Differential intragraft cytokine messenger RNA profiles during rejection and repair of clinical heart transplants. A longitudinal study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-01

AUTHORS

Hester A. de Groot-Kruseman, Wendy M. Mol, Hubert G. M. Niesters, Alex P. W. Maat, Teun van Gelder, Aggie H. M. M. Balk, Willem Weimar, Carla C. Baan

ABSTRACT

After clinical heart transplantation, ischemia, acute rejection, and repair mechanisms can trigger the up-regulation of cytokines. To investigate the cytokine profile early after transplantation, we monitored messenger RNA (mRNA) expression levels of tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), transforming growth factor-β (TGF-β), platelet-derived growth factor-A (PDGF-A), and basic fibroblast growth factor (bFGF) by reverse transcriptase-polymerase chain reaction (RT-PCR) in serial endomyocardial biopsies (n=123) from 16 cardiac allograft recipients during the first 3 post-operative months. In the first month, mRNA expression levels of MCP-1, TNF-α, TGF-β, and bFGF were significantly higher than in the period thereafter (acute rejection episodes excluded). Acute rejection (International Society for Heart and Lung Transplantation (ISHLT) rejection grade >2) was strongly associated with the level of TNF-α mRNA. After acute rejection episodes, rising mRNA expression levels of PDGF-A and bFGF were found. The association between TNF-α mRNA and acute rejection reflects the importance of this cytokine in allogeneic responses. Elevated growth factor expression levels indicate repair responses after tissue damage due to either the transplantation procedure (surgery, ischemia, reperfusion) or acute allograft rejection. More... »

PAGES

9-14

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00147-002-0489-7

DOI

http://dx.doi.org/10.1007/s00147-002-0489-7

DIMENSIONS

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