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논문 기본 정보

자료유형
학술저널
저자정보
Yu Ho Lee (Kyung Hee University) Jung-Woo Seo (Kyung Hee University) Yang Gyun Kim (Kyung Hee University) Ju-Young Moon (Kyung Hee University) Jin Sug Kim (Kyung Hee University) Kyung-Hwan Jeong (Kyung Hee University) Bo-mi Kim (The Catholic University of Korea) Kyoung Woon Kim (The Catholic University of Korea) Chul Woo Yang (The Catholic University of Korea) Chan-Duck Kim (Kyungpook National University Hospital) Jae Berm Park (Samsung Medical Center) Yeong Hoon Kim (Inje University College of Medicine) Byung Ha Chung (The Catholic University of Korea) Sang-Ho Lee (Kyung Hee University)
저널정보
대한면역학회 Immune Network Immune Network Vol.18 No.5
발행연도
2018.10
수록면
44 - 56 (13page)

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Operational tolerance (OT), defined as maintaining stable graft function without immunosuppression after transplant surgery, is an ideal goal for kidney transplant recipients (KTRs). Recent investigations have demonstrated the distinctive features of B cells, T cells, and dendritic cell-related gene signatures and the distributions of circulating lymphocytes in these patients; nonetheless, substantial heterogeneities exist across studies. This study was conducted to determine whether previously reported candidate gene biomarkers and the profiles of lymphocyte subsets of OT could be applied in Korean KTRs. Peripheral blood samples were collected from 153 patients, including 7 operationally tolerant patients. Quantitative real-time PCR and flow cytometry were performed to evaluate gene expression and lymphocyte subsets, respectively. Patients with OT showed significantly higher levels of B cell-related gene signatures (IGKV1D-13 and IGKV4-1), while T cell-related genes (TOAG-1) and dendritic cell-related genes (BNC2, KLF6, and CYP1B1) were not differentially expressed across groups. Lymphocyte subset analyses also revealed a higher proportion of immature B cells in this group. In contrast, the distributions of CD4+ T cells, CD8+ T cells, mature B cells, and memory B cells showed no differences across diagnostic groups. An OT signature, generated by the integration of IGKV1D-13, IGKV4-1, and immature B cells, effectively discriminated patients with OT from those in other diagnostic groups. Finally, the OT signature was observed among 5.6% of patients who had stable graft function for more than 10 years while on immunosuppression. In conclusion, we validated an association of B cells and their related signature with OT in Korean KTRs.

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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2019-517-000120559