PMID- 12545335 OWN - NLM STAT- MEDLINE DCOM- 20030805 LR - 20081121 IS - 0934-0874 (Print) IS - 0934-0874 (Linking) VI - 16 IP - 1 DP - 2003 Jan TI - Differential intragraft cytokine messenger RNA profiles during rejection and repair of clinical heart transplants. A longitudinal study. PG - 9-14 AB - After clinical heart transplantation, ischemia, acute rejection, and repair mechanisms can trigger the up-regulation of cytokines. To investigate the cytokine profile early after transplantation, we monitored messenger RNA (mRNA) expression levels of tumor necrosis factor-alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1), transforming growth factor-beta (TGF-beta), platelet-derived growth factor-A (PDGF-A), and basic fibroblast growth factor (bFGF) by reverse transcriptase-polymerase chain reaction (RT-PCR) in serial endomyocardial biopsies ( n=123) from 16 cardiac allograft recipients during the first 3 post-operative months. In the first month, mRNA expression levels of MCP-1, TNF-alpha, TGF-beta, and bFGF were significantly higher than in the period thereafter (acute rejection episodes excluded). Acute rejection (International Society for Heart and Lung Transplantation (ISHLT) rejection grade >2) was strongly associated with the level of TNF-alpha mRNA. After acute rejection episodes, rising mRNA expression levels of PDGF-A and bFGF were found. The association between TNF-alpha mRNA and acute rejection reflects the importance of this cytokine in allogeneic responses. Elevated growth factor expression levels indicate repair responses after tissue damage due to either the transplantation procedure (surgery, ischemia, reperfusion) or acute allograft rejection. FAU - de Groot-Kruseman, Hester A AU - de Groot-Kruseman HA AD - Department of Internal Medicine, Erasmus MC, PO Box 1738, 3000 DR Rotterdam, The Netherlands. FAU - Mol, Wendy M AU - Mol WM FAU - Niesters, Hubert G M AU - Niesters HG FAU - Maat, Alex P W AU - Maat AP FAU - van Gelder, Teun AU - van Gelder T FAU - Balk, Aggie H M M AU - Balk AH FAU - Weimar, Willem AU - Weimar W FAU - Baan, Carla C AU - Baan CC LA - eng PT - Journal Article DEP - 20021210 PL - Switzerland TA - Transpl Int JT - Transplant international : official journal of the European Society for Organ Transplantation JID - 8908516 RN - 0 (Chemokine CCL2) RN - 0 (Platelet-Derived Growth Factor) RN - 0 (RNA, Messenger) RN - 0 (Transforming Growth Factor beta) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (platelet-derived growth factor A) RN - 103107-01-3 (Fibroblast Growth Factor 2) SB - IM MH - Acute Disease MH - Biopsy MH - Chemokine CCL2/genetics MH - Cold Temperature MH - Fibroblast Growth Factor 2/genetics MH - Gene Expression/immunology MH - Graft Rejection/immunology/pathology/*physiopathology MH - *Heart Transplantation MH - Humans MH - Longitudinal Studies MH - Myocardial Ischemia/physiopathology MH - Myocardium/pathology MH - Platelet-Derived Growth Factor/genetics MH - RNA, Messenger/analysis MH - Transforming Growth Factor beta/genetics MH - Tumor Necrosis Factor-alpha/*genetics EDAT- 2003/01/25 04:00 MHDA- 2003/08/06 05:00 CRDT- 2003/01/25 04:00 PHST- 2001/10/08 00:00 [received] PHST- 2002/08/12 00:00 [revised] PHST- 2002/08/22 00:00 [accepted] PHST- 2003/01/25 04:00 [pubmed] PHST- 2003/08/06 05:00 [medline] PHST- 2003/01/25 04:00 [entrez] AID - 10.1007/s00147-002-0489-7 [doi] PST - ppublish SO - Transpl Int. 2003 Jan;16(1):9-14. doi: 10.1007/s00147-002-0489-7. Epub 2002 Dec 10.