Source:http://linkedlifedata.com/resource/pubmed/id/15084179
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2004-4-15
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pubmed:abstractText |
Tissue attenuates to injury by the effects of heme oxygenase (HO)-1. The induction of HO-1 expression is modulated by a (GT)(n) dinucleotide polymorphism in the promoter of the gene, of which increased activity is associated with short (S) (<or=27) repeats. We investigated the influence of this HO-1 gene polymorphism on renal transplant survival. DNA from 387 recipients and 384 donors was genotyped and we divided the HO-1 alleles into two subclasses, the S (<or=27 repeats) class and long (L) class (>27 repeats). Graft survival was associated with donor and not with recipient HO-1 gene polymorphism (log rank p = 0.005; hazard ratio 0.51, 95% CI 0.32-0.83). The beneficial effect of the donor HO-1 genotype was observed in grafts exposed to prolonged cold ischemia time and acute rejection. Patients who received a kidney from L-homozygotes lost their graft significantly more often to chronic allograft nephropathy (CAN) than carriers of S-alleles (p = 0.015). Multivariate analysis showed reduced risk for graft failure in kidneys with S-alleles in comparison to L-homozygotes (odds ratio 0.50, 95% CI 0.27-0.93, p = 0.03). Kidneys that are carriers of HO-1 S-allele are less vulnerable to tissue injury resulting in less CAN and better graft survival.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1600-6135
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
811-8
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:15084179-Graft Survival,
pubmed-meshheading:15084179-Heme Oxygenase (Decyclizing),
pubmed-meshheading:15084179-Heme Oxygenase-1,
pubmed-meshheading:15084179-Humans,
pubmed-meshheading:15084179-Kidney,
pubmed-meshheading:15084179-Kidney Transplantation,
pubmed-meshheading:15084179-Membrane Proteins,
pubmed-meshheading:15084179-Polymorphism, Genetic,
pubmed-meshheading:15084179-Promoter Regions, Genetic,
pubmed-meshheading:15084179-Time Factors,
pubmed-meshheading:15084179-Transplantation, Homologous,
pubmed-meshheading:15084179-Transplants
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pubmed:year |
2004
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pubmed:articleTitle |
Fundamental role for HO-1 in the self-protection of renal allografts.
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pubmed:affiliation |
Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. c.c.baan@erasmusmc.nl
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pubmed:publicationType |
Journal Article
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