You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery I1 Apr 2017MP06-02 SERUM SIALYL HYBRID TYPED N-GLYCAN LEVELS PREDICTS EARLY ABMR IN LIVING DONOR KIDNEY TRANSPLANT PATIENTS Daisuke Noro, Tohru Yoneyama, Shingo Hatakeyama, Yuki Tobisawa, Kazuyuki Mori, Yasuhiro Hashimoto, Takuya Koie, Masakazu Tanaka, Shinichiro Nishimura, Hideo Sasaki, Mitsuru Saito, Hiroshi Harada, Tatsuya Chikaraishi, Hideki Ishida, Kazunari Tanabe, Shigeru Satoh, and Chikara Ohyama Daisuke NoroDaisuke Noro More articles by this author , Tohru YoneyamaTohru Yoneyama More articles by this author , Shingo HatakeyamaShingo Hatakeyama More articles by this author , Yuki TobisawaYuki Tobisawa More articles by this author , Kazuyuki MoriKazuyuki Mori More articles by this author , Yasuhiro HashimotoYasuhiro Hashimoto More articles by this author , Takuya KoieTakuya Koie More articles by this author , Masakazu TanakaMasakazu Tanaka More articles by this author , Shinichiro NishimuraShinichiro Nishimura More articles by this author , Hideo SasakiHideo Sasaki More articles by this author , Mitsuru SaitoMitsuru Saito More articles by this author , Hiroshi HaradaHiroshi Harada More articles by this author , Tatsuya ChikaraishiTatsuya Chikaraishi More articles by this author , Hideki IshidaHideki Ishida More articles by this author , Kazunari TanabeKazunari Tanabe More articles by this author , Shigeru SatohShigeru Satoh More articles by this author , and Chikara OhyamaChikara Ohyama More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.247AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES ABMR is a diagnostic challenge in living donor kidney transplant (LKTx) medicine, and there is a need to identify predictive markers of ABMR to improve graft survival. The use of serum N-glycans as a predictive biomarker of ABMR has not yet been tested. In the present study, we performed serum N-glycomics in transplant patients and evaluated its potential as a predictive serum-based biomarker of early ABMR. METHODS N-glycomics in whole serum and immunoglobulins (Igs) fraction were performed in randomly selected 16 recipients with biopsy-proven ABMR occurred within 1 month after LKTx, 40 recipients with biopsy-proven TCMR, and 141 recipients without any adverse events. The putative structure of N-glycans was analyzed by MALDI-TOF-MS analysis. RESULTS Serum sialyl hybrid-type N-glycans (m/z 1709, 1871, and 2033) levels before LKTx and on postoperative Day 1 (POD1) was significantly lower in recipients who developed ABMR than non-ABMR group. The m/z 2033 N-glycan <1.3 μM and the presence of preformed donor-specific antibodies (DSA) on POD1 were found to yield a higher odds ratio for prediction of ABMR than did other factors according to logistic regression analysis. Receiver-operating characteristic area under the curve for m/z 2033 < 1.3 μM combined with preformed-DSA status was 0.86. Combined preformed DSA with m/z 2033 N-glycan status; thus, double-positive patients (preformed-DSA positive and m/z 2033 < 1.3 μM) or single-positive patients (preformed-DSA positive or negative and m/z 2033 > 1.3 μM or < 1.3 μM) can cover all 16 ABMR cases. These results suggest that the combined indicator holds promise for identification of patients who will not develop ABMR by means of serum samples collected on POD1. Although, N-glycan profile of immunoglobulin (Ig)s fractions compared with those of whole-serum, ABMR-related N-glycans in Igs fractions were not detected. Therefore, the ABMR-related N-glycans carrying proteins are not an Igs. CONCLUSIONS The serum m/z 2033 sialyl hybrid-type N-glycan combined with preformed DSA status may predict acute ABMR in patients undergoing LKTx. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e72-e73 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Daisuke Noro More articles by this author Tohru Yoneyama More articles by this author Shingo Hatakeyama More articles by this author Yuki Tobisawa More articles by this author Kazuyuki Mori More articles by this author Yasuhiro Hashimoto More articles by this author Takuya Koie More articles by this author Masakazu Tanaka More articles by this author Shinichiro Nishimura More articles by this author Hideo Sasaki More articles by this author Mitsuru Saito More articles by this author Hiroshi Harada More articles by this author Tatsuya Chikaraishi More articles by this author Hideki Ishida More articles by this author Kazunari Tanabe More articles by this author Shigeru Satoh More articles by this author Chikara Ohyama More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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