High expression of TIM-3 and KIM-1 in blood and urine of renal allograft rejection patients

作者：Shahbaz Sanaz Keshavarz; Pourrezagholi Fatemeh; Barabadi Mehri; Foroughi Farshad; Hosseinzadeh Morteza; Ahmadpoor Pedram; Nafar Mohesn; Yekaninejad Mir Saeed; Amirzargar Aliakbar^*

来源：Transplant Immunology, 2017, 43-44: 11-20.

DOI：10.1016/j.trim.2017.07.002

• TIM-3
• KIM-1
• Renal transplantation
• Acute allograft rejection
• Chronic allograft dysfunction

Background-T cell immunoglobulin and mucin domain 3 (TIM-3) is involved in alloimmune and autoimmune responses, as well as tolerance induction in kidney transplantation. Kidney injury molecule-1 (KIM-1) is highly expressed in epithelial cells of the injured proximal tubule. In this study, we have investigated both urinary and blood TIM-3 mRNA expressions, urinary KIM-1 mRNA expression, and urinary and serum KIM-1 proteins in renal allograft recipients diagnosed with acute allograft rejection (AR) and chronic allograft dysCAD), as well as those with well-functioning transplants (WFG).
Methods: We divided 85 patients into the following groups: AR (n = 24), CAD (n = 19), and WFG (n = 42). TIM-3 and KIM-1 mRNA expressions were quantified using real-time reverse-transcription TaqMan probe polymerase chain reaction (RT-PCR). An ELISA test was used to measure the amount of KIM-1 protein in serum and urine samples.
Results: AR and CAD patients had significantly greater urinary and blood TIM-3 mRNA expressions, urinary KIM-1 mRNA expression, and urinary and serum KIM-1 proteins compared to WFG patients. Receiver operating characteristic (ROC) analysis showed that these molecules discriminated Allograft rejections from WFG.
Conclusion: Quantification of TIM-3 and KIM-1 mRNA expressions, along with KIM-1 protein measurements in urine and blood could be employed as promising tools for noninvasive diagnosis of allograft dysfunction.

• 出版日期2017-10