title: Pre-transplant level of soluble CD30 is associated with infection after heart transplantation.
abstract: BACKGROUND
  One immunologic element of the immune system is the CD30 molecule which belongs to the TNF-R superfamily. CD30 can serve as a T-cell signal transducing molecule and is expressed by a subset of activated T lymphocytes, CD45RO(+) memory T cells. Augmentation of soluble CD30 during kidney transplant (Tx) rejection has been reported. Our study was to determine if the level of sCD30 prior to heart transplant (HTx) could categorize the patients (pts) into high or low immunologic risk for post-Tx outcome.
  
  
  METHODS
  Pre-Tx sera from 100 consecutive HTx recipients were studied. sCD30 was detected by ELISA using the commercially available CD30 monoclonal antibody. Level of sCD30 was correlated with two-yr Tx outcome.
  
  
  RESULTS
  Significant correlation was seen between the high level of sCD30 and lower incidence of infection. Four of the 35 pts with pre-Tx high level of sCD30 level (>90 U/mL) developed infection post-Tx. However, 31/65 pts who had a low level of sCD30 (<90 U/mL) developed infection post-transplantation (p < 0.0003). No remarkable differences were noted with the other clinical parameters, including mean hospitalization, 3A biopsy rejection or death.
  
  
  CONCLUSIONS
  We report for the first time that the high level of sCD30 prior to the HTx may be associated with a higher immunologic ability of the pts and therefore, may have a protective effect in the development of infection post-Tx.
authors.affiliation: Texas Medical Specialty, Inc., Dallas, TX 75230, USA.
authors.forename: Afzal
authors.initials: A
authors.lastname: Nikaein
authors.forename: Camelia
authors.initials: C
authors.lastname: Spiridon
authors.forename: Judson
authors.initials: J
authors.lastname: Hunt
authors.forename: Jed
authors.initials: J
authors.lastname: Rosenthal
authors.forename: Allan
authors.initials: A
authors.lastname: Anderson
authors.forename: Erick
authors.initials: E
authors.lastname: Eichhorn
authors.forename: Mitchell
authors.initials: M
authors.lastname: Magee
authors.forename: Todd
authors.initials: T
authors.lastname: Dewey
authors.forename: Michael
authors.initials: M
authors.lastname: Mack
mesh_terms: D053285:CD30 Ligand / Q000097:blood*; D004797:Enzyme-Linked Immunosorbent Assay; D006084:Graft Rejection / Q000097:blood / Q000209:etiology* / Q000276:immunology; D016027:Heart Transplantation; D006801:Humans; D007111:Immunity, Cellular / Q000276:immunology*; D015994:Incidence; D007239:Infections / Q000097:blood* / Q000150:complications / Q000276:immunology; D011379:Prognosis; D013601:T-Lymphocytes / Q000276:immunology; D013781:Texas / Q000453:epidemiology
chemical_list: D053285:CD30 Ligand