PMID- 31394776 OWN - NLM STAT- MEDLINE DCOM- 20200511 LR - 20231213 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 8 IP - 8 DP - 2019 Aug 7 TI - HLA-E Polymorphism Determines Susceptibility to BK Virus Nephropathy after Living-Donor Kidney Transplant. LID - 10.3390/cells8080847 [doi] LID - 847 AB - Human leukocyte antigen (HLA)-E is important for the regulation of anti-viral immunity. BK polyomavirus (BKPyV) reactivation after kidney transplant is a serious complication that can result in BKPyV-associated nephropathy (PyVAN) and subsequent allograft loss. To elucidate whether HLA-E polymorphisms influence BKPyV replication and nephropathy, we determined the HLA-E genotype of 278 living donor and recipient pairs. A total of 44 recipients suffered from BKPyV replication, and 11 of these developed PyVAN. Homozygosity of the recipients for the HLA-E*01:01 genotype was associated with the protection against PyVAN after transplant (p = 0.025, OR 0.09, CI [95%] 0.83-4.89). Considering the time course of the occurrence of nephropathy, recipients with PyVAN were more likely to carry the HLA-E*01:03 allelic variant than those without PyVAN (Kaplan-Meier analysis p = 0.03; OR = 4.25; CI (95%) 1.11-16.23). Our findings suggest that a predisposition based on a defined HLA-E genotype is associated with an increased susceptibility to develop PyVAN. Thus, assessing HLA-E polymorphisms may enable physicians to identify patients being at an increased risk of this viral complication. FAU - Rohn, Hana AU - Rohn H AD - Department of Infectious Diseases, West German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. hana.rohn@uk-essen.de. FAU - Michita, Rafael Tomoya AU - Michita RT AUID- ORCID: 0000-0003-3156-9382 AD - Institute for Transfusion Medicine, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. AD - Post-Graduation Program in Genetics and Molecular Biology, Genetics Department, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 91501-970, Brazil. FAU - Schramm, Sabine AU - Schramm S AD - Institute for Transfusion Medicine, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Dolff, Sebastian AU - Dolff S AD - Department of Infectious Diseases, West German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Gackler, Anja AU - Gackler A AD - Department of Nephrology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Korth, Johannes AU - Korth J AUID- ORCID: 0000-0003-4898-0389 AD - Department of Nephrology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Heinemann, Falko M AU - Heinemann FM AD - Institute for Transfusion Medicine, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Wilde, Benjamin AU - Wilde B AD - Department of Nephrology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Trilling, Mirko AU - Trilling M AUID- ORCID: 0000-0003-3659-3541 AD - Institute for Virology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Horn, Peter A AU - Horn PA AD - Institute for Transfusion Medicine, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Kribben, Andreas AU - Kribben A AD - Department of Nephrology, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Witzke, Oliver AU - Witzke O AD - Department of Infectious Diseases, West German Centre for Infectious Diseases (WZI), University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. FAU - Rebmann, Vera AU - Rebmann V AUID- ORCID: 0000-0003-4660-3870 AD - Institute for Transfusion Medicine, University Hospital Essen, University Duisburg-Essen, 45147 Essen, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190807 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adult MH - Aged MH - Alleles MH - Female MH - *Genetic Predisposition to Disease MH - Histocompatibility Antigens Class I/*genetics MH - Humans MH - Kidney Diseases/*prevention & control MH - *Kidney Transplantation MH - Living Donors MH - Male MH - Middle Aged MH - *Polyomavirus Infections/genetics/prevention & control MH - HLA-E Antigens PMC - PMC6721664 OTO - NOTNLM OT - BK virus OT - human leukocyte antigen-E OT - kidney transplantation OT - nephropathy OT - polyomavirus COIS- The authors declare no conflict of interest. EDAT- 2019/08/10 06:00 MHDA- 2020/05/12 06:00 PMCR- 2019/08/01 CRDT- 2019/08/10 06:00 PHST- 2019/06/22 00:00 [received] PHST- 2019/07/26 00:00 [revised] PHST- 2019/08/06 00:00 [accepted] PHST- 2019/08/10 06:00 [entrez] PHST- 2019/08/10 06:00 [pubmed] PHST- 2020/05/12 06:00 [medline] PHST- 2019/08/01 00:00 [pmc-release] AID - cells8080847 [pii] AID - cells-08-00847 [pii] AID - 10.3390/cells8080847 [doi] PST - epublish SO - Cells. 2019 Aug 7;8(8):847. doi: 10.3390/cells8080847.