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Association between individual and combined SNPs in genes related to innate immunity and incidence of CMV infection in seropositive kidney transplant recipients.

Identifieur interne : 000228 ( Main/Exploration ); précédent : 000227; suivant : 000229

Association between individual and combined SNPs in genes related to innate immunity and incidence of CMV infection in seropositive kidney transplant recipients.

Auteurs : M. Fernández-Ruiz [Espagne] ; I. Corrales ; M. Arias ; J M Campistol ; E. Giménez ; J. Crespo ; M O L Pez-Oliva ; I. Beneyto ; P L Martín-Moreno ; F. Llamas-Fuente ; A. Gutiérrez ; T. García-Álvarez ; R. Guerra-Rodríguez ; N. Calvo ; A. Fernández-Rodríguez ; J M Tabernero-Romo ; M D Navarro ; A. Ramos-Verde ; J M Aguado ; D. Navarro

Source :

RBID : pubmed:25777542

English descriptors

Abstract

In this study, we assessed the association between single-nucleotide polymorphisms (SNPs) in seven candidate genes involved in orchestrating the immune response against cytomegalovirus (CMV) and the 12-month incidence of CMV infection in 315 CMV-seropositive kidney transplant (KT) recipients. Patients were managed either by antiviral prophylaxis or preemptive therapy. CMV infection occurred in 140 patients (44.4%), including 13 episodes of disease. After adjusting for various clinical covariates, patients harboring T-allele genotypes of interleukin-28B (IL28B) (rs12979860) SNP had lower incidence of CMV infection (adjusted hazard ratio [aHR]: 0.66; 95% confidence interval [CI]: 0.46-0.96; p-value = 0.029). In the analysis restricted to patients not receiving prophylaxis, carriers of the TT genotype of toll-like receptor 9 (TLR9) (rs5743836) SNP had lower incidence of infection (aHR: 0.61; 95% CI: 0.38-0.96; p-value = 0.035), whereas the GG genotype of dendritic cell-specific ICAM 3-grabbing nonintegrin (DC-SIGN) (rs735240) SNP exerted the opposite effect (aHR: 1.86; 95% CI: 1.18-2.94; p-value = 0.008). An independent association was found between the number of unfavorable SNP genotypes carried by the patient and the incidence of CMV infection. In conclusion, specific SNPs in IL28B, TLR9 and DC-SIGN genes may play a role in modulating the susceptibility to CMV infection in CMV-seropositive KT recipients.

DOI: 10.1111/ajt.13107
PubMed: 25777542


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Le document en format XML

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<name sortKey="Crespo, J" sort="Crespo, J" uniqKey="Crespo J" first="J" last="Crespo">J. Crespo</name>
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<name sortKey="Guerra Rodriguez, R" sort="Guerra Rodriguez, R" uniqKey="Guerra Rodriguez R" first="R" last="Guerra-Rodríguez">R. Guerra-Rodríguez</name>
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<name sortKey="Calvo, N" sort="Calvo, N" uniqKey="Calvo N" first="N" last="Calvo">N. Calvo</name>
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<name sortKey="Fernandez Rodriguez, A" sort="Fernandez Rodriguez, A" uniqKey="Fernandez Rodriguez A" first="A" last="Fernández-Rodríguez">A. Fernández-Rodríguez</name>
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<name sortKey="Tabernero Romo, J M" sort="Tabernero Romo, J M" uniqKey="Tabernero Romo J" first="J M" last="Tabernero-Romo">J M Tabernero-Romo</name>
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<name sortKey="Navarro, M D" sort="Navarro, M D" uniqKey="Navarro M" first="M D" last="Navarro">M D Navarro</name>
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<name sortKey="Ramos Verde, A" sort="Ramos Verde, A" uniqKey="Ramos Verde A" first="A" last="Ramos-Verde">A. Ramos-Verde</name>
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<name sortKey="Aguado, J M" sort="Aguado, J M" uniqKey="Aguado J" first="J M" last="Aguado">J M Aguado</name>
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<title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title>
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<term>Adult</term>
<term>Aged</term>
<term>Alleles</term>
<term>Cell Adhesion Molecules (genetics)</term>
<term>Cytomegalovirus Infections (blood)</term>
<term>Cytomegalovirus Infections (genetics)</term>
<term>Female</term>
<term>Genotype</term>
<term>Humans</term>
<term>Immunity, Innate (genetics)</term>
<term>Incidence</term>
<term>Interleukins (genetics)</term>
<term>Kidney Failure, Chronic (blood)</term>
<term>Kidney Failure, Chronic (genetics)</term>
<term>Kidney Failure, Chronic (surgery)</term>
<term>Kidney Transplantation</term>
<term>Lectins, C-Type (genetics)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Polymorphism, Single Nucleotide</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
<term>Receptors, Cell Surface (genetics)</term>
<term>Transplant Recipients</term>
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<term>Interleukins</term>
<term>Lectins, C-Type</term>
<term>Receptors, Cell Surface</term>
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<term>Cytomegalovirus Infections</term>
<term>Kidney Failure, Chronic</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Cytomegalovirus Infections</term>
<term>Immunity, Innate</term>
<term>Kidney Failure, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Kidney Failure, Chronic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Alleles</term>
<term>Female</term>
<term>Genotype</term>
<term>Humans</term>
<term>Incidence</term>
<term>Kidney Transplantation</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Polymorphism, Single Nucleotide</term>
<term>Proportional Hazards Models</term>
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<front>
<div type="abstract" xml:lang="en">In this study, we assessed the association between single-nucleotide polymorphisms (SNPs) in seven candidate genes involved in orchestrating the immune response against cytomegalovirus (CMV) and the 12-month incidence of CMV infection in 315 CMV-seropositive kidney transplant (KT) recipients. Patients were managed either by antiviral prophylaxis or preemptive therapy. CMV infection occurred in 140 patients (44.4%), including 13 episodes of disease. After adjusting for various clinical covariates, patients harboring T-allele genotypes of interleukin-28B (IL28B) (rs12979860) SNP had lower incidence of CMV infection (adjusted hazard ratio [aHR]: 0.66; 95% confidence interval [CI]: 0.46-0.96; p-value = 0.029). In the analysis restricted to patients not receiving prophylaxis, carriers of the TT genotype of toll-like receptor 9 (TLR9) (rs5743836) SNP had lower incidence of infection (aHR: 0.61; 95% CI: 0.38-0.96; p-value = 0.035), whereas the GG genotype of dendritic cell-specific ICAM 3-grabbing nonintegrin (DC-SIGN) (rs735240) SNP exerted the opposite effect (aHR: 1.86; 95% CI: 1.18-2.94; p-value = 0.008). An independent association was found between the number of unfavorable SNP genotypes carried by the patient and the incidence of CMV infection. In conclusion, specific SNPs in IL28B, TLR9 and DC-SIGN genes may play a role in modulating the susceptibility to CMV infection in CMV-seropositive KT recipients.</div>
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<name sortKey="Navarro, M D" sort="Navarro, M D" uniqKey="Navarro M" first="M D" last="Navarro">M D Navarro</name>
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<name sortKey="Tabernero Romo, J M" sort="Tabernero Romo, J M" uniqKey="Tabernero Romo J" first="J M" last="Tabernero-Romo">J M Tabernero-Romo</name>
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<name sortKey="Fernandez Ruiz, M" sort="Fernandez Ruiz, M" uniqKey="Fernandez Ruiz M" first="M" last="Fernández-Ruiz">M. Fernández-Ruiz</name>
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