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  • 标题:Quantitative detection of immune activation transcripts as a diagnostic tool in kidney transplantation
  • 本地全文:下载
  • 作者:Jürgen Strehlau ; Martha Pavlakis ; Mark Lipman
  • 期刊名称:Proceedings of the National Academy of Sciences
  • 印刷版ISSN:0027-8424
  • 电子版ISSN:1091-6490
  • 出版年度:1997
  • 卷号:94
  • 期号:2
  • 页码:695-700
  • DOI:10.1073/pnas.94.2.695
  • 语种:English
  • 出版社:The National Academy of Sciences of the United States of America
  • 摘要:Procedures to diagnose renal allograft rejection depend upon detection of graft dysfunction and the presence of a mononuclear leukocytic infiltrate; however, the presence of a modest cellular infiltrate is often not conclusive and can be detected in non-rejecting grafts. We have pursued a molecular approach utilizing reverse transcription (RT)-PCR to test the diagnostic accuracy of multiple immune activation gene analysis as means to diagnose renal allograft rejection. The magnitude of intragraft gene expression of 15 immune activation genes was quantified by competitive RT-PCR in 60 renal allograft core biopsies obtained for surveillance or to diagnose the etiology of graft dysfunction. Results were compared with a clinicopathological analysis based upon the histological diagnosis (Banff criteria) and the response to antirejection treatment. During acute renal allograft rejection intragraft expression of the interleukin (IL)-7 (P < 0.001), IL-10 (P < 0.0001), IL-15 (P < 0.0001), Fas ligand (P < 0.0001), perforin (P < 0.0001), and granzyme B (P < 0.0015), but not IL-2, interferon {gamma
  • 关键词:renal transplantation ; cytokines ; cytotoxic T lymphocyte ; polymerase chain reaction ; diagnosis
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