TY - JOUR
T1 - High RIPK3 expression is associated with a higher risk of early kidney transplant failure
AU - Wahida, Adam
AU - Schmaderer, Christoph
AU - Büttner-Herold, Maike
AU - Branca, Caterina
AU - Donakonda, Sainitin
AU - Haberfellner, Flora
AU - Torrez, Carlos
AU - Schmitz, Jessica
AU - Schulze, Tobias
AU - Seibt, Tobias
AU - Öllinger, Rupert
AU - Engleitner, Thomas
AU - Haller, Bernhard
AU - Steiger, Katja
AU - Günthner, Roman
AU - Lorenz, Georg
AU - Yabal, Monica
AU - Bachmann, Quirin
AU - Braunisch, Matthias C.
AU - Moog, Philipp
AU - Matevossian, Edouard
AU - Aßfalg, Volker
AU - Thorban, Stefan
AU - Renders, Lutz
AU - Späth, Martin R.
AU - Müller, Roman Ulrich
AU - Stippel, Dirk L.
AU - Weichert, Wilko
AU - Slotta-Huspenina, Julia
AU - von Vietinghoff, Sibylle
AU - Viklicky, Ondrej
AU - Green, Douglas R.
AU - Rad, Roland
AU - Amann, Kerstin
AU - Linkermann, Andreas
AU - Bräsen, Jan Hinrich
AU - Heemann, Uwe
AU - Kemmner, Stephan
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/10/20
Y1 - 2023/10/20
N2 - Renal ischemia-reperfusion injury (IRI) is associated with reduced allograft survival, and each additional hour of cold ischemia time increases the risk of graft failure and mortality following renal transplantation. Receptor-interacting protein kinase 3 (RIPK3) is a key effector of necroptosis, a regulated form of cell death. Here, we evaluate the first-in-human RIPK3 expression dataset following IRI in kidney transplantation. The primary analysis included 374 baseline biopsy samples obtained from renal allografts 10 minutes after onset of reperfusion. RIPK3 was primarily detected in proximal tubular cells and distal tubular cells, both of which are affected by IRI. Time-to-event analysis revealed that high RIPK3 expression is associated with a significantly higher risk of one-year transplant failure and prognostic for one-year (death-censored) transplant failure independent of donor and recipient associated risk factors in multivariable analyses. The RIPK3 score also correlated with deceased donation, cold ischemia time and the extent of tubular injury.
AB - Renal ischemia-reperfusion injury (IRI) is associated with reduced allograft survival, and each additional hour of cold ischemia time increases the risk of graft failure and mortality following renal transplantation. Receptor-interacting protein kinase 3 (RIPK3) is a key effector of necroptosis, a regulated form of cell death. Here, we evaluate the first-in-human RIPK3 expression dataset following IRI in kidney transplantation. The primary analysis included 374 baseline biopsy samples obtained from renal allografts 10 minutes after onset of reperfusion. RIPK3 was primarily detected in proximal tubular cells and distal tubular cells, both of which are affected by IRI. Time-to-event analysis revealed that high RIPK3 expression is associated with a significantly higher risk of one-year transplant failure and prognostic for one-year (death-censored) transplant failure independent of donor and recipient associated risk factors in multivariable analyses. The RIPK3 score also correlated with deceased donation, cold ischemia time and the extent of tubular injury.
KW - Molecular biology
KW - Nephrology
UR - http://www.scopus.com/inward/record.url?scp=85174810930&partnerID=8YFLogxK
U2 - 10.1016/j.isci.2023.107879
DO - 10.1016/j.isci.2023.107879
M3 - Article
AN - SCOPUS:85174810930
SN - 2589-0042
VL - 26
JO - iScience
JF - iScience
IS - 10
M1 - 107879
ER -