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논문 기본 정보

자료유형
학술저널
저자정보
Yu-Mee Wee (Asan Medical Center) Hae-Won Lee (University of Ulsan College of Medicine) Monica Young Choi (Asan Medical Center) Hey Rim Jung (Asan Medical Center) Ji Yoon Choi (University of Ulsan College of Medicine) Hyun Wook Kwon (University of Ulsan College of Medicine) Joo Hee Jung (University of Ulsan College of Medicine) Young Hoon Kim (University of Ulsan College of Medicine) Duck Jong Han (University of Ulsan College of Medicine) Sung Shin (Asan Medical Center)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제22권 제4호
발행연도
2018.11
수록면
310 - 320 (11page)

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Backgrounds/Aims: Compared with a single urinary biomarker, a composite of multiple urinary biomarkers may be more helpful for differentiating tubulointerstitial inflammation from interstitial fibrosis/tubular atrophy (IFTA) in kidney allografts. Methods: In this cross-sectional cohort study, we collected urine samples from 115 patients with for-cause biopsy, 53 patients with stable allografts, and 50 living kidney donors. We measured the urinary levels of transglutaminase 2 (TG2), syndecan-4 (SDC4), alpha 1 microglobulin (A1M), interferon-inducible protein 10 (IP-10), interleukin 6 (IL-6), and monocyte chemoattractant protein-1 (MCP-1). Results: The for-cause biopsy group showed significantly higher levels of log<SUB>e</SUB>TG2/Cr, log<SUB>e</SUB>A1M/Cr, log<SUB>e</SUB>IL-6/Cr, and log<SUB>e</SUB>MCP-1/Cr compared with other groups. In the for-cause biopsy group, log<SUB>e</SUB>TG2/Cr level was positively correlated with the severity of IFTA. After adjusting for age, sex, body mass index, diabetes, hypertension, cardiovascular disease, and the interval between kidney transplant and biopsy, TG2 and the interval between transplant and biopsy were significantly correlated variables for the severity of IFTA. Regarding tubulointerstitial inflammation, Body mass index, TG2, SDC4, and IP-10 were positively-correlated variables, and MCP-1 and the interval between transplant and biopsy were negatively-correlated variables. Conclusions: Our results show that post-transplant urinary levels of TG2, SDC4, MCP-1 and IP-10 may be a useful biomarker for tubulointerstitial inflammation and IFTA.

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2019-514-000101040