A fraction of liver transplant recipients are able to discontinue all immunosuppressive therapies without rejecting their grafts and are said to be operationally tolerant to the transplant. However, accurate identification of these recipients remains a challenge. To design a clinically applicable molecular test of operational tolerance in liver transplantation, we studied transcriptional patterns in the peripheral blood of 80 liver transplant recipients and 16 nontransplanted healthy individuals by employing oligonucleotide microarrays and quantitative real-time PCR. This resulted in the discovery and validation of several gene signatures comprising a modest number of genes capable of identifying tolerant and nontolerant recipients with high accuracy. Multiple peripheral blood lymphocyte subsets contributed to the tolerance-associated transcriptional patterns, although NK and gammadeltaTCR+ T cells exerted the predominant influence. These data suggest that transcriptional profiling of peripheral blood can be employed to identify liver transplant recipients who can discontinue immunosuppressive therapy and that innate immune cells are likely to play a major role in the maintenance of operational tolerance in liver transplantation.

Martínez Llordella, M., Lozano, J., Puig Pey, I., Orlando, G., Tisone, G., Lerut, J., et al. (2008). Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients. THE JOURNAL OF CLINICAL INVESTIGATION, 2845-2857 [10.1172/JCI35342].

Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients.

TISONE, GIUSEPPE;
2008-01-01

Abstract

A fraction of liver transplant recipients are able to discontinue all immunosuppressive therapies without rejecting their grafts and are said to be operationally tolerant to the transplant. However, accurate identification of these recipients remains a challenge. To design a clinically applicable molecular test of operational tolerance in liver transplantation, we studied transcriptional patterns in the peripheral blood of 80 liver transplant recipients and 16 nontransplanted healthy individuals by employing oligonucleotide microarrays and quantitative real-time PCR. This resulted in the discovery and validation of several gene signatures comprising a modest number of genes capable of identifying tolerant and nontolerant recipients with high accuracy. Multiple peripheral blood lymphocyte subsets contributed to the tolerance-associated transcriptional patterns, although NK and gammadeltaTCR+ T cells exerted the predominant influence. These data suggest that transcriptional profiling of peripheral blood can be employed to identify liver transplant recipients who can discontinue immunosuppressive therapy and that innate immune cells are likely to play a major role in the maintenance of operational tolerance in liver transplantation.
2008
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/18 - CHIRURGIA GENERALE
English
Con Impact Factor ISI
Martínez Llordella, M., Lozano, J., Puig Pey, I., Orlando, G., Tisone, G., Lerut, J., et al. (2008). Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients. THE JOURNAL OF CLINICAL INVESTIGATION, 2845-2857 [10.1172/JCI35342].
Martínez Llordella, M; Lozano, J; Puig Pey, I; Orlando, G; Tisone, G; Lerut, J; Benítez, C; Pons, J; Parrilla, P; Ramírez, P; Bruguera, M; Rimola, A; Sánchez Fueyo, A; Tisone, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/22490
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