipients reported the association of two polymorphisms located in the PTPRO gene and upstream of the CCDC67 (DEUP1) gene with increased risk of acute T cell-mediated rejection (TCMR). We aimed at replicating the assessment of mentioned associations and additionally ascertaining the influence of treatment and clinical features of the patients.

METHODS: The polymorphisms, PTPRO-rs7976329 and CCDC67-rs10765602 were genotyped by TaqMan chemistry in 641 consecutive kidney transplant recipients. The diagnosis of rejection was confirmed by biopsy and categorized according to the Banff classification. Associations were evaluated by Chi-square test or Fisher's exact test when necessary and multivariate logistic regression.

RESULTS: Considering the GWAS study we only replicated the association of the PTPRO-rs7976329*C allele in the Banff grade < II subjects. However, the homozygous mutant genotypes of both polymorphism seemed to increase the risk of TCMR Banff grade < II in the overall cohort and after stratification by Thymoglobulin induction therapy. In the multivariate analysis, we confirmed the association of PTPRO-rs7976329 with TCMR Banff grade < II, independently of the Thymoglobulin induction therapy and of CCDC67-rs10765602 only in the group of patients not receiving Thymoglobulin induction therapy. No association of these polymorphisms with TCMR Banff grade ≥ II was observed in either the overall cohort or in the subgroups stratified by Thymoglobulin therapy.

CONCLUSIONS: Our study shows that the increased risk of TCMR related to polymorphisms PTPRO-rs7976329 and CCDC67-rs10765602 previously reported in a GWAS was replicated only in homozygous patients who presented TCMR Banff grade < II and for the minor allele of either polymorphism.

Errataetall:

CommentIn: J Nephrol. 2023 May;36(4):951-952. - PMID 36083533

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Journal of nephrology - 36(2023), 3 vom: 10. Apr., Seite 809-815

Sprache:

Englisch

Beteiligte Personen:

Santiago, Jose Luis [VerfasserIn]
Sánchez-Pérez, Luis [VerfasserIn]
Pérez-Flores, Isabel [VerfasserIn]
Moreno de la Higuera, Maria Angeles [VerfasserIn]
Romero, Natividad Calvo [VerfasserIn]
Urcelay, Elena [VerfasserIn]
Sánchez-Fructuoso, Ana Isabel [VerfasserIn]

Links:

Volltext

Themen:

Banff classification
Biomarkers
Genome-wide association study
Journal Article
Kidney transplantation
Polymorphism
Research Support, Non-U.S. Gov't
T cell-mediated rejection

Anmerkungen:

Date Completed 13.04.2023

Date Revised 01.06.2023

published: Print-Electronic

CommentIn: J Nephrol. 2023 May;36(4):951-952. - PMID 36083533

Citation Status MEDLINE

doi:

10.1007/s40620-022-01419-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344667219