基于转录组学和动物实验评估 Sirtuins 家族在肾移植急性排斥反应中的诊断价值

IF 1.6 4区 医学 Q4 IMMUNOLOGY
Huali Weng , Xingyu Pan , Jinpu Peng , Moudong Wu , Xiong Zhan , Guohua Zhu , Wei Wang , Nini An , Dan Wang , Jun Pei
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引用次数: 0

摘要

背景Sirtuins(SIRT)家族在许多肾脏疾病的诊断和治疗中起着关键作用,但目前还没有关于肾移植急性排斥反应的研究报道。本研究旨在探讨 SIRT 家族变化特征在肾移植急性排斥反应中的诊断价值。方法 我们首先利用 HPA 数据库探讨了 SIRT 家族在肾组织中的表达谱;随后,我们通过 GSEA 富集分析探讨了肾移植急性排斥反应中潜在的生物学功能和机理变化。接着,我们利用 "Logistic回归分析 "和 "Nomogram模型 "构建了诊断模型,并利用校正曲线和ROC曲线对诊断模型进行了评估,利用决策曲线(DCA)评估了SIRT家族变化的临床诊断价值;最后,我们构建了大鼠肾移植急性排斥反应模型,并通过检测血清中尿素氮和肌酐的水平来评估大鼠的肾功能。同时,通过转录组测序和 RT-PCR 初步验证了 SIRT 家族在肾组织中的表达水平。富集分析结果显示,大量与免疫相关的生物功能和通路在肾移植急性排斥反应中被激活,差异有统计学意义(p <0.05)。Cibersort算法显示,10种免疫细胞的浸润水平发生了显著变化(p <0.05),而相关性分析显示,SIRT家族与免疫细胞之间存在密切联系(p <0.05)。我们利用七个 SIRT 家族构建了急性排斥反应的诊断模型,ROC 曲线(AUC = 0.71)和校准曲线证明了其良好的诊断价值,DCA 曲线也证明了 SIRT 家族在临床决策中的作用。接下来,我们再次证明了 SIRT 族在 ABMR 和 TCMR 中分别具有良好的诊断性能(ROC 曲线:AUC = 0.64,AUC = 0.81)。最后,在肾移植急性排斥反应大鼠模型中,我们发现与 Syn 组相比,Allo 组大鼠的肾功能(尿素氮和肌酐)明显受损(P < 0.05)。同时,通过转录组分析和 RT-PCR 检测,我们发现除 SIRT1 外,其余 SIRT 家族成员在肾脏组织中均发生了显著变化(P < 0.05)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic value of the Sirtuins family in acute rejection of kidney transplantation assessed on the basis of transcriptomics and animal experiments

Background

The Sirtuins (SIRT) family plays a key role in the diagnosis and treatment of many renal diseases, but no studies have been reported in acute rejection of kidney transplantation. The aim of this study was to explore the diagnostic value of SIRT family change characteristics in acute rejection of kidney transplantation.

Methods

We first explored the SIRT family expression profile in renal tissues using the HPA database; subsequently, we explored the potential biological functions and mechanistic changes during acute rejection of kidney transplantation by GSEA enrichment analysis. The Cibersort algorithm specifies the level of immune cell infiltration and explores the correlation between the SIRT family and immune cells using correlation analysis; Next, we constructed a diagnostic model using “Logistic regression analysis” and “Nomogram model”, and evaluated the diagnostic model using calibration curves and ROC curves, and the decision curve (DCA) was used to evaluate the clinical diagnostic value of SIRT family changes; Finally, we constructed a model of acute rejection of rat kidney transplantation, and assessed rat kidney function by detecting the levels of urea nitrogen and creatinine in serum. Meanwhile, the expression level of SIRT family in kidney tissues was initially verified by transcriptome sequencing and RT-PCR.

Results

We found that all seven SIRT family members were located and expressed in renal tissues. The results of enrichment analysis revealed that a large number of immune-related biological functions and pathways are activated during acute rejection of kidney transplantation, the difference was statistically significant (p < 0.05). The Cibersort algorithm revealed significant changes in the level of infiltration of 10 immune cells (p < 0.05), while correlation analysis revealed a strong link between the SIRT family and immune cells (p < 0.05). We constructed a diagnostic model for acute rejection using seven SIRT families, and the ROC curves(AUC = 0.71)and calibration curves proved their good diagnostic value, and the DCA curves also proved the role of SIRT families in clinical decision-making. Next, we again demonstrated the good diagnostic performance of the SIRT family in ABMR and TCMR, respectively(ROC curves:AUC = 0.64,AUC = 0.81). Finally, in a rat model of acute rejection of kidney transplantation, we found that renal function (BUN and creatinine) was significantly impaired in rats in the Allo group compared to rats in the Syn group (P < 0.05). Meanwhile, by transcriptome analysis and RT-PCR assay, we found that, except for SIRT1, the remaining SIRT family members were significantly changed in kidney tissues (P < 0.05).

Conclusion

The SIRT family has significant changes during acute rejection in kidney transplantation, and the SIRT family may be able to serve as a potential therapeutic target for alleviating acute rejection in kidney transplantation.

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来源期刊
Transplant immunology
Transplant immunology 医学-免疫学
CiteScore
2.10
自引率
13.30%
发文量
198
审稿时长
48 days
期刊介绍: Transplant Immunology will publish up-to-date information on all aspects of the broad field it encompasses. The journal will be directed at (basic) scientists, tissue typers, transplant physicians and surgeons, and research and data on all immunological aspects of organ-, tissue- and (haematopoietic) stem cell transplantation are of potential interest to the readers of Transplant Immunology. Original papers, Review articles and Hypotheses will be considered for publication and submitted manuscripts will be rapidly peer-reviewed and published. They will be judged on the basis of scientific merit, originality, timeliness and quality.
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