[HTML][HTML] Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients

M Martínez-Llordella, JJ Lozano… - The Journal of …, 2008 - Am Soc Clin Investig
M Martínez-Llordella, JJ Lozano, I Puig-Pey, G Orlando, G Tisone, J Lerut, C Benítez…
The Journal of clinical investigation, 2008Am Soc Clin Investig
A fraction of liver transplant recipients are able to discontinue all immunosuppressive
therapies without rejecting their grafts and are said to be operationally tolerant to the
transplant. However, accurate identification of these recipients remains a challenge. To
design a clinically applicable molecular test of operational tolerance in liver transplantation,
we studied transcriptional patterns in the peripheral blood of 80 liver transplant recipients
and 16 nontransplanted healthy individuals by employing oligonucleotide microarrays and …
A fraction of liver transplant recipients are able to discontinue all immunosuppressive therapies without rejecting their grafts and are said to be operationally tolerant to the transplant. However, accurate identification of these recipients remains a challenge. To design a clinically applicable molecular test of operational tolerance in liver transplantation, we studied transcriptional patterns in the peripheral blood of 80 liver transplant recipients and 16 nontransplanted healthy individuals by employing oligonucleotide microarrays and quantitative real-time PCR. This resulted in the discovery and validation of several gene signatures comprising a modest number of genes capable of identifying tolerant and nontolerant recipients with high accuracy. Multiple peripheral blood lymphocyte subsets contributed to the tolerance-associated transcriptional patterns, although NK and γδTCR+ T cells exerted the predominant influence. These data suggest that transcriptional profiling of peripheral blood can be employed to identify liver transplant recipients who can discontinue immunosuppressive therapy and that innate immune cells are likely to play a major role in the maintenance of operational tolerance in liver transplantation.
The Journal of Clinical Investigation