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- W62877049 abstract "Development of immune responses to donor mismatched HLA (DSA) has been a major risk factor for Transplant Glomerulopathy (TG) leading to chronic rejection following kidney transplantation (KTx). The goal of this study is to determine the impact of development of de novo antibodies (Abs) to DSA in the development of immune responses to kidney associated self-antigens, collagen-IV (Col-IV) and fibronectin (FN) in the immunopathogenesis of TG. Pre- and post-Tx sera from biopsies proven TG (n = 26) and stable (n=10) recipients were analyzed for DSA and cytokines by Luminex. Development of Abs to Col-IV and FN were determined by ELISA. Fourty six and 15% of TG patients developed DSA and non-DSA HLA Abs respectively. More significantly, 76% (p < 0.001) of TG patients developed Abs to Col-IV FN. In contrast, only 20% of stable patients developed abs to these antigens. Further, kinetic analysis as well as quantification of Abs to Col-IV (282 ± 41 vs. 139 ± 32ng/ml, p < 0.001) and FN (241 ± 54 vs. 145 ± 36ng/ml, p < 0.001) in patients with DSA demonstrating 1.7 to 2 fold higher levels in comparison to the non-DSA group suggest that specific alloimmune responses may predispose for the induction of autoimmune responses. The serum cytokines analysis demonstrated increased levels of IFN-γ, IL-1β, IL-6, IL-17, TNF-α, GM-CSF, VEGF, TGF-β (p < 0.01) in TG compared to stable and pre-tx sera indicating ongoing inflammation induced by ligation of specific membrane antigens by the de novo developed Abs in TG patients. Our results demonstrate that KTx recipients with TG develop Abs to DSA and/or HLA de novo which strongly correlate with induction of immune responses to kidney associated self-antigens col-IV and FN. Further, sera from TG patients also demonstrated increased levels of proinflammatory and profibrotic cytokines (IFN-γ, IL-1β, IL-6, IL-17, TNF-α, GM-CSF, VEGF, TGF-β) suggesting that the specific binding of antigens by de novo developed Abs may contribute to the immunopathogenesis of TG following human KTx." @default.
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- W62877049 date "2012-10-01" @default.
- W62877049 modified "2023-10-14" @default.
- W62877049 title "48-OR" @default.
- W62877049 doi "https://doi.org/10.1016/j.humimm.2012.07.080" @default.
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