{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T02:56:42Z","timestamp":1787453802095,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brit J Clinical Pharma"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>MicroRNAs (miRNAs) may be useful biomarkers of rejection and allograft outcome in kidney transplantation. Elevated urinary CXCL10 levels have been associated with acute rejection (AR) and may predict allograft failure. We examined the correlation of miRNA, CXCL10 levels and immunosuppressive drug exposure with AR and graft function in kidney transplant recipients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty <jats:italic>de novo<\/jats:italic> kidney transplant recipients were recruited from four European centres. All patients received tacrolimus, mycophenolate mofetil, and methylprednisolone. Urinary pellet expression of miR\u2010142\u20103p, miR\u2010210\u20103p and miR\u2010155\u20105p was assessed by quantitative real\u2010time polymerase chain reaction and urinary CXCL10 levels by enzyme\u2010linked immunosorbent assay at the 1<jats:sup>st<\/jats:sup> week and the 1<jats:sup>st<\/jats:sup>, 2<jats:sup>nd<\/jats:sup>, 3<jats:sup>rd<\/jats:sup> and 6<jats:sup>th<\/jats:sup> months post\u2010transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight patients experienced AR. Before and during AR, patients showed a significant increase of urinary miR\u2010142\u20103p, miR\u2010155\u20105p and CXCL10 levels and a decrease of miR\u2010210\u20103p levels. Receiver operating characteristic curve analysis showed that miR\u2010155\u20105p (area under the curve\u00a0=\u00a00.875; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.046) and CXCL10 (area under the curve\u00a0=\u00a00.865; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.029) had excellent capacity to discriminate between rejectors and nonrejectors. The optimal cut\u2010off values for the prognosis of AR were 0.51, with 85% sensitivity and 86% specificity for miR\u2010155\u20105p and 84.73\u00a0pg\u00a0ml<jats:sup>\u20131<\/jats:sup>, with 84% sensitivity and 80% specificity for CXCL10. miR\u2010155\u20105p and CXCL10 levels correlated with glomerular filtration rate. Levels of both biomarkers normalized after recovery of graft function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The regular early post\u2010transplantation monitoring of urinary miR\u2010155\u20105p and CXCL10 can help in the prognosis of AR and graft dysfunction. Large prospective randomized multicentre trials are warranted to refine our cut\u2010off values and validate the clinical usefulness of these biomarkers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bcp.13399","type":"journal-article","created":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T13:17:35Z","timestamp":1504790255000},"page":"2636-2650","source":"Crossref","is-referenced-by-count":59,"title":["Urinary miR\u2010155\u20105p and CXCL10 as prognostic and predictive biomarkers of rejection, graft outcome and treatment response in kidney transplantation"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6861-5832","authenticated-orcid":false,"given":"Olga","family":"Mill\u00e1n","sequence":"first","affiliation":[{"name":"Pharmacology and Toxicology Laboratory, CDB, IDIBAPS, Hospital Clinic of Barcelona University of Barcelona  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