Detection of polyomavirus microRNA-5p expression in saliva shortly after kidney transplantation.

Detection of polyomavirus microRNA-5p expression in saliva shortly after kidney transplantation.
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DOI:
10.1080/20002297.2021.1898838
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发表时间:
2021-03-12
影响因子:
4.5
通讯作者:
Giannecchini S
Giannecchini S
中科院分区:
医学2区
文献类型:
--
作者:
Mamana AC;Stincarelli M;Sarmento DJS;Mendes Batista A;Tozetto-Mendoza TR;Gallottini M;De Abreu Pestana JOM;Braz-Silva PH;Giannecchini S

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背景:多瘤病毒(PolyomaVirus,PYV)的microRNAs(MiRNAs)存在于多种生物体液中,可作为监测其持久性的相关病毒因子。目的:评价一种免疫抑制方案对PYV-miRNA-5p在口腔中状态的影响。材料和方法:采用实时荧光定量RT-PCR方法,对23例肾移植患者移植前后的唾液和血浆标本中的JCPyV、BKPyV、MCPyV miRNA-5p进行检测。结果:总体而言,在移植后的短时间内,患者表现出白细胞和淋巴细胞数量的减少以及肌酐水平的降低。在患者的临床治疗期间,大量唾液样本JCPyV和BKPyV miRNA-5p阳性(范围:26%-91%),而配对血浆样本(范围:9%-35%)。在miRNA-5p阳性表达的两种多瘤病毒中,BKPyV在唾液中的阳性率最高(91%),而MCPyV-miRNA-5p在唾液和血浆中均为阴性。与移植前相比,移植后唾液中JCPyV-miRNA-5p的表达显著降低。结论:综上所述,这些数据表明,在肾移植后不久应该对唾液中的多瘤病毒miRNA-5p进行进一步的研究,以评估其在早期病毒再激活中的潜在作用。
Background: MicroRNAs (miRNAs) of polyomavirus (PyV) are present in several biological fluids and are suggested to be relevant viral factors for monitoring its persistence. Aim: To evaluate the effect of an immunosuppressive regimen on the status of PyV-miRNA-5p in the oral cavity. Materials and Methods: The JCPyV, BKPyV, MCPyV miRNA-5p were investigated in paired saliva and plasma samples obtained from 23 patients before and shortly after renal-transplantation by using real-time RT-PCR. Results: Overall, within a short-time after transplantation, patients exhibited decreased numbers of leukocyte and lymphocyte as well as low levels of creatinine. During the clinical management of the patients, a significant amount of saliva samples were positive for JCPyV and BKPyV miRNA-5p (range: 26%-91%) compared to paired plasma samples (range: 9%-35%). Among the two polyomaviruses showing positive expression of miRNA-5p, BKPyV presented the highest positivity in saliva (91%) and MCPyV-miRNA-5p was constantly negative in both saliva and plasma samples. Compared to the time before transplantation, a significant reduction in the expression of JCPyV-miRNA-5p was observed in saliva samples obtained after transplantation. Conclusions: Altogether, these data suggest that additional investigations of polyomavirus miRNA-5p in saliva should be performed shortly after renal-transplantation to evaluate the potential role in early viral reactivation.
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