Markers of Endothelial-to-Mesenchymal Transition Article Swipe
Yi-Chun Xu-Dubois
,
Julie Peltier
,
Isabelle Brochériou
,
Caroline Suberbielle‐Boissel
,
Arjang Djamali
,
Shannon R. Reese
,
Nuala Mooney
,
Zela Keuylian
,
Julien Lion
,
Nacéra Ouali
,
Pierre Lévy
,
Chantal Jouanneau
,
Éric Rondeau
,
Alexandre Hertig
·
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1681/asn.2014070679
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1681/asn.2014070679
Antibody-mediated rejection (ABMR) is a leading cause of allograft loss. Treatment efficacy depends on accurate diagnosis at an early stage. However, sensitive and reliable markers of antibody-endothelium interaction during ABMR are not available for routine use. Using immunohistochemistry, we retrospectively studied the diagnostic value of three markers of endothelial-to-mesenchymal transition (EndMT), fascin1, vimentin, and heat shock protein 47, for ABMR in 53 renal transplant biopsy specimens, including 20 ABMR specimens, 24 cell-mediated rejection specimens, and nine normal grafts. We validated our results in an independent set of 74 unselected biopsy specimens. Endothelial cells of the peritubular capillaries in grafts with ABMR expressed fascin1, vimentin, and heat shock protein 47 strongly, whereas those from normal renal grafts did not. The level of EndMT marker expression was significantly associated with current ABMR criteria, including capillaritis, glomerulitis, peritubular capillary C4d deposition, and donor-specific antibodies. These markers allowed us to identify C4d-negative ABMR and to predict late occurrence of disease. EndMT markers were more specific than capillaritis for the diagnosis and prognosis of ABMR and predicted late (up to 4 years after biopsy) renal graft dysfunction and proteinuria. In the independent set of 74 renal graft biopsy specimens, the EndMT markers for the diagnosis of ABMR had a sensitivity of 100% and a specificity of 85%. Fascin1 expression in peritubular capillaries was also induced in a rat model of ABMR. In conclusion, EndMT markers are a sensitive and reliable diagnostic tool for detecting endothelial activation during ABMR and predicting late loss of allograft function.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1681/asn.2014070679
- https://jasn.asnjournals.org/content/jnephrol/27/1/324.full.pdf
- OA Status
- bronze
- Cited By
- 45
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W1943360960
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W1943360960Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1681/asn.2014070679Digital Object Identifier
- Title
-
Markers of Endothelial-to-Mesenchymal TransitionWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2015Year of publication
- Publication date
-
2015-05-21Full publication date if available
- Authors
-
Yi-Chun Xu-Dubois, Julie Peltier, Isabelle Brochériou, Caroline Suberbielle‐Boissel, Arjang Djamali, Shannon R. Reese, Nuala Mooney, Zela Keuylian, Julien Lion, Nacéra Ouali, Pierre Lévy, Chantal Jouanneau, Éric Rondeau, Alexandre HertigList of authors in order
- Landing page
-
https://doi.org/10.1681/asn.2014070679Publisher landing page
- PDF URL
-
https://jasn.asnjournals.org/content/jnephrol/27/1/324.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://jasn.asnjournals.org/content/jnephrol/27/1/324.full.pdfDirect OA link when available
- Concepts
-
Medicine, Biopsy, Vimentin, Peritubular capillaries, Pathology, Endothelium, Proteinuria, Renal biopsy, Immunohistochemistry, Kidney, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
45Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 6, 2023: 3, 2022: 6, 2021: 1Per-year citation counts (last 5 years)
- References (count)
-
34Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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