Free light chain and intact immunologlobulin abnormalities in heart transplant recipients: Two year follow-up timelines and clinical correlation

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F17%3A00060201" target="_blank" >RIV/00023001:_____/17:00060201 - isvavai.cz</a>

Výsledek na webu

<a href="http://ac.els-cdn.com/S0966327416301228/1-s2.0-S0966327416301228-main.pdf?_tid=98c04aa6-9ece-11e7-9a38-00000aab0f01&acdnat=1505999762_982fc892321dde5f5dc0ea7571918596" target="_blank" >http://ac.els-cdn.com/S0966327416301228/1-s2.0-S0966327416301228-main.pdf?_tid=98c04aa6-9ece-11e7-9a38-00000aab0f01&acdnat=1505999762_982fc892321dde5f5dc0ea7571918596</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.trim.2017.01.003" target="_blank" >10.1016/j.trim.2017.01.003</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Free light chain and intact immunologlobulin abnormalities in heart transplant recipients: Two year follow-up timelines and clinical correlation

Popis výsledku v původním jazyce

Objectives: To assess the timelines of serum free light chain (sFLC) concentrations and the kappa/lambda light chain (K/L) ratio in heart transplant (HTX) recipients. To analyze the performance of serum protein electrophoresis (SPE), serum immunofixation (sIFE) and sFLC measurements for gammopathy detection following a HTX. Methods: A total of 96 patients who underwent a HTX were analyzed during a two-year follow-up period. The relevant clinical data were obtained from patient medical records. SPE, sIFE and 5FLC methods were used for the detection of free light chain and intact immunoglobulin gammopathies at 4 time points after HTX. Results: A statistically significant decrease in sFLC K and L (a decrease of 39.1% and 27.6%, respectively, when compared to pretransplant values) was found 9 months after the HTX (p &lt;0.001, Friedman test). We detected SPE or sIFE abnormalities in 23 (8.4%) samples, and sFLC K/L ratio abnormalities in 34 (12.4%) samples. All of the K/L ratio abnormalities had normal SPE/sIFE values, and 19% of the findings were persistent Conclusions: A significant and consistent dynamics in the sFLC concentration was found in the HTX patients during a 2-year follow-up period, which reflected changes in the immunosuppressant dosage. A remarkable number of monoclonal and polyclonal gammopathies was identified with some persistdnt abnormalities, using the SPE/ sIFE and sFLC methods. Some of the detected abnormalities, which might possess a higher risk for PTLD if interpreted according to common practice in nonTX patients can only be detected by 5FLC methods.

Název v anglickém jazyce

Free light chain and intact immunologlobulin abnormalities in heart transplant recipients: Two year follow-up timelines and clinical correlation

Popis výsledku anglicky

Objectives: To assess the timelines of serum free light chain (sFLC) concentrations and the kappa/lambda light chain (K/L) ratio in heart transplant (HTX) recipients. To analyze the performance of serum protein electrophoresis (SPE), serum immunofixation (sIFE) and sFLC measurements for gammopathy detection following a HTX. Methods: A total of 96 patients who underwent a HTX were analyzed during a two-year follow-up period. The relevant clinical data were obtained from patient medical records. SPE, sIFE and 5FLC methods were used for the detection of free light chain and intact immunoglobulin gammopathies at 4 time points after HTX. Results: A statistically significant decrease in sFLC K and L (a decrease of 39.1% and 27.6%, respectively, when compared to pretransplant values) was found 9 months after the HTX (p &lt;0.001, Friedman test). We detected SPE or sIFE abnormalities in 23 (8.4%) samples, and sFLC K/L ratio abnormalities in 34 (12.4%) samples. All of the K/L ratio abnormalities had normal SPE/sIFE values, and 19% of the findings were persistent Conclusions: A significant and consistent dynamics in the sFLC concentration was found in the HTX patients during a 2-year follow-up period, which reflected changes in the immunosuppressant dosage. A remarkable number of monoclonal and polyclonal gammopathies was identified with some persistdnt abnormalities, using the SPE/ sIFE and sFLC methods. Some of the detected abnormalities, which might possess a higher risk for PTLD if interpreted according to common practice in nonTX patients can only be detected by 5FLC methods.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

10608 - Biochemistry and molecular biology

Projekt

<a href="/cs/project/NV15-27579A" target="_blank" >NV15-27579A: Monoklonální gamapatie u pacientů po transplantaci solidních orgánů. Vztah mezi potransplantační imunosupresí a lymfoproliferativními onemocněními.</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Transplant immunology

ISSN

0966-3274

e-ISSN

—

Svazek periodika

41

Číslo periodika v rámci svazku

March

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

5

Strana od-do

22-26

Kód UT WoS článku

000404306500004

EID výsledku v databázi Scopus

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