Immunoproteasome beta subunit 10 is increased in chronic antibody-mediated rejection

被引:25
作者
Ashton-Chess, Joanna [1 ,2 ,3 ]
Le Mai, Hoa [1 ,2 ,3 ]
Jovanovic, Vojislav [1 ,2 ,3 ]
Renaudin, Karine [4 ]
Foucher, Yohann [1 ,2 ,3 ]
Giral, Magali [1 ,2 ,3 ]
Moreau, Anne [4 ]
Dugast, Emilie [1 ,2 ,3 ]
Mengel, Michael [5 ]
Racape, Maud [1 ,2 ,3 ]
Danger, Richard [1 ,2 ,3 ]
Usal, Claire [1 ,2 ,3 ]
Smit, Helga [1 ,2 ,3 ]
Guillet, Marina [6 ]
Gwinner, Wilfried [7 ]
Le Berre, Ludmilla [1 ,2 ,3 ]
Dantal, Jacques [1 ,2 ,3 ]
Soulillou, Jean-Paul [1 ,2 ,3 ]
Brouard, Sophie [1 ,2 ,3 ]
机构
[1] INSERM, U643, F-44093 Nantes, France
[2] CHU Nantes, ITERT, F-44035 Nantes 01, France
[3] Univ Nantes, Fac Med, Nantes, France
[4] CHU Nantes, Serv Anat Pathol, F-44035 Nantes 01, France
[5] Univ Alberta, Dept Lab Med & Pathol, Edmonton, AB, Canada
[6] TcLand Express, Nantes, France
[7] Hannover Med Sch, Nephrol Abt, D-30623 Hannover, Germany
关键词
chronic allograft rejection; gene transcription; kidney transplantation; CHRONIC ALLOGRAFT-REJECTION; PROTEASOME INHIBITOR; HLA ANTIBODIES; HUMORAL REJECTION; GENE-EXPRESSION; PLASMA-CELLS; C4D; TRANSPLANTATION; DEPOSITION; THERAPY;
D O I
10.1038/ki.2010.15
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Chronic active antibody-mediated rejection is a form of late rejection with a poor prognosis. To identify specific markers of this, we analyzed several microarray studies in the literature and performed mRNA profiling of 65 biopsies and 165 blood samples of a large cohort of renal transplant patients with precisely characterized pathologies. Immunoproteasome beta subunit 10 was found to be specifically increased in the graft and blood samples during chronic active antibody-mediated rejection and was also significantly increased in rat cardiac allografts undergoing acute rejection as well as chronic active antibody-mediated rejection. This syndrome is characterized by chronic transplant vasculopathy associated with diffuse C4d staining and circulating donor-specific antibodies. Using this animal model, we found that administration of the proteasome inhibitor, Bortezomib, delayed acute rejection and attenuated the humoral response in both the acute phase and established state of this syndrome in a dose-dependent manner. Following treatment with this reagent, donor-specific antibodies and C4d deposition were reduced. These studies highlight the role of the proteasome in chronic rejection and identify this molecule as a marker of this syndrome. Kidney International (2010) 77, 880 -890; doi: 10.1038/ki.2010.15; published online 24 February 2010
引用
收藏
页码:880 / 890
页数:11
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