La thérapie génique fournit une alternative non invasive à l'invasive biopsie sur patients transplantés rénaux.
"Urinary-Cell mRNA Profile and Acute Cellular Rejection in Kidney Allografts":
Background
"The standard test for the diagnosis of acute rejection in kidney transplants is the renal biopsy. Noninvasive tests would be preferable."Methods
"We prospectively collected 4300 urine specimens from 485 kidney-graft recipients from day 3 through month 12 after transplantation. Messenger RNA (mRNA) levels were measured in urinary cells and correlated with allograft-rejection status with the use of logistic regression."Conclusions
"A molecular signature of CD3ε mRNA, IP-10 mRNA, and 18S rRNA levels in urinary cells appears to be diagnostic and prognostic of acute cellular rejection in kidney allografts. (Funded by the National Institutes of Health and others.)"Source: NEJM
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