Pre-transplant levels of ficolin-3 are associated with kidney graft survival

被引:14
作者
Bay, Jakob T. [1 ]
Hein, Estrid [1 ]
Sorensen, Soren S. [2 ]
Hansen, Jesper Melchior [3 ]
Garred, Peter [1 ]
机构
[1] Univ Copenhagen, Rigshosp, Dept Clin Immunol, Mol Med Lab, DK-2100 Copenhagen, Denmark
[2] Univ Copenhagen, Rigshosp, Dept Nephrol P, DK-2100 Copenhagen, Denmark
[3] Univ Copenhagen, Fac Hlth Sci, Herlev Hosp, Dept Nephrol, Copenhagen, Denmark
关键词
Kidney transplantation; Ficolins; Lectin pathway; Complement; HAKATA ANTIGEN; LECTIN PATHWAY; COMPLEMENT; ACTIVATION; FCN2;
D O I
10.1016/j.clim.2013.01.005
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Ficolin-3 is an initiator of the lectin complement pathway. The complement system is a mediator of the pathophysiology of graft rejection in kidney transplantation, but the role of ficolin-3 in this process is unknown. Using a prospective study design, 527 kidney transplanted patients were included. 97 blood donors served as controls. Ficolin-3, C4 and C3 were measured in pre-transplant as well as in control serum samples. In controls, deposition of ficolin-3, C4, C3 and the terminal complement complex (TCC) was measured in an assay based on acetylated albumin as matrix. The ficolin-3 levels correlated with the serum levels of C4 and C3. The serum levels of ficolin-3 correlated with the deposition of ficolin-3, C4, C3 and TCC. Survival analyses showed that high pre-transplant serum levels of ficolin-3 were associated with decreased graft survival. These results suggest an important role of ficolin-3 in the pathophysiology of kidney graft rejection. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:240 / 247
页数:8
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