通过循环血浆中的 miR-638、miR-6511b-5p、miR-3613-5p、miR-455-3p、miR-5787 和 miR-548a-3p 作为同种异体造血干细胞移植后的前瞻性无创生物标记物诊断皮肤急性移植物抗宿主病

IF 1.9 4区 医学 Q2 SURGERY Clinical Transplantation Pub Date : 2024-06-21 DOI:10.1111/ctr.15371
Marzieh Izadifard, Mohammad Ahmadvand, Hossein Pashaiefar, Kamran Alimoghadam, Amir Kasaeian, Maryam Barkhordar, Ghazal Seghatoleslami, Mohammad Vaezi, Ardeshir Ghavamzadeh, Marjan Yaghmaie
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引用次数: 0

摘要

背景 目前还没有实验室检测方法能准确预测急性移植物抗宿主疾病(aGVHD)的发病可能性、患者对治疗的反应或存活机会。这项研究旨在将循环 miRNAs 确立为 aGVHD 的诊断、预后或预测生物标志物。 方法 我们在前瞻性队列中研究了 2020-2023 年期间在伊朗德黑兰沙里亚蒂医院接受allo-HSCT 的 AML 患者的皮肤 aGVHD 发生率。有皮肤血管内营养障碍的患者被列为病例组,无皮肤血管内营养障碍的患者被列为对照组。因此,通过反转录聚合酶链反应(RTqPCR)定量评估了移植前、移植后第 14 天和第 21 天三个不同时间点的六种重要 miRNA(miR-638、miR-6511b-5p、miR-3613-5p、miR-455-3p、miR-5787 和 miR-548a-3p)的表达水平。 结果 与无 GVHD 患者相比,皮肤 aGVHD 患者的血浆 miR-455-3p、miR-5787、miR-638 和 miR-3613-5p 水平明显下调,而 miR-548a-3p 和 miR-6511b-5p 则明显上调。此外,通过对差异表达的 miRNAs(DEMs)进行 ROC 曲线分析,发现皮肤 aGVHD 的诊断准确率很高。 结论 研究结果鼓励我们提出假设,即上述 miRNAs 可能是导致皮肤 aGVHD(尤其是低度皮肤 aGVHD)的主要原因。
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Diagnosis of Cutaneous Acute Graft‑Versus‑Host Disease Through Circulating Plasma miR-638, miR-6511b-5p, miR-3613-5p, miR-455-3p, miR-5787, and miR-548a-3p as Prospective Noninvasive Biomarkers Following Allogeneic Hematopoietic Stem Cell Transplantation

Background

There are currently no laboratory tests that can accurately predict the likelihood of developing acute graft-versus-host disease (aGVHD), a patient's response to treatment, or their survival chance. This research aimed to establish circulating miRNAs as diagnostic, prognostic, or predictive biomarkers of aGVHD.

Methods

In a prospective cohort, we studied the incidence of cutaneous aGVHD in AML patients undergoing allo-HSCT at Shariati Hospital in Tehran, Iran during 2020–2023. Patients with cutaneous aGVHD were labeled as the case group, while patients without cutaneous aGVHD were selected as the control group. Accordingly, the expression levels of six significant miRNAs (miR-638, miR-6511b-5p, miR-3613-5p, miR-455-3p, miR-5787, miR-548a-3p) were evaluated by quantitative reverse transcription–polymerase chain reaction (RTqPCR) in three different time-points: before transplantation, on day 14 and day 21 after transplantation.

Results

The levels of plasma miR-455-3p, miR-5787, miR-638, and miR-3613-5p were significantly downregulated, while miR-548a-3p, and miR-6511b-5p were significantly upregulated in individuals with cutaneous aGVHD in comparison to patients without GVHD. Additionally, the possibility for great diagnostic accuracy for cutaneous aGVHD was revealed by ROC curve analysis of differentially expressed miRNAs (DEMs).

Conclusion

The study findings encourage us to hypothesize that the aforementioned miRNAs may contribute to the predominance of aGVHD, particularly low-grade cutaneous aGVHD.

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来源期刊
Clinical Transplantation
Clinical Transplantation 医学-外科
CiteScore
3.70
自引率
4.80%
发文量
286
审稿时长
2 months
期刊介绍: Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.
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