Differential Expression of Prostaglandin E2 Receptors in Porcine Kidney Transplants
Autor: | Youli Wang, N. Stanley Nahman, Thomas Z. Thompson, Philip B. Cox, Xuexiu Fang, Sam Ho, Andrew Harner, Todd D. Merchen, Daniel T. Kleven |
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Rok vydání: | 2019 |
Předmět: |
Graft Rejection
medicine.medical_specialty Swine Prostaglandin E2 receptor Receptors Prostaglandin Down-Regulation Inflammation Dinoprostone Proinflammatory cytokine Cell surface receptor Internal medicine medicine Animals Receptor Transplantation business.industry Kidney Transplantation Endocrinology Eicosanoid Cyclooxygenase 2 lipids (amino acids peptides and proteins) Surgery medicine.symptom Signal transduction business Signal Transduction |
Zdroj: | Transplantation Proceedings. 51:2124-2131 |
ISSN: | 0041-1345 |
DOI: | 10.1016/j.transproceed.2019.05.016 |
Popis: | Background Acute rejection of a kidney allograft results from adaptive immune responses and marked inflammation. The eicosanoid prostaglandin E2 (PGE2) modulates the inflammatory response, is generated by cyclooxygenase 2 (COX-2), and binds to 1 of the 4 G protein-coupled E prostanoid cell surface receptors (EP1-4). Receptor activation results in in proinflammatory (EP1 and EP3) or anti-inflammatory (EP2 and EP4) responses. We theorized that expression of the components of the COX-PGE2-EP signaling pathway correlates with acute rejection in a porcine model of allogeneic renal transplantation. Method COX-2 enzyme and EP receptor protein expression were quantitated with western blotting and immunohistochemistry from allotransplants (n = 18) and autotransplants (n = 5). Linear regression analysis was used to correlate EP receptor expression with the Banff category of rejection. Results Pigs with advanced rejection demonstrated significant increases in serum PGE2 metabolites, while pigs with less rejection demonstrated higher tissue concentrations of PGE2 metabolites. A significant negative correlation between COX-2 expression and Banff category of rejection (R = −0.877) was shown. Rejection decreased expression of EP2 and EP4. For both receptors, there was a significant negative correlation with the extent of rejection (R = −0.760 and R = −0.891 for EP2 and EP4, respectively). Rejection had no effect on the proinflammatory receptors EP1 and EP3. Conclusion Downregulation of COX-2 and the anti-inflammatory EP2 and EP4 receptors is associated with acute rejection in unmatched pig kidney transplants, suggesting that the COX-2-PGE2-EP pathway may modulate inflammation in this model. Enhancing EP2 and/or EP4 activity may offer novel therapeutic approaches to controlling the inflammation of acute allograft rejection. |
Databáze: | OpenAIRE |
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