Research Article

The Polymorphism −308G/A of Tumor Necrosis Factor-α Gene Modulates the Effect of Immunosuppressive Treatment in First Kidney Transplant Subjects Who Suffer an Acute Rejection

Table 2

Univariate analysis for acute rejection in the discovery cohort ().

Acute rejection (%)OR (95% CI) value

Recipient age0.04
 <60 years43 (22.6%)2.04 (1.02 to 4.17)
  ≥60 12 (12.5%)1
Recipient sex0.17
  Male41 (21.5%)1.59 (0.81 to 3.03)
  Female14 (14.7%)1
Donor age0.05
 <60 years54 (20.6%)5.88 (0.81 to 50.0)
  ≥601 (4.2%)1
Donor sex0.22
  Male44 (21.1%)1.72 (0.83 to 3.70)
  Female11 (14.5%)1
Time on dialysis0.64
  <15 months24 (18.0%)1
  ≥15 months31 (20.3%)1.15 (0.64 to 2.09)
Donor type0.47
  Brain death19 (17.1%)1
  Circulatory death36 (20.6%)1.25 (0.68 to 2.32)
Delayed graft function0.45
  Yes30 (21.0%)1.25 (0.70 to 2.26)
  No25 (17.5%)1
TNF-  −308 polymorphism0.003
  GG38 (16.0%)1
  GA/AA17 (34.6%)2.78 (1.40 to 5.51)
Immunosuppressive treatment0.003
  Thymoglobulin + FK + MMF + P8 (8.2%)1
  IL2R + FK + MMF + P32 (25.2%)3.74 (1.63 to 8.57)
  Other (belatacept, SRL)15 (24.2%)3.55 (1.40 to 8.98)
HLA mismatch0.75
  <34 (22.2%)1.20 (1.38 to 3.85)
  ≥351 (19.1%)1
HLA-DR mismatch0.22
  ≤134 (21.9%)1
  221 (16.2%)0.69 (0.38 to 1.25)
HLA-A mismatch0.86
  ≤128 (19.7%)1
  227 (18.9%)0.95 (0.52 to 1.71)
HLA-B mismatch0.56
  ≤122 (17.7%)1
  233 (20.5%)1.20 (0.66 to 2.18)

FK: tacrolimus; MMF: mycophenolate; P: prednisone; IL2R: interleukin- (IL-) 2 receptor antagonist; SRL: sirolimus.