Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats

Abstract Background Allograft rejection and infection are the major sources of morbidity and mortality after heart transplant. Early differential diagnosis is clinically crucial but difficult. The aim of the study was to examine serum cytokine profiles associated with each entity and whether such pr...

Full description

Bibliographic Details
Main Authors: Hao Chen, Juhua Yang, Shengchao Zhang, Xuan Qin, Wei Jin, Lihua Sun, Feng Li, Yunfeng Cheng
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13019-019-0839-5
_version_ 1818160416683982848
author Hao Chen
Juhua Yang
Shengchao Zhang
Xuan Qin
Wei Jin
Lihua Sun
Feng Li
Yunfeng Cheng
author_facet Hao Chen
Juhua Yang
Shengchao Zhang
Xuan Qin
Wei Jin
Lihua Sun
Feng Li
Yunfeng Cheng
author_sort Hao Chen
collection DOAJ
description Abstract Background Allograft rejection and infection are the major sources of morbidity and mortality after heart transplant. Early differential diagnosis is clinically crucial but difficult. The aim of the study was to examine serum cytokine profiles associated with each entity and whether such profiles could help to differentiate between them. Methods Heart allografts from Wistar rats were transplanted to Lewis rats as described by Yokoyama. Cardiac rejection and pulmonary bacterial infection were induced by Cyclosporine cessation and bacteria bronchus injection, and pathologically confirmed. Ninety serological cytokines profiles of the study objects were then simultaneously measured using a biotin label-based cytokine array. The fold change (FC) was used for relative cytokine concentration comparison analysis. Results Four cytokines in cardiac rejection group were significantly dysregulated as compared to health controls (β -Catenin, 0.51 FC; E-Selectin, 0.62 FC; IFN-gamma, 1.87 FC; and IL-13, 0.60 FC, respectively). In pulmonary infection animals, 11 cytokines were remarkably dysregulated in comparison with the control group (CINC-3, 0.57 FC; CNTF R alpha, 0.59 FC; E-Selectin, 0.58 FC; FSL1,0.62 FC; Hepassocin, 0.64 FC; IL-2, 0.26 FC; IL-13, 0.49 FC; NGFR, 0.57 FC; RAGE, 0.50 FC; TIMP-1, 0.49 FC; and IFN-gamma, 1.77 FC, respectively). Eleven cytokines were significantly up-regulated in cardiac rejection group comparing to the pulmonary infection animals (FSL1, 2.32FC; Fractalkine, 1.65FC; GFR alpha-1, 1.64FC; IL-2, 2.72FC; IL-5, 1.60FC; MMP-2, 1.71FC; NGFR, 2.25FC; TGF-beta1, 1.58FC; TGF-beta3, 1.58FC; Thrombospondin, 1.64FC, and TIMP-1, 1.52FC, respectively). Conclusions The current study illustrated the disease-specific serological cytokine profiles of allograft rejection and pulmonary bacterial infection after cardiac transplant. Such disease associated cytokine portraits might have the potential for early discrimination diagnosis.
first_indexed 2024-12-11T16:01:32Z
format Article
id doaj.art-a12ae7c2bf01462b872acebe73a96d3b
institution Directory Open Access Journal
issn 1749-8090
language English
last_indexed 2024-12-11T16:01:32Z
publishDate 2019-01-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj.art-a12ae7c2bf01462b872acebe73a96d3b2022-12-22T00:59:17ZengBMCJournal of Cardiothoracic Surgery1749-80902019-01-011411710.1186/s13019-019-0839-5Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in ratsHao Chen0Juhua Yang1Shengchao Zhang2Xuan Qin3Wei Jin4Lihua Sun5Feng Li6Yunfeng Cheng7Department of Thoracic Surgery, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Hematology, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Hematology, Zhongshan Hospital Qingpu Branch, Fudan UniversityDepartment of Hematology, Zhongshan Hospital Qingpu Branch, Fudan UniversityAbstract Background Allograft rejection and infection are the major sources of morbidity and mortality after heart transplant. Early differential diagnosis is clinically crucial but difficult. The aim of the study was to examine serum cytokine profiles associated with each entity and whether such profiles could help to differentiate between them. Methods Heart allografts from Wistar rats were transplanted to Lewis rats as described by Yokoyama. Cardiac rejection and pulmonary bacterial infection were induced by Cyclosporine cessation and bacteria bronchus injection, and pathologically confirmed. Ninety serological cytokines profiles of the study objects were then simultaneously measured using a biotin label-based cytokine array. The fold change (FC) was used for relative cytokine concentration comparison analysis. Results Four cytokines in cardiac rejection group were significantly dysregulated as compared to health controls (β -Catenin, 0.51 FC; E-Selectin, 0.62 FC; IFN-gamma, 1.87 FC; and IL-13, 0.60 FC, respectively). In pulmonary infection animals, 11 cytokines were remarkably dysregulated in comparison with the control group (CINC-3, 0.57 FC; CNTF R alpha, 0.59 FC; E-Selectin, 0.58 FC; FSL1,0.62 FC; Hepassocin, 0.64 FC; IL-2, 0.26 FC; IL-13, 0.49 FC; NGFR, 0.57 FC; RAGE, 0.50 FC; TIMP-1, 0.49 FC; and IFN-gamma, 1.77 FC, respectively). Eleven cytokines were significantly up-regulated in cardiac rejection group comparing to the pulmonary infection animals (FSL1, 2.32FC; Fractalkine, 1.65FC; GFR alpha-1, 1.64FC; IL-2, 2.72FC; IL-5, 1.60FC; MMP-2, 1.71FC; NGFR, 2.25FC; TGF-beta1, 1.58FC; TGF-beta3, 1.58FC; Thrombospondin, 1.64FC, and TIMP-1, 1.52FC, respectively). Conclusions The current study illustrated the disease-specific serological cytokine profiles of allograft rejection and pulmonary bacterial infection after cardiac transplant. Such disease associated cytokine portraits might have the potential for early discrimination diagnosis.http://link.springer.com/article/10.1186/s13019-019-0839-5Heart transplantAcute rejectionPulmonary infectionCytokine profileDifferential diagnosis
spellingShingle Hao Chen
Juhua Yang
Shengchao Zhang
Xuan Qin
Wei Jin
Lihua Sun
Feng Li
Yunfeng Cheng
Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
Journal of Cardiothoracic Surgery
Heart transplant
Acute rejection
Pulmonary infection
Cytokine profile
Differential diagnosis
title Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
title_full Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
title_fullStr Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
title_full_unstemmed Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
title_short Serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
title_sort serological cytokine profiles of cardiac rejection and lung infection after heart transplantation in rats
topic Heart transplant
Acute rejection
Pulmonary infection
Cytokine profile
Differential diagnosis
url http://link.springer.com/article/10.1186/s13019-019-0839-5
work_keys_str_mv AT haochen serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT juhuayang serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT shengchaozhang serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT xuanqin serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT weijin serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT lihuasun serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT fengli serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats
AT yunfengcheng serologicalcytokineprofilesofcardiacrejectionandlunginfectionafterhearttransplantationinrats