Reduced Expression of Inflammatory Genes in Deceased Donor Kidneys Undergoing Pulsatile Pump Preservation 英文参考文献.docVIP
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Reduced Expression of Inflammatory Genes in Deceased Donor Kidneys Undergoing Pulsatile Pump Preservation 英文参考文献
ReducedExpressionofInflammatoryGenesinDeceased
DonorKidneysUndergoingPulsatilePumpPreservation
ValeriaR.Mas1*,KellieJ.Archer2,CatherineI.Dumur3,MarianoJ.Scian1,JiheeL.Suh1,AnneL.King4,
MeganE.Wardius5,JulieA.Straub5,MarcP.Posner4,KennethBrayman5,DanielG.Maluf5
1Translational Genomics Transplant Laboratory, University of Virginia, Charlottesville, Virginia, United States of America, 2Department of Biostatistics, Virginia
Commonwealth University, Richmond, Virginia, United States of America, 3Department of Pathology, Virginia Commonwealth University, Richmond, Virginia, United
StatesofAmerica,4TransplantDivision,DepartmentofSurgery,VirginiaCommonwealthUniversity,Richmond,Virginia,UnitedStatesofAmerica,5TransplantDivision,
DepartmentofSurgery,UniversityofVirginia,Charlottesville,Virginia,UnitedStatesofAmerica
Abstract
Background: The useofexpanded criteria donor kidneys (ECD)hadbeenassociated with worse outcomes. Whole gene
expressionofpre-implantationallograftbiopsiesfromdeceaseddonorkidneys(DDKs)wasevaluatedtocomparetheeffect
ofpulsatilepumppreservation(PPP)vs.coldstoragepreservation(CSP)onstandardandECDkidneys.
Methodology/PrincipalFindings:99pre-implantationDDKbiopsieswerestudiedusinggeneexpressionwithGeneChips.
Kidneystransplantrecipientswerefollowedposttransplantationfor35.8months(range=24–62).ThePPPgroupincluded
60 biopsies (cold ischemia time (CIT) =1,367+/2509minutes) and the CSP group included 39 biopsies (CIT=1,022+/
2485minutes) (P,0.001). Donor age (42.0614.6 vs. 34.1614.2 years, P=0.009) and the percentage of ECD kidneys
(PPP=35%vs.CSP=12.8%,P=0.012)weresignificantlydifferentbetweengroups.Atwo-samplet-testwasperformed,and
probesetshavingaP,0.001wereconsideredsignificant.Probesetlevellinearmodelswerefitusingcoldischemiatime
andCSP/PPPasindependentvariablestodeterminesignificantprobesets(P,0.001)betweengroupsafteradjustingfor
cold ischemia time. Thus, 43 significant genes were identified (P,0.001). Over-expression of genes associated with
inflammation(CD8
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