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2016 ; 6
(ä): 36315
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Donor and recipient genetic variants in NLRP3 associate with early acute
rejection following kidney transplantation
#MMPMID27819323
Dessing MC
; Kers J
; Damman J
; Navis GJ
; Florquin S
; Leemans JC
Sci Rep
2016[Nov]; 6
(ä): 36315
PMID27819323
show ga
NLRP3 (NOD-like receptor family, pyrin domain containing 3) is a member of the
inflammasome family and is of special interest in renal disease. Experimental
studies have shown that Nlrp3 plays a significant role in the induction of renal
damage and dysfunction in acute and chronic renal injury. However, the role of
NLRP3 in human renal disease is completely unknown. From a retrospective cohort
study, we determined in 1271 matching donor and recipient samples if several
NLRP3 single nucelotide polymorphisms (SNPs) were associated with primary
non-function (PNF), delayed graft function (DGF), biopsy-proven acute rejection
(BPAR) and death-censored graft and patient survival. NLRP3 gain-of-function SNP
(rs35829419) in donors was associated with an increased risk of BPAR while NLRP3
loss-of-function SNP (rs6672995) in the recipient was associated with a decreased
risk of BPAR in the first year following renal transplantation (HR 1.91, 95% CI
1.38-2.64, P?0.001 and HR 0.73, 95% CI 0.55-0.97, P?=?0.03 resp.). NLRP3 SNPs
in both donor and recipient were not associated with PNF, DGF, graft survival or
patient survival. We conclude that genetic variants in the NLRP3 gene affect the
risk of acute rejection following kidney transplantation.