1. Gene Set Enrichment Analysis Identifies Key Innate Immune Pathways in Primary Graft Dysfunction After Lung Transplantation
- Author
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Cantu, E, Lederer, DJ, Meyer, K, Milewski, K, Suzuki, Y, Shah, RJ, Diamond, JM, Meyer, NJ, Tobias, JW, Baldwin, DA, Van Deerlin, VM, Olthoff, KM, Shaked, A, Christie, JD, and Investigators, for the CTOT
- Subjects
Transplantation ,Rare Diseases ,Biotechnology ,Lung ,Clinical Research ,Organ Transplantation ,Genetics ,Orphan Drug ,Inflammatory and immune system ,Good Health and Well Being ,Adult ,Female ,Follow-Up Studies ,Graft Survival ,Humans ,Immunity ,Innate ,Lung Transplantation ,Male ,Middle Aged ,Postoperative Period ,Primary Graft Dysfunction ,Prospective Studies ,Gene expression ,lung transplantation ,primary graft dysfunction ,CTOT Investigators ,Medical and Health Sciences ,Surgery - Abstract
We hypothesized alterations in gene expression could identify important pathways involved in transplant lung injury. Broncho alveolar lavage fluid (BALF) was sampled from donors prior to procurement and in recipients within an hour of reperfusion as part of the NIAID Clinical Trials in Organ Transplantation Study. Twenty-three patients with Grade 3 primary graft dysfunction (PGD) were frequency matched with controls based on donor age and recipient diagnosis. RNA was analyzed using the Human Gene 1.0 ST array. Normalized mRNA expression was transformed and differences between donor and postreperfusion values were ranked then tested using Gene Set Enrichment Analysis. Three-hundred sixty-two gene sets were upregulated, with eight meeting significance (familywise-error rate, FWER p-value
- Published
- 2013