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2017 ; 23
(ä): 1812-1818
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Joint Assessment of Donor and Recipient hTERT Gene Polymorphism Provides
Additional Information for Early Kidney Transplantation Outcomes
#MMPMID28410362
K?oda K
; Mierzecki A
; Doma?ski L
; Borowiecka E
; Safranow K
; Ciechanowicz A
; Ciechanowski K
Med Sci Monit
2017[Apr]; 23
(ä): 1812-1818
PMID28410362
show ga
BACKGROUND There are several genes and genetic loci affecting telomere length,
including hTERT gene and BICD1 gene as well as polymorphisms within chromosome
18. It has been demonstrated that the age of the donor is a negative factor
associated with long-term kidney allograft function, and that post-transplant
complications accelerate transplanted organ aging, thus contributing to estimated
glomerular filtration rate (eGFR) decreases. The aim of this study was a joint
assessment of donors' and recipients' hTERT and BICD1 genes as well as chromosome
18 polymorphisms with regard to early kidney transplantation outcomes. MATERIAL
AND METHODS The study enrolled 74 pairs of Polish Caucasian kidney allograft
cadaveric donors (60% male, mean age 45.99±14.62) and recipients (50.0% male,
mean age 48.89±13.50). The transplantation procedure (Tx) was performed between
2001 and 2012. All samples were genotyped in duplicate using Real-Time PCR.
RESULTS This study showed that rs2735940 hTERT CX-TT donor-recipient genotype
pair was associated with almost five times higher odds (OR=4.82; 95% CI: 1.32-18;
p=0.016) of delayed graft function (DGF), and that rs2735940 hTERT, rs2630578
BICD1, and rs7235755 chromosome 18 polymorphisms combined pairs were not
associated with acute rejection (AR). CONCLUSIONS In conclusion, both the donor's
and the recipient's rs2735940 hTERT gene polymorphism was associated with early
graft function after transplantation. The odds of DGF were almost five times
higher for a combination of CX (CT or CC) donor genotype and TT recipient
genotype. Joint assessment of donor-recipient genotype pairs provides more
information for prediction of early kidney transplantation outcomes.
|Adaptor Proteins, Signal Transducing/*genetics/metabolism
[MESH]