Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection

Background. The benefit of extracorporeal photopheresis on the course of kidney transplant rejection is unknown. The aim of our study was to investigate the variations in transcriptomics on graft biopsies when extracorporeal photopheresis was used to treat chronic humoral rejection after kidney tran...

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Main Authors: Arnaud Lionet, MD, Marine Van Triempon, MD, Martin Figeac, MD, PhD, Victor Fages, MD, Jean-Baptiste Gibier, MD, PhD, François Provot, MD, Mehdi Maanaoui, MD, Nicolas Pottier, PharmD, PhD, Christelle Cauffiez, PhD, François Glowacki, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2024-03-01
Series:Transplantation Direct
Online Access:http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001587
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author Arnaud Lionet, MD
Marine Van Triempon, MD
Martin Figeac, MD, PhD
Victor Fages, MD
Jean-Baptiste Gibier, MD, PhD
François Provot, MD
Mehdi Maanaoui, MD
Nicolas Pottier, PharmD, PhD
Christelle Cauffiez, PhD
François Glowacki, MD, PhD
author_facet Arnaud Lionet, MD
Marine Van Triempon, MD
Martin Figeac, MD, PhD
Victor Fages, MD
Jean-Baptiste Gibier, MD, PhD
François Provot, MD
Mehdi Maanaoui, MD
Nicolas Pottier, PharmD, PhD
Christelle Cauffiez, PhD
François Glowacki, MD, PhD
author_sort Arnaud Lionet, MD
collection DOAJ
description Background. The benefit of extracorporeal photopheresis on the course of kidney transplant rejection is unknown. The aim of our study was to investigate the variations in transcriptomics on graft biopsies when extracorporeal photopheresis was used to treat chronic humoral rejection after kidney transplantation. Methods. We retrospectively analyzed the mRNA expression of 770 genes of interest in graft biopsies performed before and after treatment. Eight patients received an average of 23 extracorporeal photopheresis sessions over 4 mo between the 2 biopsies. Results. Transcriptomic analysis of the graft biopsies identified a significant (adjusted P < 0.05) increase in CAV1 mRNA in all patients and a significant decrease in CD19, IL21, PAX5, and SFTPA2 mRNAs in 7 of 8 patients. Conclusions. In patients treated with extracorporeal photopheresis for chronic humoral rejection after renal transplantation, omic analysis of repeated biopsies shows a reduction in fibrotic and inflammatory transcriptomic biologicals markers.
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spelling doaj.art-9e592be6fbe44855a34e5956f81a2ecd2024-02-28T06:50:07ZengWolters KluwerTransplantation Direct2373-87312024-03-01103e158710.1097/TXD.0000000000001587202403000-00006Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney RejectionArnaud Lionet, MD0Marine Van Triempon, MD1Martin Figeac, MD, PhD2Victor Fages, MD3Jean-Baptiste Gibier, MD, PhD4François Provot, MD5Mehdi Maanaoui, MD6Nicolas Pottier, PharmD, PhD7Christelle Cauffiez, PhD8François Glowacki, MD, PhD91 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.1 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.3 CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, US 41—UAR 2014—PLBS, University of Lille, Lille, France.1 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.4 Pathology Departement, CHU-Lille, France.1 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.1 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.2 CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, UMR9020-U1277—CANTHER, University of Lille, Lille, France.2 CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, UMR9020-U1277—CANTHER, University of Lille, Lille, France.1 Department of Nephrology and Kidney Transplantation, University Hospital Huriez, CHU-Lille, Lille, France.Background. The benefit of extracorporeal photopheresis on the course of kidney transplant rejection is unknown. The aim of our study was to investigate the variations in transcriptomics on graft biopsies when extracorporeal photopheresis was used to treat chronic humoral rejection after kidney transplantation. Methods. We retrospectively analyzed the mRNA expression of 770 genes of interest in graft biopsies performed before and after treatment. Eight patients received an average of 23 extracorporeal photopheresis sessions over 4 mo between the 2 biopsies. Results. Transcriptomic analysis of the graft biopsies identified a significant (adjusted P < 0.05) increase in CAV1 mRNA in all patients and a significant decrease in CD19, IL21, PAX5, and SFTPA2 mRNAs in 7 of 8 patients. Conclusions. In patients treated with extracorporeal photopheresis for chronic humoral rejection after renal transplantation, omic analysis of repeated biopsies shows a reduction in fibrotic and inflammatory transcriptomic biologicals markers.http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001587
spellingShingle Arnaud Lionet, MD
Marine Van Triempon, MD
Martin Figeac, MD, PhD
Victor Fages, MD
Jean-Baptiste Gibier, MD, PhD
François Provot, MD
Mehdi Maanaoui, MD
Nicolas Pottier, PharmD, PhD
Christelle Cauffiez, PhD
François Glowacki, MD, PhD
Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
Transplantation Direct
title Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
title_full Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
title_fullStr Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
title_full_unstemmed Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
title_short Extracorporeal Photopheresis Reduces Fibrotic and Inflammatory Transcriptomic Biological Marker of Chronic Antibody-mediated Kidney Rejection
title_sort extracorporeal photopheresis reduces fibrotic and inflammatory transcriptomic biological marker of chronic antibody mediated kidney rejection
url http://journals.lww.com/transplantationdirect/fulltext/10.1097/TXD.0000000000001587
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