PMID- 27172087 OWN - NLM STAT- MEDLINE DCOM- 20180214 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 16 IP - 12 DP - 2016 Dec TI - Anti-LG3 Antibodies Aggravate Renal Ischemia-Reperfusion Injury and Long-Term Renal Allograft Dysfunction. PG - 3416-3429 LID - 10.1111/ajt.13866 [doi] AB - Pretransplant autoantibodies to LG3 and angiotensin II type 1 receptors (AT1R) are associated with acute rejection in kidney transplant recipients, whereas antivimentin autoantibodies participate in heart transplant rejection. Ischemia-reperfusion injury (IRI) can modify self-antigenic targets. We hypothesized that ischemia-reperfusion creates permissive conditions for autoantibodies to interact with their antigenic targets and leads to enhanced renal damage and dysfunction. In 172 kidney transplant recipients, we found that pretransplant anti-LG3 antibodies were associated with an increased risk of delayed graft function (DGF). Pretransplant anti-LG3 antibodies are inversely associated with graft function at 1 year after transplantation in patients who experienced DGF, independent of rejection. Pretransplant anti-AT1R and antivimentin were not associated with DGF or its functional outcome. In a model of renal IRI in mice, passive transfer of anti-LG3 IgG led to enhanced dysfunction and microvascular injury compared with passive transfer with control IgG. Passive transfer of anti-LG3 antibodies also favored intrarenal microvascular complement activation, microvascular rarefaction and fibrosis after IRI. Our results suggest that anti-LG3 antibodies are novel aggravating factors for renal IRI. These results provide novel insights into the pathways that modulate the severity of renal injury at the time of transplantation and their impact on long-term outcomes. CI - (c) Copyright 2016 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Yang, B AU - Yang B AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Dieude, M AU - Dieude M AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Hamelin, K AU - Hamelin K AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Henault-Rondeau, M AU - Henault-Rondeau M AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Patey, N AU - Patey N AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. AD - Department of Pathology, CHU Ste-Justine, Universite de Montreal, Montreal, QC, Canada. FAU - Turgeon, J AU - Turgeon J AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Lan, S AU - Lan S AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Pomerleau, L AU - Pomerleau L AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. FAU - Quesnel, M AU - Quesnel M AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. FAU - Peng, J AU - Peng J AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. FAU - Tremblay, J AU - Tremblay J AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. FAU - Shi, Y AU - Shi Y AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Chan, J S AU - Chan JS AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Hebert, M J AU - Hebert MJ AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. FAU - Cardinal, H AU - Cardinal H AD - Research Centre, Centre Hospitalier de l'Universite de Montreal (CRCHUM), Montreal, QC, Canada. AD - Canadian National Transplant Research Program, Edmonton, Alberta, T6G 2E1, Canada. AD - Universite de Montreal, Montreal, QC, Canada. LA - eng GR - MOP-15447/CIHR/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160623 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Autoantibodies) RN - 0 (Heparan Sulfate Proteoglycans) RN - 143972-95-6 (perlecan) SB - IM MH - Animals MH - Autoantibodies/*blood/immunology MH - Delayed Graft Function/blood/*etiology/pathology MH - Female MH - Follow-Up Studies MH - Glomerular Filtration Rate MH - Graft Survival/*immunology MH - Heparan Sulfate Proteoglycans/*immunology MH - Humans MH - Kidney Failure, Chronic/surgery MH - Kidney Function Tests MH - Kidney Transplantation/*adverse effects MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Middle Aged MH - Prognosis MH - Reperfusion Injury/blood/*etiology/pathology MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - autoimmunity OT - basic (laboratory) research/science OT - clinical research/practice OT - complement biology OT - delayed graft function (DGF) OT - immunobiology OT - ischemia reperfusion injury (IRI) OT - kidney (allograft) function/dysfunction OT - kidney transplantation/nephrology EDAT- 2016/05/14 06:00 MHDA- 2018/02/15 06:00 CRDT- 2016/05/13 06:00 PHST- 2015/09/30 00:00 [received] PHST- 2016/05/04 00:00 [revised] PHST- 2016/05/07 00:00 [accepted] PHST- 2016/05/14 06:00 [pubmed] PHST- 2018/02/15 06:00 [medline] PHST- 2016/05/13 06:00 [entrez] AID - S1600-6135(22)00685-2 [pii] AID - 10.1111/ajt.13866 [doi] PST - ppublish SO - Am J Transplant. 2016 Dec;16(12):3416-3429. doi: 10.1111/ajt.13866. Epub 2016 Jun 23.