Abstract

BackgroundInterleukin 17 is a proinflammatory cytokine involved in immune response after allograft transplantation. IL-17 family of proinflammatory cytokines includes IL-17A and IL-17F. Previous studies have demonstrated that the rs2275913 IL17A and the rs11465553 IL17F gene polymorphism are associated with kidney allograft function. Because of the association between these polymorphisms and post-transplant immune response, we assume that these single nucleotide polymorphisms may affect morphological structure of transplanted kidney.The aim of this study was to examine the association of rs2275913 IL17A and rs2397084, rs11465553 and rs763780 IL17F gene polymorphisms with histopathological changes in transplanted kidney biopsies such as: glomerulitis, tubulitis, arteritis, cell infilitration and fibrosis.MethodsThe study enrolled 82 patients after renal graft transplantation in whom a kidney biopsy was performed because of impaired graft function. The rs2397084 T > C (Glu126Gly), rs11465553 G > A (Val155Ile) and rs763780 T > C (His167Arg) polymorphisms within the IL17F gene and the rs2275913 A > G (− 197 A > G) polymorphism within the IL17A gene promoter were genotyped using TaqMan genotyping assays on a 7500 FAST Real-Time PCR System (Applied Biosystems, USA).ResultsThere was a significant association between the rs2275913 IL17A gene polymorphism and the grade of tubulitis, which was more severe among patients with the A allele, compared to recipients with the GG genotype (GG vs. AG + AA, P = 0.02), and with the grade of arteriolar hyaline thickening and mesangial matrix increase, which were more severe among patients with the G allele compared to recipients with the AA genotype (AA vs. AG + GG, P = 0.01 and P = 0.04, respectively). Tubular atrophy and interstitial fibrosis were more severe among individuals with the C allele at the rs763780 IL17F gene polymorphism (TT vs. TC, P = 0.09 and P = 0.017, respectively). However, it should be taken into account that the statistical significance was achieved without correction for multiple testing, and no significant association would remain significant after such correction.ConclusionsThe results of this study may suggest a possible association between the rs2275913 IL17A and rs2275913 IL17A gene polymorphisms and some histopathological changes in transplanted kidney biopsies.

Highlights

  • Interleukin 17 is a proinflammatory cytokine involved in immune response after allograft transplantation

  • Genes encoding IL-17A and IL-17F are located on chromosome 6 (6p12) [8], and polymorphisms in these genes were studied in various autoimmune diseases [4, 9]

  • Because of the association between analyzed polymorphisms and post-transplant immune response, we assume that these single nucleotide polymorphisms (SNPs) may affect morphological structure of transplanted kidney through presence of glomerulitis, tubulitis, arteritis, cell infilitration and fibrosis

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Summary

Introduction

Interleukin 17 is a proinflammatory cytokine involved in immune response after allograft transplantation. Previous studies have demonstrated that the rs2275913 IL17A and the rs11465553 IL17F gene polymorphism are associated with kidney allograft function. The aim of this study was to examine the association of rs2275913 IL17A and rs2397084, rs11465553 and rs763780 IL17F gene polymorphisms with histopathological changes in transplanted kidney biopsies such as: glomerulitis, tubulitis, arteritis, cell infilitration and fibrosis. Studies regarding bone marrow and solid organ transplantation have highlighted the importance of IL17A and IL17F gene polymorphisms in the pathogenesis of rejection; the nature of the posttransplant immune response is complex and differs between the early and late phase. Because of the association between analyzed polymorphisms and post-transplant immune response, we assume that these single nucleotide polymorphisms (SNPs) may affect morphological structure of transplanted kidney through presence of glomerulitis, tubulitis, arteritis, cell infilitration and fibrosis

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