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The role of monocyte/macrophage chemokines in pathogenesis of osteoarthritis: A review 单核细胞/巨噬细胞趋化因子在骨关节炎发病机制中的作用:综述。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-03-10 DOI: 10.1111/iji.12664
Hao Luo, Linfeng Li, Song Han, Tao Liu

Osteoarthritis (OA) is one of the most common degenerative diseases characterised by joint pain, swelling and decreased mobility, with its main pathological features being articular synovitis, cartilage degeneration and osteophyte formation. Inflammatory cytokines and chemokines secreted by activated immunocytes can trigger various inflammatory and immune responses in articular cartilage and synovium, contributing to the genesis and development of OA. A series of monocyte/macrophage chemokines, including monocyte chemotaxis protein (MCP)-1/CCL2, MCP2/CCL8, macrophage inflammatory protein (MIP)-1α/CCL3, MIP-1β/CCL4, MIP-3α/CCL20, regulated upon activation, normal T-cell expressed and secreted /CCL5, CCL17 and macrophage-derived chemokine/CCL22, was proven to transmit cell signals by binding to G protein–coupled receptors on recipient cell surface, mediating and promoting inflammation in OA joints. However, the underlying mechanism of these chemokines in the pathogenesis of OA remains still elusive. Here, published literature was reviewed, and the function and mechanisms of monocyte/macrophage chemokines in OA pathogenesis were summarised. The symptoms and disease progression of OA were found to be effectively alleviated when the expression of these chemokines is inhibited. Elucidating these mechanisms could contribute to further understand how OA develops and provide potential targets for the early diagnosis of arthritis and drug treatment to delay or even halt OA progression.

骨关节炎(OA)是最常见的退行性疾病之一,以关节疼痛、肿胀和活动度下降为特征,其主要病理特征是关节滑膜炎、软骨退化和骨质增生。活化的免疫细胞分泌的炎性细胞因子和趋化因子可引发关节软骨和滑膜的各种炎症和免疫反应,导致 OA 的产生和发展。一系列单核细胞/巨噬细胞趋化因子,包括单核细胞趋化蛋白(MCP)-1/CCL2、MCP2/CCL8、巨噬细胞炎症蛋白(MIP)-1α/CCL3、MIP-1β/CCL4、MIP-3α/CCL20,在活化时受到调控、正常 T 细胞表达和分泌的趋化因子/CCL5、CCL17 和巨噬细胞衍生的趋化因子/CCL22 被证实可通过与受体细胞表面的 G 蛋白偶联受体结合传递细胞信号,介导和促进 OA 关节的炎症。然而,这些趋化因子在 OA 发病机制中的潜在作用机制仍不明确。本文回顾了已发表的文献,总结了单核细胞/巨噬细胞趋化因子在 OA 发病机制中的功能和机制。研究发现,抑制这些趋化因子的表达可有效缓解 OA 的症状和疾病进展。阐明这些机制有助于进一步了解 OA 是如何发展的,并为关节炎的早期诊断和药物治疗提供潜在靶点,以延缓甚至阻止 OA 的发展。
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引用次数: 0
Homozygous HLA-DQB1*06:02 combined with T-cell receptor alpha polymorphism results in narcolepsy onset – A familial case report 同型 HLA-DQB1*06:02 与 T 细胞受体 alpha 多态性结合导致嗜睡症发病--一例家族病例报告。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-03-10 DOI: 10.1111/iji.12666
Steven Jervis, Antony Payton, Arpana Verma, Rachel Thomasson, Kay Poulton

Narcolepsy is a life-long neurological disorder with well-established genetic risk factors. Human leukocyte antigen-DQB1*06:02 remains the strongest genetic predeterminant; however, polymorphisms in genes encoding the T-cell receptor alpha chain are also strongly linked. This case report shows the inheritance pathway of these genetic markers contributing to narcolepsy onset in a 17-year-old female.

嗜睡症是一种终身性神经系统疾病,具有公认的遗传风险因素。人类白细胞抗原-DQB1*06:02 仍是最强的遗传预决定因素;然而,编码 T 细胞受体 alpha 链基因的多态性也与此密切相关。本病例报告显示了这些遗传标记导致一名 17 岁女性嗜睡症发病的遗传途径。
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引用次数: 0
Frequency distribution of HLA class I and II alleles in Greek population and their significance in orchestrating the National Donor Registry Program 希腊人口中 HLA I 类和 II 类等位基因的频率分布及其在协调国家捐献者登记计划中的意义。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-03-08 DOI: 10.1111/iji.12663
Panagiotis Mallis, Alexandra Siorenta, Erasmia Stamathioudaki, Vasiliki Vrani, George Paterakis

Human leukocyte antigens (HLA) represent one of the most polymorphic systems in humans, responsible for the identification of foreign antigens and the presentation of immune responses. Therefore, HLA is considered to play a major role in human disorders, donor-recipient matching and transplantation outcomes. This study aimed to determine the HLA class I and II alleles and haplotypes in the Greek population. Moreover, a comparative analysis of HLA alleles and haplotype frequencies found in Greek and pooled European populations was also performed to acquire a better knowledge about the HLA alleles distribution. A total number of 1896 healthy individuals were typed for their HLA alleles in the National Tissue Typing Center of Greece. High-resolution HLA typing for the HLA-A, -B, -C and -DR, -DQ, -DP with the use of the next-generation sequencing analysis was performed, followed by data analysis for establishing the HLA allele and haplotype differences. The results of this study showed that the most frequent alleles for the HLA-A were the A*02:01:01 (27.1%), *24:02:01 (14.4%), *01:01:01 (9.3%), for the HLA-B were the B*51:01:01 (15.3%), *18:01:01 (9.7%), *35:01:01 (6.8%) and for the HLA-C were the C*04:01:01 (15.4%), *07:01:01 (13.1%), *12:03:01 (9.6%). For the HLA class II, the most frequent alleles for the HLA-DRB1 were the DRB1*11:04:01 (16.4%), *16:01:01 (11.3%), *11:01:01 (9.5%), for the HLA-DQB1 were the DQB1*03:01:01 (30.5%), *05:02:01 (15.1%), *05:01:01 (10.6%) and for the HLA-DPB1 were the DPB1*04:01:01 (34.8%), *02:01:01 (11.6%), *04:02:01 (7.3%). Additionally, the most frequent haplotypes were the A*02:01:01∼C*07:01:01-B*18:01:01∼DRB1*11:04:01 (2.3%), followed by the A*01:01:01∼C*07:01:01∼B*08:01:01∼DRB1*03:01:01 (2.2%), A*24:02:01∼C*04:01:01∼B*35:02:01∼DRB1*11:04:01 (1.4%) and A*02:01:01∼C*04:01:01∼B*35:01:01-DRB1*14:01:01 (1.2%). The results herein were comparable to those obtained from the pooled European populations. Moreover, these results can be used for the improvement of the donor-recipient matching procedure and to understand better the disease association in Greece.

人类白细胞抗原(HLA)是人类最多态的系统之一,负责识别外来抗原并产生免疫反应。因此,HLA 被认为在人类疾病、供体-受体匹配和移植结果中起着重要作用。本研究旨在确定希腊人群中的 HLA I 类和 II 类等位基因及单倍型。此外,还对希腊和欧洲人群中发现的 HLA 等位基因和单倍型频率进行了比较分析,以更好地了解 HLA 等位基因的分布情况。希腊国家组织配型中心共对 1896 名健康人进行了 HLA 等位基因配型。利用下一代测序分析对 HLA-A、-B、-C 和-DR、-DQ、-DP 进行了高分辨率 HLA 分型,随后进行了数据分析,以确定 HLA 等位基因和单倍型差异。研究结果显示,HLA-A 最常见的等位基因是 A*02:01:01(27.1%)、*24:02:01(14.4%)、*01:01:01(9.3%),HLA-B 的基因为 B*51:01:01 (15.3%)、*18:01:01 (9.7%)、*35:01:01 (6.8%),HLA-C 的基因为 C*04:01:01 (15.4%)、*07:01:01 (13.1%)、*12:03:01 (9.6%)。在 HLA II 类中,HLA-DRB1 最常见的等位基因是 DRB1*11:04:01 (16.4%)、*16:01:01 (11.3%)、*11:01:01 (9.5%),HLA-DQB1 最常见的等位基因是 DQB1*03:01:01 (30.5%)、*05:02:01 (13.1%)、*12:03:01 (9.6%)。5%)、*05:02:01(15.1%)、*05:01:01(10.6%);HLA-DPB1则为DPB1*04:01:01(34.8%)、*02:01:01(11.6%)、*04:02:01(7.3%)。此外,最常见的单倍型是 A*02:01:01∼C*07:01:01-B*18:01:01∼DRB1*11:04:01 (2.3%),其次是 A*01:01:01∼C*07:01:01∼B*08:01:01∼DRB1*03:01:01 (2。2%)、A*24:02:01∼C*04:01:01∼B*35:02:01∼DRB1*11:04:01(1.4%)和 A*02:01:01∼C*04:01:01∼B*35:01:01-DRB1*14:01:01(1.2%)。这些结果与从欧洲人群中得出的结果具有可比性。此外,这些结果可用于改进供体与受体的匹配程序,并更好地了解希腊的疾病关联。
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引用次数: 0
A functional variant of ALDH1A2 is associated with hand osteoarthritis in the Chinese population 在中国人群中,ALDH1A2的功能变异与手部骨关节炎有关。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-03-05 DOI: 10.1111/iji.12662
Jian Dai, Haitao Jiang, Zhaoqi Yang, Chuan Chen, Xiaoming Tang

Genome-wide association study identified common variants within the ALDH1A2 gene as the susceptible loci of hand osteoarthritis (HOA) in UK and Iceland populations. Located in chromosome 15, ALDH1A2 encodes aldehyde dehydrogenase family 1 member A2, which is an enzyme that catalyses the synthesis of retinoic acid from retinaldehyde. Our purposes were to replicate the association of functional variant in ALDH1A2 with the development of HOA in the Chinese population. Variant rs12915901 of ALDH1A2 was genotyped in 872 HOA patients and 1223 healthy controls. Subchondral bone samples were collected from 40 patients who had undergone a trapeziectomy, and the tissue expression of ALDH1A2 was analysed. The chi-square analysis was used to compare the frequency of genotype and risk allele between the HOA cases and controls. The Student t test was used to compare the mRNA expression of ALDH1A2 between patients with genotype AA/AG and those with genotype GG. The frequency of genotype AA was significantly higher in HOA patients than in the controls (7.6% vs. 5.1%, p = .01). The frequency of allele A was significantly higher in the patients than in the controls (28.9% vs. 24.6%, p = .005). The mRNA expression of ALDH1A2 was 1.31-folds higher in patients with genotype GG than in the patients with genotype AA/AG (0.000617 ± 0.000231 vs. 0.000471 ± 0.000198, p = .04). Variant rs12915901 of ALDH1A2 contributed to the susceptibility of HOA in the Chinese population. Allele A of rs12915901 can add to the risk of HOA possibly via down-regulation of ALDH1A2 expression.

全基因组关联研究发现,在英国和冰岛人群中,ALDH1A2基因中的常见变异是手骨关节炎(HOA)的易感位点。ALDH1A2 位于第 15 号染色体,编码醛脱氢酶家族 1 成员 A2,是一种催化视黄醛合成视黄酸的酶。我们的目的是在中国人群中复制 ALDH1A2 功能变异与 HOA 发病的相关性。我们对872名HOA患者和1223名健康对照者进行了ALDH1A2变异体rs12915901的基因分型。收集了 40 名接受过梯形切除术的患者的软骨下骨样本,并分析了组织中 ALDH1A2 的表达。采用卡方分析比较 HOA 病例和对照组之间基因型和风险等位基因的频率。采用学生 t 检验比较基因型为 AA/AG 的患者与基因型为 GG 的患者之间的 ALDH1A2 mRNA 表达。在 HOA 患者中,基因型 AA 的频率明显高于对照组(7.6% 对 5.1%,p = .01)。患者等位基因 A 的频率明显高于对照组(28.9% 对 24.6%,P = .005)。基因型为 GG 的患者的 ALDH1A2 mRNA 表达量比基因型为 AA/AG 的患者高 1.31 倍(0.000617 ± 0.000231 vs. 0.000471 ± 0.000198,p = .04)。在中国人群中,ALDH1A2的变异体rs12915901导致了HOA的易感性。rs12915901的等位基因A可能通过下调ALDH1A2的表达增加了HOA的风险。
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引用次数: 0
Redundancy and absurd names in immunology 免疫学中的冗余和荒谬名称
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-02-25 DOI: 10.1111/iji.12660
Piotr Kuśnierczyk

In this short review, examples of unnecessary multiple names of cell membrane molecules, for example, immune checkpoints and cytokines, are presented. Moreover, ridiculous or inaccurate names, such as ‘Regulated on activation, normal T-cell expressed and secreted’ and ‘tissue factor’, are discussed.

在这篇简短的综述中,我们举例说明了细胞膜分子(如免疫检查点和细胞因子)不必要的多重名称。此外,还讨论了一些荒谬或不准确的名称,如 "活化调节、正常 T 细胞表达和分泌 "和 "组织因子"。
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引用次数: 0
Predicting flow cytometry crossmatch results from single-antigen bead testing 预测单抗原珠检测的流式细胞术交叉配血结果。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-02-19 DOI: 10.1111/iji.12658
Patrick A. Flynn, Sebastian Fernando, Judith E. Worthington, Kay V. Poulton

The aim of this study was to devise an algorithm that would predict flow cytometry crossmatch (FCXM) results using single-antigen bead (SAB) mean fluorescent intensity (MFI) levels using samples received through the National External Quality Assurance Scheme (NEQAS) 2B external proficiency testing scheme between 2019 and 2023. A total of 159 serum samples were retrospectively screened using LABScreen Single Antigen Class I and II (SAB), and 40 peripheral blood samples were human leucocyte antigen (HLA) typed with LABType SSO. Donor-specific antibodies were identified for each cell–serum combination tested, and cumulative MFI values were calculated for each test before correlating the screening result with the consensus crossmatch results for this scheme. HLA Class I MFIs were combined to predict the T cell crossmatch. For the B cell crossmatch prediction, two options were considered: (i) HLA Class II MFI values alone and (ii) HLA Class I + Class II MFIs. Receiver operating characteristic analysis was carried out to identify the combined MFI threshold that predicted NEQAS consensus results with the greatest sensitivity and specificity. HLA Class I combined MFI >5000 predicted T cell crossmatch results with 96% sensitivity, 100% specificity, 100% positive predictive value (PPV) and 92% negative predictive value (NPV). For B cell results, HLA Class I + Class II combined MFIs >11,000 gave the best model, showing 97% sensitivity, 82% specificity, 96% PPV and 85% NPV. However, for samples with only HLA Class II sensitization, combined MFIs >13,000 improved the B cell crossmatch predictions: 92% sensitivity, 95% specificity, 96% PPV and 91% NPV. Using this model, combined MFI can be used to predict the immunological risk posed by donor-specific antibodies when it is not possible to carry out an FCXM.

本研究旨在设计一种算法,利用单抗原珠(SAB)平均荧光强度(MFI)水平预测流式细胞术交叉配血(FCXM)结果,该算法使用的样本是2019年至2023年期间通过国家外部质量保证计划(NEQAS)2B外部能力验证计划接收的样本。共使用 LABScreen Single Antigen Class I 和 II (SAB) 对 159 份血清样本进行了回顾性筛查,并使用 LABType SSO 对 40 份外周血样本进行了人类白细胞抗原 (HLA) 分型。在将筛查结果与该方案的共识交叉配血结果相关联之前,对每种测试的细胞-血清组合进行了献血者特异性抗体鉴定,并计算了每种测试的累积 MFI 值。结合 HLA I 类 MFI 预测 T 细胞交叉配型。在预测 B 细胞交叉配型时,考虑了两种方案:(i) 单用 HLA II 类 MFI 值;(ii) HLA I 类 + II 类 MFI。进行了接收者操作特征分析,以确定能以最高灵敏度和特异性预测 NEQAS 一致结果的组合 MFI 阈值。HLA I 类组合 MFI >5000 预测 T 细胞交叉配型结果的灵敏度为 96%,特异性为 100%,阳性预测值 (PPV) 为 100%,阴性预测值 (NPV) 为 92%。对于 B 细胞结果,HLA I 类 + II 类组合 MFIs >11,000 可提供最佳模型,灵敏度为 97%,特异性为 82%,PPV 为 96%,NPV 为 85%。然而,对于只有 HLA II 类致敏的样本,联合 MFIs >13,000 可以改善 B 细胞交叉配型预测:灵敏度为 92%,特异性为 95%,PPV 为 96%,NPV 为 91%。利用该模型,在无法进行 FCXM 时,可使用联合 MFI 预测供体特异性抗体带来的免疫风险。
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引用次数: 0
Nomenclature for factors of the HLA system, update October, November and December 2023 HLA 系统因子命名法,2023 年 10 月、11 月和 12 月更新。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-02-13 DOI: 10.1111/iji.12657
Steven G. E. Marsh, for the WHO Nomenclature Committee for Factors of the HLA System
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引用次数: 0
Saliva direct PCR protocol for HLA-DQB1*02 genotyping 用于 HLA-DQB1*02 基因分型的唾液直接 PCR 方案。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-01-31 DOI: 10.1111/iji.12656
Angeles Carrillo, María Jimena Manzur, Maximiliano Juri Ayub

Celiac disease (CD) is an immune disorder, that is triggered by gluten ingestion in genetically predisposed individuals. The HLA-DQB1*02 allele is the main predisposing genetic factor and a candidate for first-line genotyping screening. We designed and validated a simple, DNA purification-free PCR protocol directly from crude saliva, enabling the detection of the DQB1*02 allele. This assay also distinguishes homozygous from heterozygous carriers. We propose this method for use in mass screening and/or epidemiological studies.

乳糜泻(CD)是一种免疫性疾病,由易感基因个体摄入麸质引发。HLA-DQB1*02 等位基因是主要的易感遗传因子,也是一线基因分型筛查的候选基因。我们设计并验证了一种简单、无需 DNA 纯化的 PCR 方案,可直接从粗唾液中检测 DQB1*02 等位基因。这种检测方法还能区分同基因携带者和异基因携带者。我们建议将这种方法用于大规模筛查和/或流行病学研究。
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引用次数: 0
Correlation of single nucleotide polymorphisms in the AGT gene with susceptibility to systemic lupus erythematosus in Northeast China 中国东北地区 AGT 基因单核苷酸多态性与系统性红斑狼疮易感性的相关性。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-01-24 DOI: 10.1111/iji.12655
Huitao Wu, Xuan Zhang, Guiling Lin, Qi Zhang, Ziman He, Zhe Wang, Wenlu Xu, Xiyu Yin, Linglan Su, Yanping Zhuang, Aimin Gong

To investigate the correlation between susceptibility to systemic lupus erythematosus (SLE) and single nucleotide polymorphisms (SNPs) rs699, rs4762 and rs1926723 in the AGT gene in the population of Northeast China, while also introducing a new method for early detection of SLE. A total of 856 cases of SLE patients and healthy volunteers who attended the First Affiliated Hospital of Harbin Medical University from January 2020 to December 2022 were recruited. Clinical information and biood samples were collected from particpants in this study. SNaPshot sequencing technology was used to sequence the bases of the rs699, rs4762 and rs1926723 in the AGT gene. The genetic stability of SNPs was analysed by means of Hardy–Weinberg (HWE) genetic equilibrium. The study examined the correlation between genetically stable SNPs and susceptibility to SLE using logistic regression analysis.

Rs699 did not adhere to the principles of the HWE genetic equilibrium (p < .01). Conversely, both rs4762 and rs1926723 conformed to the HWE genetic equilibrium (p > .05). However, no significant differences in genotypes and alleles frequencies of the rs4762 were observed between the two groups (p > .05). Furthermore, there was a significant difference in the distribution of AG, GG genotypes frequency and G allele frequency at the rs1926723 between the two groups (p < .001). Individuals with AG and GG genotypes and the G allele had a significantly lower frequency of SLE, indicating a potential genetic protective factor against susceptibility to the SLE.

The SNPs rs1926723 may be linked to the susceptibility to SLE, and the AG, GG genotypes and the G allele may be important protective factors for the development of SLE in Northeast China.

研究东北地区人群系统性红斑狼疮(SLE)易感性与 AGT 基因中单核苷酸多态性(SNPs)rs699、rs4762 和 rs1926723 之间的相关性,同时介绍一种早期检测系统性红斑狼疮的新方法。本次研究共招募了 856 例系统性红斑狼疮患者和健康志愿者,他们均于 2020 年 1 月至 2022 年 12 月在哈尔滨医科大学附属第一医院就诊。本研究收集了参与者的临床信息和生物样本。采用 SNaPshot 测序技术对 AGT 基因中的 rs699、rs4762 和 rs1926723 进行碱基测序。通过哈代-温伯格(HWE)遗传平衡分析了 SNPs 的遗传稳定性。研究采用逻辑回归分析法检验了遗传稳定的 SNP 与系统性红斑狼疮易感性之间的相关性。Rs699不符合HWE遗传平衡原则(p .05)。然而,两组之间的 rs4762 基因型和等位基因频率没有明显差异(p > .05)。此外,rs1926723 的 AG、GG 基因型频率和 G 等位基因频率的分布在两组间也有显著差异(p.05)。
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引用次数: 0
Non-invasive molecular biomarkers for monitoring solid organ transplantation: A comprehensive overview 用于监测实体器官移植的无创分子生物标记物:全面概述。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2024-01-10 DOI: 10.1111/iji.12654
Jeffy J Fernando, Raja Biswas, Lalitha Biswas

Solid organ transplantation is a life-saving intervention for individuals with end-stage organ failure. Despite the effectiveness of immunosuppressive therapy, the risk of graft rejection persists in all viable transplants between individuals. The risk of rejection may vary depending on the degree of compatibility between the donor and recipient for both human leucocyte antigen (HLA) and non-HLA gene-encoded products. Monitoring the status of the allograft is a critical aspect of post-transplant management, with invasive biopsies being the standard of care for detecting rejection. Non-invasive biomarkers are increasingly being recognized as valuable tools for aiding in the detection of graft rejection, monitoring graft status and evaluating the efficacy of immunosuppressive therapy. Here, we focus on the importance of molecular biomarkers in solid organ transplantation and their potential role in clinical practice. Conventional molecular biomarkers used in transplantation include HLA typing, detection of anti-HLA antibodies, killer cell immunoglobulin–like receptor genotypes, and anti-MHC class 1–related chain A antibodies, which are important for assessing the compatibility of the donor and recipient. Emerging molecular biomarkers include the detection of donor-derived cell-free DNA, microRNAs (regulation of gene expression), exosomes (small vesicles secreted by cells), and kidney solid organ response test, in the recipient's blood for early signs of rejection. This review highlights the strengths and limitations of these molecular biomarkers and their potential role in improving transplant outcomes.

对于终末期器官衰竭患者来说,实体器官移植是一项拯救生命的干预措施。尽管免疫抑制疗法很有效,但在所有可行的个体间移植中仍存在移植物排斥反应的风险。排斥反应的风险可能因供体和受体之间人类白细胞抗原(HLA)和非 HLA 基因编码产物的相容性程度而异。监测异体移植物的状态是移植后管理的一个重要方面,有创活检是检测排斥反应的标准方法。非侵入性生物标志物越来越被认为是检测移植物排斥反应、监测移植物状态和评估免疫抑制疗法疗效的重要工具。在此,我们重点讨论分子生物标记物在实体器官移植中的重要性及其在临床实践中的潜在作用。移植中使用的传统分子生物标记物包括 HLA 分型、抗 HLA 抗体检测、杀伤细胞免疫球蛋白样受体基因型和抗 MHC 1 类相关链 A 抗体,这些标记物对评估供体和受体的相容性非常重要。新兴的分子生物标记物包括检测受体血液中供体来源的无细胞 DNA、microRNA(基因表达调控)、外泌体(细胞分泌的小囊泡)和肾脏实体器官反应试验,以发现排斥反应的早期迹象。这篇综述强调了这些分子生物标记物的优势和局限性,以及它们在改善移植结果方面的潜在作用。
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引用次数: 0
期刊
International Journal of Immunogenetics
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