Cytokine and human leukocyte antigen (HLA) profile for graft-versus-host disease (GVHD) after organ transplantation.

Cytokine and human leukocyte antigen (HLA) profile for graft-versus-host disease (GVHD) after organ transplantation.
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器官移植后移植物抗宿主病 (GVHD) 的细胞因子和人类白细胞抗原 (HLA) 谱

DOI:
10.1186/s40001-016-0232-y
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发表时间:
2016-10-12
影响因子:
4.2
通讯作者:
Zheng S
Zheng S
中科院分区:
医学4区
文献类型:
--
作者:
Chen X;Meng X;Xu Y;Xie H;Yin S;Li H;Wu L;Zheng S

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BackgroundGraft-versus-host disease (GVHD) after liver and kidney transplantation has high mortality and causes diagnostic challenges. This study aims to describe the cytokine and human leukocyte antigen (HLA) profile in the GVHD after liver and kidney transplantation.MethodsA high-throughput detection kit was applied and altogether 18 different cytokines were tested simultaneously. GVHD patients included 23 post-liver transplantation patients; 22 post-renal transplantation patients; The control patients include 22 hepatocellular carcinoma (HCC) patients without transplantation and 20 healthy controls. Their HLA characters were compared.ResultsThe full spectrum of cytokines was present. The inflammatory markers were activated significantly in liver transplantation. The level of inflammatory markers in liver transplantation was higher than that in renal transplantation, HCC or healthy controls. GVHD was associated with the HLA characters; HLA characters are involved in liver GVHD occurrence and act as risk factors.ConclusionOur findings confirmed that the inflammatory cytokines play a pathogenic role in GVHD and can be used as early diagnostic markers. The HLA mismatch acts as a risk factor in liver transplantation to predict GVHD occurrence.Graphical abstractDiagnostic and therapeutic target for GVHD
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