title: Comprehensive examination of gene expression associated with long-term stable graft acceptance by renal transplant recipients.
abstract: Expression levels of mRNA in peripheral blood mononuclear cells from five renal transplant recipients and five non-transplanted controls were analyzed with GeneChips (GeneChip Instrument system, Affymetrix, Santa Clara, CA, USA). All recipients had retained a well-functioning kidney graft for more than 15 yr on low-dose maintenance immunosuppression. Among a total of 12630 transcripts examined, significant differential expression was observed for 599 genes, whereby 470 genes were up-regulated and 129 down-regulated in the transplant recipients compared with controls. Of these, 192 up-regulated and 46 down-regulated genes showing a change greater than twofold were divided into eight functional categories as follows (numbers of genes, up/down): immune system (12/14), cell proliferation (17/3), oncology (15/3), transporter/receptor/binding protein (16/5), transcription factors (8/2), enzymes (17/4), expressed sequence tags (91/9), and others (16/6). Predictably, expression of immune-associated genes was decreased in the recipients. Significant reduction of expression levels of CD3, ICAM-1, and B7.2, which are critical molecules for interactions between antigen presenting cells and T cells, were observed. In T cell signal transduction, the Ras pathway was likely to be suppressed by activation of hVH-5. The present data help to elucidate the immunological status in long-term kidney graft recipients and may provide insights for future regimens to establish donor-specific hyporesponsiveness.
authors.affiliation: Department of Innovative Surgery, National Research Institute for Child Health and Development, Tokyo, Japan.
authors.forename: Hui-qi
authors.initials: HQ
authors.lastname: Zhang
authors.forename: Hua
authors.initials: H
authors.lastname: Lu
authors.forename: Shin
authors.initials: S
authors.lastname: Enosawa
authors.forename: Seiichi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Shiro
authors.initials: S
authors.lastname: Takahara
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Nakajima
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Saito
authors.forename: Kaoru
authors.initials: K
authors.lastname: Sakamoto
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D015536:Down-Regulation; D005260:Female; D015870:Gene Expression; D005786:Gene Expression Regulation; D006085:Graft Survival / Q000235:genetics; D006801:Humans; D016030:Kidney Transplantation / Q000276:immunology / Q000502:physiology; D007963:Leukocytes, Mononuclear; D008297:Male; D008875:Middle Aged; D020411:Oligonucleotide Array Sequence Analysis; D012333:RNA, Messenger / Q000097:blood; D013997:Time Factors; D015854:Up-Regulation
chemical_list: D012333:RNA, Messenger