International Journal of Immunogenetics最新文献

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Forming a new perspective: Post-structural approaches to determination of donor compatibility and post-transplant assessment of allograft health 形成新的视角:确定供体相容性和移植后评估同种异体健康的后结构方法。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-06-10 DOI: 10.1111/iji.12687
Fatima Nadat, Brendan Clark
{"title":"Forming a new perspective: Post-structural approaches to determination of donor compatibility and post-transplant assessment of allograft health","authors":"Fatima Nadat, Brendan Clark","doi":"10.1111/iji.12687","DOIUrl":"10.1111/iji.12687","url":null,"abstract":"","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"254"},"PeriodicalIF":2.3,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular investigation of vitamin D receptor (VDR) genetic variants and their impact on VDR mRNA and serum vitamin D levels in allergic rhinitis in an Indian population: A case–control study 维生素 D 受体 (VDR) 遗传变异及其对印度人群过敏性鼻炎中 VDR mRNA 和血清维生素 D 水平影响的分子研究:病例对照研究。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-05-29 DOI: 10.1111/iji.12679
Shahid M Baba, Tabasum Shafi, Roohi Rasool, Afaq Hameed, Saba Shafi, Sheikh F. Ahmad
{"title":"Molecular investigation of vitamin D receptor (VDR) genetic variants and their impact on VDR mRNA and serum vitamin D levels in allergic rhinitis in an Indian population: A case–control study","authors":"Shahid M Baba,&nbsp;Tabasum Shafi,&nbsp;Roohi Rasool,&nbsp;Afaq Hameed,&nbsp;Saba Shafi,&nbsp;Sheikh F. Ahmad","doi":"10.1111/iji.12679","DOIUrl":"10.1111/iji.12679","url":null,"abstract":"<p>Vitamin D deficiency is widespread and poses a significant health concern, as emerging research links it to allergic diseases owing to its immunomodulatory functions. The optimal functioning of vitamin D and its activation depend on its nuclear receptor, vitamin D receptor (VDR). Genetic variants of VDR have been explored as potential factors in autoimmune and allergic diseases, with limited studies on their association with allergic rhinitis (AR). The present investigation aims to analyse the role of three VDR genetic variants – TaqI, FokI and BsmI – in AR susceptibility and their impact on VDR mRNA and serum vitamin D levels. A total of 550 subjects, consisting of 250 AR cases and 300 age- and gender-matched controls, underwent genotyping by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). VDR mRNA and vitamin D levels were determined by quantitative real-time PCR and chemiluminescence, respectively. Although TaqI did not exhibit significant differences, FokI demonstrated a noteworthy association with AR, particularly with the CC genotype (odds ratio [OR]: 3.34; confidence interval [CI]: 1.79–6.23). Similarly, BsmI revealed an increased risk for AR, with the GA + AA genotypes showing a 2.2-fold elevated risk (OR: 2.20; CI: 1.53–3.16). VDR mRNA expression was threefold lower in AR patients (<i>p</i> &lt; .0001), accompanied by reduced serum vitamin D levels (<i>p</i> &lt; .0001). In addition, CC (<i>p</i> = .01) and AA (<i>p</i> = .02) genotypes of FokI and BsmI were associated with reduced VDR mRNA levels, whereas TaqI showed no such association. Similarly, heterozygous genotypes of TaqI and FokI, as well as homozygous AA of BsmI, correlated with lower serum vitamin D levels (<i>p</i> &lt; .001). This study emphasizes the intricate relationship among VDR genetic variations, altered VDR activity, immune modulation and vitamin D metabolism in AR. Further research involving diverse populations is crucial for confirming and generalizing these findings, paving the way for personalized therapeutic interventions in vitamin D–related disorders.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 5","pages":"300-309"},"PeriodicalIF":2.3,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary on review: Forming new perspective approaches to determination of donor compatibility 对审查的评论:形成确定捐赠者兼容性的新视角方法。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-05-24 DOI: 10.1111/iji.12680
Anat R. Tambur
{"title":"Commentary on review: Forming new perspective approaches to determination of donor compatibility","authors":"Anat R. Tambur","doi":"10.1111/iji.12680","DOIUrl":"10.1111/iji.12680","url":null,"abstract":"&lt;p&gt;Clarke and Nadat (&lt;span&gt;2024&lt;/span&gt;) provide an overview of techniques currently used to detect HLA antigens and antibodies and describe approaches that attempt to quantify incompatibility between a transplant recipient and her/his donor per their HLA typing. They proceed to mention assays investigating qualities of the antibodies such as affinity and avidity as well as glycosylation state and describe approaches to study T and B lymphocytes’ clonality and receptor repertoires. Lastly, they briefly talk about tests to assess allo-immune memory and mention some assays to assess graft injury.&lt;/p&gt;&lt;p&gt;I applaud the authors for providing a condensed menu of tests available for transplant immunologists. I do, however, fear that if the task was to provide new perspective on evaluating compatibility between recipient and donor, this review misses the forest for the trees.&lt;/p&gt;&lt;p&gt;Immune mechanisms are controlled by thousands of genes that drive much of the variability in immune responses, whether those are to pathogens, susceptibility to autoimmune diseases, or susceptibility to allo-stimulation. Each of these genes had evolved and diverged through mechanisms of essentiality, redundancy, and adaptability to provide diverse routes for the best protection to different populations under their own local threats (Quintana-Murci, &lt;span&gt;2019&lt;/span&gt;). These evolutionary forces also necessitated the generation of pathways for redundancy in immune pathways, such that inhibition of one path would not lead to the demise of the individual/population. This means that testing for one, or even a few, pathways will not necessarily correlate with the overall composite response. We should further consider that beyond the ‘pure’ immune genes, additional variables participate in orchestrating an immune response including factors such as age and gender, and environmental exposures. Thus, the landscape of genes and molecules associated with immune activation is vast and polymorphic. We can opt to develop and validate more and more assays to assess allo-immunity as described in the aforementioned review, or we can direct our attention to the elephant in the room—better understanding of the underlying mechanisms leading to &lt;i&gt;differential&lt;/i&gt; immunogenicity.&lt;/p&gt;&lt;p&gt;As Histocompatibility and Immunogenetics (H&amp;I) professionals, we appreciate that much of the adaptive immune response (and at least some of the innate response) is guided by the individual's specific HLA molecules. Those are the molecules that control much of our thymic education, that are instrumental for antigen processing and presentation, and that are involved in the most crucial steps of immune activation. The first step in a decision-making tree is ‘identify the problem’. In the context of allo-stimulation, we must therefore first understand &lt;i&gt;why&lt;/i&gt; one's immune system perceives one HLA mismatch as more immunogenic and another mismatch as less immunogenic. With this information, deciphering immune activati","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"252-253"},"PeriodicalIF":2.3,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.12680","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polymorphisms of HLA genes and hypersensitivity to penicillin among patients in a Taiwanese population 台湾人群中 HLA 基因的多态性与对青霉素过敏的患者。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-05-13 DOI: 10.1111/iji.12678
Chih-Chun Wang, I-Chieh Chen, Guan-Cheng Lin, Yi-Ming Chen, Ching-Hui Shen
{"title":"Polymorphisms of HLA genes and hypersensitivity to penicillin among patients in a Taiwanese population","authors":"Chih-Chun Wang,&nbsp;I-Chieh Chen,&nbsp;Guan-Cheng Lin,&nbsp;Yi-Ming Chen,&nbsp;Ching-Hui Shen","doi":"10.1111/iji.12678","DOIUrl":"10.1111/iji.12678","url":null,"abstract":"<p>Penicillin allergy is a potentially life-threatening condition that is common among patients. However, the genetic associations with penicillin allergy are not yet recognized for prevention or diagnosis, particularly in East Asian populations. We conducted a retrospective case–control study using data from the Taiwan Precision Medicine Initiative and analysing DNA samples to identify eight major MHC Class I and Class II loci. We employed imputation methods for accurate HLA typing and enrolled 17,827 individuals who received penicillin. Logistic regression analyses were utilized to explore associations between HLA genotypes, comorbidities and allergy risk, while simultaneously conducting a subgroup analysis to explore the association between HLA genotypes, comorbidities and the severity of allergic reactions. Our study assigned 496 cases to the penicillin allergy group and 4960 controls to a matched group. The risk of penicillin allergy was significantly higher with HLA-DPB1*05:01 (OR = 1.36, <i>p</i> = .004) and HLA-DQB1*05:01 (OR = 1.54, <i>p</i> = .03), with adjusted <i>p</i>-values of .032 and .24, respectively. Urticaria was identified as a separate risk factor (OR = 1.73, <i>p</i> &lt; .001). However, neither the HLA alleles nor the comorbidities had a significant relationship with the risk of severe penicillin-induced allergy. HLA-DPB1*05:01 was found to be significantly associated with penicillin allergy reactions among the Taiwanese population.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 5","pages":"291-299"},"PeriodicalIF":2.3,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forming a new perspective: Post-structural approaches to determination of donor compatibility and post-transplant assessment of allograft health 形成新的视角:确定供体相容性和移植后评估同种异体健康的后结构方法。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-05-06 DOI: 10.1111/iji.12675
Fatima Nadat, Brendan Clark
{"title":"Forming a new perspective: Post-structural approaches to determination of donor compatibility and post-transplant assessment of allograft health","authors":"Fatima Nadat,&nbsp;Brendan Clark","doi":"10.1111/iji.12675","DOIUrl":"10.1111/iji.12675","url":null,"abstract":"<p>The purpose of this review is to encourage a new perspective on the question of donor–recipient compatibility and post-transplant assessment of graft health based on functional measures. The premise is that we should be better sighted on what (and how) the immune system responds toward rather than what is merely there. Continuance of the pursuit of further and better definition of antigens and antibodies is not however discouraged but seen as necessary to improved understanding of the structural correlates of functional immunity. There currently exists, in the opinion of the authors, an opportunity for histocompatibility and immunogenetics laboratories to develop and widen their scope of involvement into these new areas of laboratory activity in support and to the benefit of the transplant programmes they serve.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"195-205"},"PeriodicalIF":2.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.12675","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic polymorphisms of TLR1, TLR2, TLR3 and TLR4 in patients with recurrent or severe infections 复发性或严重感染患者中 TLR1、TLR2、TLR3 和 TLR4 的基因多态性。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-05-05 DOI: 10.1111/iji.12676
Johanna Teräsjärvi, Leena Kainulainen, Ville Peltola, Jussi Mertsola, Antti Hakanen, Qiushui He
{"title":"Genetic polymorphisms of TLR1, TLR2, TLR3 and TLR4 in patients with recurrent or severe infections","authors":"Johanna Teräsjärvi,&nbsp;Leena Kainulainen,&nbsp;Ville Peltola,&nbsp;Jussi Mertsola,&nbsp;Antti Hakanen,&nbsp;Qiushui He","doi":"10.1111/iji.12676","DOIUrl":"10.1111/iji.12676","url":null,"abstract":"<p>Toll-like receptors (TLRs) play an important role in innate immunity. Previous studies have shown that single nucleotide polymorphisms (SNPs) in the genes coding for these innate immune molecules can affect susceptibility to and the outcome of certain diseases. The aim of the present study was to examine the clinical relevance of well-studied <i>TLR1</i>–<i>4</i> SNPs in individuals who are prone to infections. Four functional SNPs, <i>TLR1</i> rs5743618 (1805C &gt; A, Ser602Ile), <i>TLR2</i> rs5743708 (2258G &gt; A, Arg753Gln), <i>TLR3</i> rs3775291 (1234C &gt; T, Leu412Phe) and <i>TLR4</i> rs4986790 (896A &gt; G, Asp299Gly), were analysed in 155 patients with recurrent respiratory infections (<i>n</i> = 84), severe infections (<i>n</i> = 15) or common variable immunodeficiency (<i>n</i> = 56), and in 262 healthy controls, using the High Resolution Melting Analysis method. Polymorphisms of <i>TLR2</i> rs5743708 (odds ratio [OR] 3.16; 95% confidence interval [CI] 1.45–6.83, <i>p </i>= .004<i>, ap</i> = .016) and <i>TLR4</i> rs4986790 (OR 1.8; 95% CI 1.05–3.12, <i>p </i>= .028, <i>ap</i> = .112) were more frequent in patients with recurrent or severe infections than in controls. Interestingly, seven patients were found to carry both variant genotypes of <i>TLR2</i> and <i>TLR4</i>, whereas none of the control group carried such genotypes (<i>p</i>  ≤ .0001). Moreover, <i>TLR2</i> polymorphism was associated with increased risk for acute otitis media episodes (OR, 3.02; 95% CI 1.41–6.47; <i>p</i> = .012). This study indicates that children and adults who are more prone to recurrent or severe respiratory infections carry one or both variant types of <i>TLR2</i> and <i>TLR4</i> more often than control subjects. Genetic variations of <i>TLR</i>s help explain why some children are more susceptible to respiratory infections.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"242-251"},"PeriodicalIF":2.3,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.12676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nomenclature for factors of the HLA system, update January, February and March 2024 HLA 系统因子命名法,2024 年 1 月、2 月和 3 月更新
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-04-29 DOI: 10.1111/iji.12673
Steven G. E. Marsh
{"title":"Nomenclature for factors of the HLA system, update January, February and March 2024","authors":"Steven G. E. Marsh","doi":"10.1111/iji.12673","DOIUrl":"10.1111/iji.12673","url":null,"abstract":"","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"255-290"},"PeriodicalIF":2.3,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140842174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitamin D receptor gene polymorphisms role in COVID-19 severity: Results of a Mexican patients’ cohort 维生素 D 受体基因多态性在 COVID-19 严重程度中的作用:墨西哥患者队列研究结果
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-04-28 DOI: 10.1111/iji.12674
Luis Antonio Ochoa-Ramírez, Alba Lissy Corona-Angulo, Efrén Rafael Ríos-Burgueño, Jorge Guillermo Sánchez-Zazueta, Denisse Stephania Becerra-Loaiza, Jesús Salvador Velarde-Félix
{"title":"Vitamin D receptor gene polymorphisms role in COVID-19 severity: Results of a Mexican patients’ cohort","authors":"Luis Antonio Ochoa-Ramírez,&nbsp;Alba Lissy Corona-Angulo,&nbsp;Efrén Rafael Ríos-Burgueño,&nbsp;Jorge Guillermo Sánchez-Zazueta,&nbsp;Denisse Stephania Becerra-Loaiza,&nbsp;Jesús Salvador Velarde-Félix","doi":"10.1111/iji.12674","DOIUrl":"10.1111/iji.12674","url":null,"abstract":"<p>Vitamin D status has been involved with coronavirus disease 19 (COVID-19) severity. This may be mediated by vitamin D metabolism regulatory genes. Of interest is the vitamin D receptor (VDR) gene, which has been previously associated with other inflammatory and respiratory diseases. In order to investigate the role of VDR gene polymorphisms in COVID-19 severity and outcome, a total of 292 COVID-19 patients were classified according to severity in moderate (<i>n</i> = 56), severe (<i>n</i> = 89) and critical (<i>n</i> = 147) and, according to outcome in survivor (<i>n</i> = 163) and deceased (<i>n</i> = 129), and analysed for <i>Fok</i>I and <i>Taq</i>I VDR gene polymorphisms by polymerase chain reaction-based restriction enzyme digestion. The <i>Fok</i>I and <i>Taq</i>I single nucleotide polymorphisms (SNPs) were not associated with COVID-19 severity or mortality individually but when analysed by haplotype, TC was associated with an increased risk of presenting critical COVID-19. Additionally, <i>Fok</i>I CT genotype was more frequent in COVID-19 patients with hypertension, and T allele carriers presented higher aspartate aminotransferase levels. Our results suggest a relationship between VDR <i>Fok</i>I and <i>Taq</i>I SNPs and COVID-19 severity in Mexican population. Although there are some previous reports of VDR polymorphisms in COVID-19, this represents the first report in Latin American population. Further studies on other populations are encouraged.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"235-241"},"PeriodicalIF":2.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140827728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between STAT4 gene polymorphism and susceptibility to pulmonary tuberculosis in the Moldavian population 摩尔达维亚人群中 STAT4 基因多态性与肺结核易感性之间的关系。
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-04-23 DOI: 10.1111/iji.12672
Alexander Varzari, Elena Tudor, Andrei Corloteanu, Ecaterina Axentii, Iurie Vladei, Igor V. Deyneko
{"title":"Association between STAT4 gene polymorphism and susceptibility to pulmonary tuberculosis in the Moldavian population","authors":"Alexander Varzari,&nbsp;Elena Tudor,&nbsp;Andrei Corloteanu,&nbsp;Ecaterina Axentii,&nbsp;Iurie Vladei,&nbsp;Igor V. Deyneko","doi":"10.1111/iji.12672","DOIUrl":"10.1111/iji.12672","url":null,"abstract":"<p>Signal transducer and activator of transcription 4 (STAT4) plays a crucial role in the host immune response against <i>Mycobacterium tuberculosis</i>. This study investigates the association between <i>STAT4</i> gene polymorphisms and pulmonary tuberculosis (TB) risk in the Moldavian population. A total of 272 TB patients and 251 community-matched controls underwent screening for functional single-nucleotide polymorphisms (SNPs) rs897200 and rs7574865 in the <i>STAT4</i> gene. The minor <i>T</i> allele and the <i>TT</i>/<i>CT</i> genotype of rs897200 demonstrated a significant association with reduced pulmonary TB risk (allelic model: adjusted OR = .74, <i>p</i> = .025; log-additive model: adjusted OR = .72, <i>p</i> = .02; and dominant model: adjusted OR = .65, <i>p</i> = .023), indicating a protective effect. Similar associations, characterized by an even more pronounced reduction in risk, were observed among females and late-onset TB patients (&gt;44 years). No significant associations were found for rs7574865. In addition, a combined genotype analysis incorporating 43 SNPs from our previous studies revealed potential associations, such as <i>STAT4</i> rs897200 <i>CT</i> with <i>IFNG</i> rs2430561 <i>AA</i> (adjusted OR = .36, <i>p</i> = .0025) and <i>STAT4</i> rs897200 <i>CT</i> with <i>TNFA</i> rs1800629 <i>GA</i> (adjusted OR = .33, <i>p</i> = .0012). This study emphasizes the significant association of <i>STAT4</i> rs897200 with pulmonary TB risk in the Moldavian population, underscoring its role in the disease development.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"228-234"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the immunological relevance of pre-transplant donor-specific antibody in intestinal transplantation, with special consideration to the liver 探索肠道移植中移植前供体特异性抗体的免疫学相关性,特别是肝脏的相关性
IF 2.3 4区 医学
International Journal of Immunogenetics Pub Date : 2024-04-18 DOI: 10.1111/iji.12670
Rhea McArdle, Rebecca Cope, Afzal Chaudhry, Lisa Sharkey, Sarah Peacock
{"title":"Exploring the immunological relevance of pre-transplant donor-specific antibody in intestinal transplantation, with special consideration to the liver","authors":"Rhea McArdle,&nbsp;Rebecca Cope,&nbsp;Afzal Chaudhry,&nbsp;Lisa Sharkey,&nbsp;Sarah Peacock","doi":"10.1111/iji.12670","DOIUrl":"10.1111/iji.12670","url":null,"abstract":"<p>Despite recent advances that have improved outcomes following intestinal transplantation (ITx), achieving long-term patient survival and rejection-free survival is still challenging. Understanding the relevance of pre-transplant human leukocyte antigen (HLA) donor-specific antibody (DSA) in ITx and the immunomodulatory potential of the liver within the allograft is crucial to providing an accurate assessment of pre-transplant immunological risk, which could influence and improve post-transplant outcomes further. This was the primary objective of this retrospective study of 95 adult ITx transplants which took place at Cambridge University Hospitals (United Kingdom) between 2007 and 2019. Two novel programs were developed and validated to identify DSA (tested by Luminex single antigen beads) in this dataset. Data analysis utilised Kaplan–Meier survival methods, and statistical analysis was performed using log-rank tests and adjusted Cox models. Fifty-four (57%) ITx cases contained a liver, and 36 (38%) were sensitised to HLA. Pre-transplant DSA &gt; 500 mean fluorescent intensity appeared to negatively affect post-ITx patient survival and rejection outcomes. Additionally, liver-inclusive allografts seemed to show particular resistance to HLA class I DSA. Our data hints towards consistency with other ITx studies where deleterious effects of DSA have been demonstrated, and where liver inclusion is protective from HLA class I DSA. This is in line with current national guidelines for immunological risk. Our publicly available research programs could support future large or multicentre studies where statistically relevant data might be gained.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"51 4","pages":"217-227"},"PeriodicalIF":2.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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