title: The Use of Genomics and Pathway Analysis in Our Understanding and Prediction of Clinical Renal Transplant Injury.
abstract: The development and application of high-throughput molecular profiling have transformed the study of human diseases. The problem of handling large, complex data sets has been facilitated by advances in complex computational analysis. In this review, the recent literature regarding the application of transcriptional genomic information to renal transplantation, with specific reference to acute rejection, acute kidney injury in allografts, chronic allograft injury, and tolerance is discussed, as is the current published data regarding other "omics" strategies-proteomics, metabolomics, and the microRNA transcriptome. These data have shed new light on our understanding of the pathogenesis of specific disease conditions after renal transplantation, but their utility as a biomarker of disease has been hampered by study design and sample size. This review aims to highlight the opportunities and obstacles that exist with genomics and other related technologies to better understand and predict renal allograft outcome.
authors.affiliation: 1 Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. 2 Centre for Transplant and Renal Research, Westmead Millenium Institute, University of Sydney at Westmead Hospital, New South Wales, Australia.
authors.forename: Madhav C
authors.initials: MC
authors.lastname: Menon
authors.forename: Karen L
authors.initials: KL
authors.lastname: Keung
authors.forename: Barbara
authors.initials: B
authors.lastname: Murphy
authors.forename: Philip J
authors.initials: PJ
authors.lastname: OʼConnell
mesh_terms: D058186:Acute Kidney Injury / Q000235:genetics / Q000601:surgery; D064591:Allografts; D000818:Animals; D015415:Biomarkers; D044127:Epigenesis, Genetic; D015894:Genome, Human; D023281:Genomics; D006084:Graft Rejection / Q000235:genetics*; D006801:Humans; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation; D055432:Metabolomics; D010641:Phenotype; D040901:Proteomics; D051437:Renal Insufficiency / Q000235:genetics* / Q000601:surgery*; D014158:Transcription, Genetic; D059467:Transcriptome
chemical_list: D015415:Biomarkers