On the other hand, HCV induced FCH developed at the early phase from renal transplantation. The estimated mean survival times were 383 months in HCV-negative group and 324 months in HCV-positive group by Kaplan-Meier life

table method (Log Rank test, Kay-square 7.049, p = 0.008). Survival rate of HCV-positive recipients decreased rapidly 200 months after living-donor transplantation, but not in cadaveric-donor transplantation. In addition, HCV infection was a most important independent risk factor for both survival times after renal transplantation and after the initiation of dialysis therapies by Cox proportional hazard model (Wald 7.328, p = 0.007; 8.458, p = 0.004, respectively) as compared with age, gender, type of donors Kinase Inhibitor Library clinical trial and dialysis period before transplantation. Conclusion: HCV infection was a harmful risk factor for the patient survival after renal transplantation, especially 17 years after living-donor transplantation. Then, We should treat patients to achieve sustained viral response (SVR) of HCV before living donor renal transplantation. LEE SANG HO1, LEE ARAH1, KIM YANG GYUN1, JEONG KYUNG HWAN1, MOON JU YOUNG1, KIM MYUNG JAE1, LEE TAE WON1, IHM CHUN GYOO1, JEONG JONG CHEOL2, AHN CURIE2, YANG JAESEOK2 1Division of Nephrology Department of Internal medicine Kyung Hee University

College of Medicine; 2Transplantation Center, Seoul National University Hospital Introduction: Diagnosing acute rejection (AR) in kidney transplant recipients typically requires invasive kidney biopsy. A previous study has suggested that expression of Sodium butyrate five genes selleck screening library in peripheral blood can indicate the presence of AR in American pediatric kidney transplant recipients. This study aims to validate if these five genes are also useful to diagnose AR in Korean adult kidney transplant patients. Methods: Blood samples were collected from 143 patients

(39 Biopsy proved AR, 84 stable patients and 20 other graft injury) at an average of 9 month post-transplantation and performed real-time PCR for 5-gene biomarkers (DUSP1, NKTR, MAPK9, PSEN1, PBEF1). Results: Patients with Acute cellular rejection (ACR) had decreased level of NKTR and MAPK9 when compared with healthy controls but statistically significant difference was found only in MAPK9 (p < 0.01). On the other hand, PSEN1 expression level was significantly higher in ACR than the controls (p < 0.05). Patients who had acute antibody-mediated rejection did not show any significant differences from other groups in any of the five genes. Patients with ACR also showed considerably lower expression level of MAPK9 (p < 0.01) and higher expression level of PSEN1 (p < 0.05) compared with those who have other graft injury. In multivariate Logistic regression analysis, for discrimination between ACR and other graft injury, an excellent diagnostic accuracy was observed in the two gene set(MAPK9 and PSEN1), but the five gene set generated higher AUC of 0.89 (95% CI 0.79∼0.