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2015 ; 5
(ä): 12769
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Expression of decoy receptor 3 in kidneys is associated with allograft survival
after kidney transplant rejection
#MMPMID26335204
Weng SC
; Shu KH
; Wu MJ
; Wen MC
; Hsieh SL
; Chen NJ
; Tarng DC
Sci Rep
2015[Sep]; 5
(ä): 12769
PMID26335204
show ga
Decoy receptor 3 (DcR3) expression in kidneys has been shown to predict
progression of chronic kidney disease. We prospectively investigated a cohort
comprising 96 renal transplant recipients (RTRs) undergoing graft kidney
biopsies. Computer-assisted quantitative immunohistochemical staining value of
DcR3 in renal tubular epithelial cells (RTECs) was used to determine the
predictive role of DcR3 in kidney disease progression. The primary end point was
doubling of serum creatinine and/or graft failure. A multivariate Cox
proportional hazards model was used to assess the risk of DcR3 expression in
rejected kidney grafts toward the renal end point. In total, RTRs with kidney
allograft rejection were evaluated and the median follow-up was 30.9 months. The
greater expression of DcR3 immunoreactivity in RTECs was correlated with a higher
rate of the histopathological concordance of acute T cell-mediated rejection.
Compared with 65 non-progressors, 31 progressors had higher DcR3 expression (HDE)
regardless of the traditional risk factors. Cox regression analysis showed HDE
was significantly associated with the risk of renal end point with a hazard ratio
of 3.19 (95% confidence interval, 1.40 to 7.27; P?=?0.006) after adjusting for
other variables. In repetitive biopsies, HDE in tissue showed rapid kidney
disease progression due to persistent inflammation.