Evaluation of non-invasive biomarkers of kidney allograft rejection in a prospective multicenter unselected cohort study (EU-TRAIN)
- Type de publi. : Article dans une revue
- Date de publi. : 01/08/2024
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Auteurs :
Valentin GoutaudierRichard DangerRusan Ali CatarMaud RacapéAurélie PhilippeMichelle EliasMarc RaynaudOlivier AubertDidier BoutonFrançois GirardinÉric VicautSarhan YaicheJacques DemotesHarald HeideckeJean-Luc TaupinChristine Randoux-LebrunMohamad ZaidanEmmanuelle PapuchonHoa Le MaiThi van Ha NguyenFrancesc MoresoThierry BerneyJean VillardChristophe LegendreDuska DragunVassilios PapaloisLuciano PotenaMagali GiralPierre-Antoine GourraudSophie BrouardElena CrespoFabian HalleckKlemens BuddeOriol BestardAlexandre LoupyCarmen Lefaucheur
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Organismes :
Paris-Centre de Recherche Cardiovasculaire
Hôpital Necker - Enfants Malades [AP-HP]
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Berlin Institute of Health
Charité - UniversitätsMedizin = Berlin University Medicine
Paris-Centre de Recherche Cardiovasculaire
Laboratoire Universitaire de Biodiversité et Ecologie Microbienne
Hopital Saint-Louis [AP-HP]
Paris-Centre de Recherche Cardiovasculaire
Paris-Centre de Recherche Cardiovasculaire
Hôpital Necker - Enfants Malades [AP-HP]
Assistance publique - Hôpitaux de Paris (AP-HP)
Laboratoire Vibrations Acoustique
centre Lyonnais d'Acoustique
Hôpital Lariboisière-Fernand-Widal [APHP]
Université Paris Cité
Service d'Immunologie et d'Histocompatibilité
Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris]
Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Vall d'Hebron University Hospital [Barcelona]
Hôpitaux Universitaires de Genève = University Hospital of Geneva [Genève]
Hôpitaux Universitaires de Genève = University Hospital of Geneva [Genève]
Service de néphrologie adultes [CHU Necker]
Charité - UniversitätsMedizin = Berlin University Medicine
Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
Berlin Institute of Health
Hammersmith Hospital NHS Imperial College Healthcare
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Team 3 : Integrative transplantation, HLA, Immunology and genomics of kidney injury
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Centre de Recherche en Transplantation et Immunologie - Center for Research in Transplantation and Translational Immunology
Team 4 : Deciphering organ immune regulation in inflammation and transplantation (DORI-t)
Institut de Transplantation et de Recherche en Transplantation [CHU Nantes]
Vall d'Hebron Research Institute - Institut de Recerca Vall d’Hebron
Charité - UniversitätsMedizin = Berlin University Medicine
Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
Berlin Institute of Health
Charité - UniversitätsMedizin = Berlin University Medicine
Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
Berlin Institute of Health
Vall d'Hebron University Hospital [Barcelona]
Paris-Centre de Recherche Cardiovasculaire
Service de néphrologie adultes [CHU Necker]
Paris-Centre de Recherche Cardiovasculaire
Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris]
- Publié dans Kidney International le 27/10/2020
Résumé : Non-invasive biomarkers are promising tools for improving kidney allograft rejection monitoring, but their clinical adoption requires more evidence in specifically designed studies. To address this unmet need, we designed the EU-TRAIN study, a large prospective multicentric unselected cohort funded by the European Commission. Here, we included consecutive adult patients who received a kidney allograft in nine European transplant centers between November 2018 and June 2020. We prospectively assessed gene expression levels of 19 blood messenger RNAs, four antibodies targeting non-human leukocyte antigen (HLA) endothelial antigens, together with circulating anti-HLA donor-specific antibodies (DSA). The primary outcome was allograft rejection (antibody-mediated, T cell-mediated, or mixed) in the first year post-transplantation. Overall, 412 patients were included, with 812 biopsies paired with a blood sample. CD4 gene expression was significantly associated with rejection, while circulating anti-HLA DSA had a significant association with allograft rejection and a strong association with antibody-mediated rejection. All other tested biomarkers, including AKR1C3, CD3E, CD40, CD8A, CD9, CTLA4, ENTPD1, FOXP3, GZMB, ID3, IL7R, MS4A1, MZB1, POU2AF1, POU2F1, TCL1A, TLR4, and TRIB1, as well as antibodies against angiotensin II type 1 receptor, endothelin 1 type A receptor, C3a and C5a receptors, did not show significant associations with allograft rejection. The blood messenger RNAs and non-HLA antibodies did not show an additional value beyond standard of care monitoring parameters and circulating anti-HLA DSA to predict allograft rejection in the first year post-transplantation. Thus, our results open avenues for specifically designed studies to demonstrate the clinical relevance and implementation of other candidate non-invasive biomarkers in kidney transplantation practice.
Fichiers liés :
PIIS0085253824005659.pdf
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