PMID- 20304168 OWN - NLM STAT- MEDLINE DCOM- 20100819 LR - 20161125 IS - 1873-2623 (Electronic) IS - 0041-1345 (Linking) VI - 42 IP - 2 DP - 2010 Mar TI - Quantitative analyses of kidney injury molecule-1 messenger RNA in kidney transplant recipients with graft dysfunction. PG - 473-4 LID - 10.1016/j.transproceed.2010.01.042 [doi] AB - BACKGROUND: Kidney injury molecule-1 (KIM-1), a type I transmembrane protein that is not expressed in normal renal tissue, shows increased expression in dedifferentiated cells within damaged regions of the proximal tubule. We evaluated mRNA transcription of the KIM-1 gene in renal tissue of kidney transplant patients who were experiencing graft dysfunction searching for an accurate biomarker of kidney graft injury. PATIENTS AND METHODS: mRNA analysis was performed on 59 biopsies from kidney transplant patients who had been classified according to the Banff 1997 scheme. Biopsies were categorized in 5 diagnostic groups: acute tubular necrosis (ATN) with superimposed acute rejection episode (ARE), ATN; ARE; calcineurin inhibitor nephrotoxicity (CIN); or interstitial fibrosis and tubular atrophy (IFTA). Amplified tissue RNA was quantified by real-time polymerase chain reaction. RESULTS: Renal tissue evaluations showed significantly increased KIM-1 mRNA expression as shown by median values, 25-75 percentiles, and averages of the logarithmic transformation: namely, CIN group (50.6; 1.8-285, 1; 1.24) and IFTA group (7.5; 1.26-14.6; 0.62), displayed significant differences (P > .05). In contrast, expression was lower among the ATN (0.47; 0.28-1.06; -0.13); ARE (0.21; 0.11-0.78; -0.45), and ATN+ARE (0.46; 0.06-3.27; -0.25) cohorts. CONCLUSION: These preliminary data suggested that KIM-1 mRNA might be useful biomarker of tubular damage associated with CIN and IFTA. CI - Copyright (c) 2010 Elsevier Inc. All rights reserved. FAU - Nogare, A L AU - Nogare AL AD - Division of Nephrology, Hospital de Clinicas de Porto Alegre and Post-Graduate Medical Sciences Course, School of Medicine, Federal University of Rio Grande do Sul, Ramiro Barcelos Avenue, Porto Alegre, RS 90035-903. Brazil FAU - Joelsons, G AU - Joelsons G FAU - Pedroso, J A R AU - Pedroso JA FAU - Veronese, F J V AU - Veronese FJ FAU - Goncalves, L F AU - Goncalves LF FAU - Manfro, R C AU - Manfro RC LA - eng PT - Journal Article PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (HAVCR1 protein, human) RN - 0 (Hepatitis A Virus Cellular Receptor 1) RN - 0 (Membrane Glycoproteins) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Virus) SB - IM MH - Atrophy MH - Biopsy MH - Gene Expression Regulation MH - Hepatitis A Virus Cellular Receptor 1 MH - Humans MH - Kidney Transplantation/*pathology MH - Kidney Tubules/pathology MH - Membrane Glycoproteins/*genetics MH - Necrosis MH - Postoperative Complications/epidemiology MH - RNA, Messenger/*genetics MH - Receptors, Virus/*genetics MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2010/03/23 06:00 MHDA- 2010/08/20 06:00 CRDT- 2010/03/23 06:00 PHST- 2010/03/23 06:00 [entrez] PHST- 2010/03/23 06:00 [pubmed] PHST- 2010/08/20 06:00 [medline] AID - S0041-1345(10)00133-8 [pii] AID - 10.1016/j.transproceed.2010.01.042 [doi] PST - ppublish SO - Transplant Proc. 2010 Mar;42(2):473-4. doi: 10.1016/j.transproceed.2010.01.042.