PMID- 34582968 OWN - NLM STAT- MEDLINE DCOM- 20220217 LR - 20220217 IS - 1878-5492 (Electronic) IS - 0966-3274 (Linking) VI - 69 DP - 2021 Dec TI - A descriptive analysis of non-human leukocyte antigens present in renal transplant donor-recipient pairs. PG - 101474 LID - S0966-3274(21)00114-3 [pii] LID - 10.1016/j.trim.2021.101474 [doi] AB - INTRODUCTION: End stage renal disease (ESRD) is the irreversible deterioration of renal function requiring renal replacement therapy by dialysis or transplant. Human leucocyte antigens (HLA) have been well examined however research still is required into the non-HLA antibodies. Antibody mediated rejection (AMR) can be seen in the absence of HLA antibodies on biopsies of patients who have received identical transplants; anti-endothelial cell antibodies may explain this. Investigation into endothelial cell antigens on donor and recipient endothelium may elucidate and stratify the degree of risk of any given transplant and may guide towards the best matched donor. METHODS: Protein array analysis was carried out on 8 patient pairs using nitro-cellulose membranes and biotinylated detection antibodies. The fluorescence emitted was captured by X-Ray film and results were recorded with ImageJ software. A fold increase of more than 2 was considered to be positive. RESULTS: 11 proteins identified had a fold increase of increase >/=2 and were present in >/=2 patient pairs which may point to potential clinical utility. Nectin2/CD112 may be measured in order analyse graft survival time in transplant recipients. Prognosticating renal failure has clinical importance and potential markers that have been identified to aid which include MEPE, CRELD2, and TIMP-4. Novel pharmacological therapies for specific biomarkers identified in this study include JAM-A, E-Selectin, CD147, Galectin-3, JAM-C, PAR-1, and TNFR2. CONCLUSION: Protein analysis showed differences in expression of antigens between patients with and without Chronic Kidney Disease (CKD). This information could be used at the matching stage of renal transplantation and also in the treatment of rejection episodes. The results highlight biomarkers that potentially prognosticate and pharmacological therapies that may ameliorate kidney disease and rejection in ESRD and transplant recipients. CI - Copyright (c) 2021 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Sisk, Louis J AU - Sisk LJ AD - University of Glasgow, United Kingdom; British Heart Foundation Cardiovascular Research Centre, University of Glasgow, United Kingdom. Electronic address: louisjsisk@gmail.com. FAU - Patel, Rajan K AU - Patel RK AD - University of Glasgow, United Kingdom; British Heart Foundation Cardiovascular Research Centre, University of Glasgow, United Kingdom. FAU - Stevens, Kathryn K AU - Stevens KK AD - University of Glasgow, United Kingdom; British Heart Foundation Cardiovascular Research Centre, University of Glasgow, United Kingdom. LA - eng PT - Journal Article DEP - 20210925 PL - Netherlands TA - Transpl Immunol JT - Transplant immunology JID - 9309923 RN - 0 (HLA Antigens) SB - IM MH - Graft Rejection MH - Graft Survival MH - HLA Antigens MH - Humans MH - Kidney/physiology MH - *Kidney Transplantation MH - Renal Dialysis MH - Transplant Recipients OTO - NOTNLM OT - Animals OT - Atherosclerosis OT - Biomarkers OT - CD112 OT - CD147 OT - CKD OT - CRELD2 OT - Chronic Kidney Disease OT - Complications OT - Diabetic OT - Disease progression OT - Donors OT - Dysfunction OT - EMMPRIN OT - ESRD OT - ESelectin OT - End stage renal disease OT - FGF-23 OT - Female OT - Galectin-3 OT - Glomerulosclerosis OT - Humans OT - Hypertension OT - Inflammation OT - JAM-A OT - JAM-C OT - Kidney OT - Kidney failure OT - MEPE OT - Male OT - Mediators OT - Metabolism OT - Nectin-2 OT - Nephropathy OT - Novel OT - PAR-1 OT - Pharmacological OT - Protein array analysis OT - Receptors OT - Recipients OT - Rejection OT - Renal OT - TIMP-4 OT - TNFR2 OT - TNFRSF1b OT - Therapy OT - Transplant OT - Tumour necrosis factor EDAT- 2021/09/29 06:00 MHDA- 2022/02/19 06:00 CRDT- 2021/09/28 20:16 PHST- 2021/07/31 00:00 [received] PHST- 2021/09/22 00:00 [revised] PHST- 2021/09/22 00:00 [accepted] PHST- 2021/09/29 06:00 [pubmed] PHST- 2022/02/19 06:00 [medline] PHST- 2021/09/28 20:16 [entrez] AID - S0966-3274(21)00114-3 [pii] AID - 10.1016/j.trim.2021.101474 [doi] PST - ppublish SO - Transpl Immunol. 2021 Dec;69:101474. doi: 10.1016/j.trim.2021.101474. Epub 2021 Sep 25.