Abstract

Objective To investigate the role of miRNA expression in the acute rejection of liver transplantation in rats.Methods The rat orthotopic liver transplantation (ROLT) was performed using the two-cuff technique described by Kamada with modification.Rats were randomly divided into two groups,a rejection group (n=12) and a control group (n=12).MicroRNA microarray technology was used to screen the microRNA expression profile in peripheral blood on the 7th postoperative day,and the bioinformatics microRNA screening method detected that miR-206 had the biggest difference in expression level.Peripheral blood samples were gathered before,3 days,5 days,and 7 days after ROLT to analyze the expression level of miR 206 quantitatively with qRT PCR technology.Dynamic contrast analysis was made between the quantitative results of miR-206 and the results of pathological examination and liver function tests.Results There was no significant difference in miR-206 expression level between the rejection group and control group before the operation (t=0.105,P=0.921).MiR-206 expression was significantly higher in the rejection group than in the control group 3 days after ROLT (t=8.875,P=0.001).The expression level of miR 206 in the rejection group also increased gradually over time (F=32.154,P<0.01).However,pathological changes and liver function index did not show obvious differences until the 5th and 7th day postoperatively.The expression of miR-206 in peripheral blood and graft was strongly and positively correlated with the rejection active index (RAI) of acute liver rejection pathology (0.812 and 0.881 respectively,P<0.01).In the rejection group,the miR-206 level in peripheral blood and graft were positively associated with each other.Conclusions Detection of miR-206 in peripheral blood was significantly better than pathological examination and liver function test in the diagnosis of acute rejection of rat liver transplantation.Moreover,miR-206 was an early sensitive and specific marker for making this diagnosis. Key words: MicroRNA; Liver transplantation; Rat; Acute rejection

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