Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation

The accurate diagnosis of acute graft-versus-host disease following liver transplantation (LTx-aGVHD) has been hampered. Chimerism appears in the majority of recipients after LT and its significance in the diagnosis of LTx-aGVHD has not been clearly established. To demonstrate the significance of ch...

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Main Authors: Fei Xue, Wei Chen, Xue-Li Bai, Guo-Dong Xu, Liang Liang, Ting-Bo Liang
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.4061/2011/947150
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author Fei Xue
Wei Chen
Xue-Li Bai
Guo-Dong Xu
Liang Liang
Ting-Bo Liang
author_facet Fei Xue
Wei Chen
Xue-Li Bai
Guo-Dong Xu
Liang Liang
Ting-Bo Liang
author_sort Fei Xue
collection DOAJ
description The accurate diagnosis of acute graft-versus-host disease following liver transplantation (LTx-aGVHD) has been hampered. Chimerism appears in the majority of recipients after LT and its significance in the diagnosis of LTx-aGVHD has not been clearly established. To demonstrate the significance of chimerism on the diagnosis of LTx-aGVHD, we compared the change of chimerism in syngeneic LT recipients, semiallogeneic LT recipients, and LTx-aGVHD induced recipients. Chimerism in PBMCs following sex-mismatched LT was identified by real-time PCR based on a rat Y-chromosome-specific primer. All recipients in semiallogeneic group grew in a normal pattern. However, when 4×108 donor splenocytes were transferred simultaneously during LT, the morbidity of lethal aGVHD was 100%. The chimerism appeared slightly higher in the semiallogeneic group than in the syngeneic LT group, but the difference was not significant. However, when the recipients developed lethal aGVHD after LT, chimerism in the PBMCs increased progressively, and even at an early time, a significant increase in chimerism was observed. In conclusion, high level chimerism correlated well with LTx-aGVHD, and detection of chimerism soon after transplantation may be of value in the diagnosis of LTx-aGVHD prior to the onset of symptoms.
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institution Kabale University
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spelling doaj-art-7b34c34c4b3148228a519780c71fa1e12025-02-03T07:25:30ZengWileyInternational Journal of Hepatology2090-34482090-34562011-01-01201110.4061/2011/947150947150Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver TransplantationFei Xue0Wei Chen1Xue-Li Bai2Guo-Dong Xu3Liang Liang4Ting-Bo Liang5Department of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Key Laboratory of Combined Multi-Organ Transplantation of Ministry of Public Health, The First Affiliated Hospital, School of Medicine, Zhejiang University, 79 Qingchun Road, Hangzhou 310003, ChinaThe accurate diagnosis of acute graft-versus-host disease following liver transplantation (LTx-aGVHD) has been hampered. Chimerism appears in the majority of recipients after LT and its significance in the diagnosis of LTx-aGVHD has not been clearly established. To demonstrate the significance of chimerism on the diagnosis of LTx-aGVHD, we compared the change of chimerism in syngeneic LT recipients, semiallogeneic LT recipients, and LTx-aGVHD induced recipients. Chimerism in PBMCs following sex-mismatched LT was identified by real-time PCR based on a rat Y-chromosome-specific primer. All recipients in semiallogeneic group grew in a normal pattern. However, when 4×108 donor splenocytes were transferred simultaneously during LT, the morbidity of lethal aGVHD was 100%. The chimerism appeared slightly higher in the semiallogeneic group than in the syngeneic LT group, but the difference was not significant. However, when the recipients developed lethal aGVHD after LT, chimerism in the PBMCs increased progressively, and even at an early time, a significant increase in chimerism was observed. In conclusion, high level chimerism correlated well with LTx-aGVHD, and detection of chimerism soon after transplantation may be of value in the diagnosis of LTx-aGVHD prior to the onset of symptoms.http://dx.doi.org/10.4061/2011/947150
spellingShingle Fei Xue
Wei Chen
Xue-Li Bai
Guo-Dong Xu
Liang Liang
Ting-Bo Liang
Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
International Journal of Hepatology
title Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
title_full Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
title_fullStr Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
title_full_unstemmed Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
title_short Correlation of Chimerism with Acute Graft-versus-Host Disease in Rats following Liver Transplantation
title_sort correlation of chimerism with acute graft versus host disease in rats following liver transplantation
url http://dx.doi.org/10.4061/2011/947150
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AT guodongxu correlationofchimerismwithacutegraftversushostdiseaseinratsfollowinglivertransplantation
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