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  1. Article ; Online: Urine-Derived Renal Epithelial Cells (URECs) from Transplanted Kidneys as a Promising Immunomodulatory Cell Population.

    Pizzuti, Valeria / Donadei, Chiara / Balducelli, Emma / Conte, Diletta / Gessaroli, Elisa / Paris, Francesca / Bini, Claudia / Demetri, Marcello / Di Nunzio, Miriam / Corradetti, Valeria / Alviano, Francesco / La Manna, Gaetano / Comai, Giorgia

    Cells

    2023  Volume 12, Issue 12

    Abstract: Kidney transplantation is a lifesaving procedure for patients with end-stage kidney disease (ESKD). Organs derived from donation after cardiac death (DCD) are constantly increasing; however, DCD often leads to ischaemia-reperfusion (IR) and Acute Kidney ... ...

    Abstract Kidney transplantation is a lifesaving procedure for patients with end-stage kidney disease (ESKD). Organs derived from donation after cardiac death (DCD) are constantly increasing; however, DCD often leads to ischaemia-reperfusion (IR) and Acute Kidney Injury (AKI) events. These phenomena increase kidney cell turnover to replace damaged cells, which are voided in urine. Urine-derived renal epithelial cells (URECs) are rarely present in the urine of healthy subjects, and their loss has been associated with several kidney disorders. The present study aimed to characterize the phenotype and potential applications of URECs voided after transplant. The results indicate that URECs are highly proliferating cells, expressing several kidney markers, including markers of kidney epithelial progenitor cells. Since the regulation of the immune response is crucial in organ transplantation and new immunoregulatory strategies are needed, UREC immunomodulatory properties were investigated. Co-culture with peripheral blood mononuclear cells (PBMCs) revealed that URECs reduced PBMC apoptosis, inhibited lymphocyte proliferation, increased T regulatory (Treg) cells and reduced T helper 1 (Th1) cells. URECs from transplanted patients represent a promising cell source for the investigation of regenerative processes occurring in kidneys, and for cell-therapy applications based on the regulation of the immune response.
    MeSH term(s) Humans ; Leukocytes, Mononuclear/metabolism ; Kidney/metabolism ; Acute Kidney Injury/metabolism ; Biomarkers/metabolism ; Immunity ; Epithelial Cells/metabolism
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-06-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2661518-6
    ISSN 2073-4409 ; 2073-4409
    ISSN (online) 2073-4409
    ISSN 2073-4409
    DOI 10.3390/cells12121630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Identification of asymptomatic Leishmania infection in patients undergoing kidney transplant using multiple tests.

    Deni, Alessandro / De Pascali, Alessandra Mistral / Ortalli, Margherita / Balducelli, Emma / Provenzano, Michele / Ferrara, Francesca / Busutti, Marco / La Manna, Gaetano / Zammarchi, Lorenzo / Bartoloni, Alessandro / Caroti, Leonardo / Ibarra-Meneses, Ana Victoria / Carrillo, Eugenia / Comai, Giorgia / Varani, Stefania

    International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

    2023  Volume 138, Page(s) 81–83

    Abstract: Objectives: In immunocompromised patients, asymptomatic Leishmania infection can reactivate, and evolve to severe disease. To date, no test is considered the gold standard for the identification of asymptomatic Leishmania infection. A combination of ... ...

    Abstract Objectives: In immunocompromised patients, asymptomatic Leishmania infection can reactivate, and evolve to severe disease. To date, no test is considered the gold standard for the identification of asymptomatic Leishmania infection. A combination of methods was employed to screen for Leishmania infection in patients undergoing kidney transplant (KT).
    Methods: We employed polymerase chain reaction for the detection of parasitic DNA in peripheral blood, Western blot to identify serum immunoglobulin G and whole blood assay to detect cytokines/chemokines after stimulation of whole blood with parasitic antigen.
    Results: One-hundred twenty patients residing in Italy were included in the study at the time of KT. Each patient that tested positive to at least one test was considered as Leishmania positive. Fifty out of 120 patients (42%) tested positive for one or more tests. The detection of specific cell-mediated response (32/111, 29%) was the most common marker of Leishmania infection, followed by a positive serology (24/120, 20%). Four patients (3%) harbored parasitic DNA in the blood.
    Conclusion: Our findings underline the high prevalence of asymptomatic Leishmania infection in patients undergoing KT in Italy, who are potentially at-risk for parasite reactivation and can benefit from an increased vigilance. Understanding the clinical relevance of these findings deserves further studies.
    MeSH term(s) Humans ; Leishmania/genetics ; Leishmaniasis, Visceral/diagnosis ; Kidney Transplantation/adverse effects ; Leishmaniasis/diagnosis ; Leishmaniasis/epidemiology ; Asymptomatic Infections/epidemiology ; DNA ; Leishmania infantum
    Chemical Substances DNA (9007-49-2)
    Language English
    Publishing date 2023-11-22
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 1331197-9
    ISSN 1878-3511 ; 1201-9712
    ISSN (online) 1878-3511
    ISSN 1201-9712
    DOI 10.1016/j.ijid.2023.11.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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