Sentinel flaps correlate with pro-inflammatory and immunoregulatory mediators of human face transplantation rejection

نویسندگان

چکیده

Abstract Early diagnosis and treatment of immune rejection is critical for face transplants (vascularized composite allografts, VCA). VCA diagnosed by histologic evaluation skin biopsies, yet repeated biopsies are a considerable aesthetic problem. Sentinel flaps, fasciocutaneous radial forearm have been used remote-site monitoring, but the concordance between tissues during remains unclear. With access to world’s largest cohort patients at single center worldwide, we studied 14 paired from sentinel flaps (SF) facial allografts (FA) non-rejection. We previously identified 15 pro-inflammatory genes (including GZMB, HLA-DPB1, IFNG) immunoregulatory SOCS1, CTLA4, IDO1) upregulated in rejection. SF FA had an average correlation coefficient 0.88 0.76 pro- anti-inflammatory gene sets, respectively. During rejection, there was no significant difference expression tissue type (SF versus FA), only one (PDCD1) significantly different. Across all samples, were 64 differentially expressed (DEG) non-rejection, 13 DEG types, 2 when statistically accounting differences driven status (log2FC>1, p<0.05). High throughput sequencing (HTS) CDR3 TCR-β 4 matched pairs mean 9.5 expanded shared T cell clones, indicating that antigens drove both tissues. Together, these data indicate could serve as effective monitoring transplant NIH T32 Training Grant 2T32AR007098-47 Dept. Dermatology, Harvard Medical School RT170025 (P.I. Rachael A. Clark) Department Defense - congressionally Directed Research Programs; "T cells Rejection Vascularized Composite Allografts).

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ژورنال

عنوان ژورنال: Journal of Immunology

سال: 2023

ISSN: ['1550-6606', '0022-1767']

DOI: https://doi.org/10.4049/jimmunol.210.supp.173.25