Journal of Immunology Research / 2016 / Article / Tab 2 / 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) valueRecipient age 0.04 <60 years 43 (22.6%) 2.04 (1.02 to 4.17) ≥60 12 (12.5%) 1 Recipient sex 0.17 Male 41 (21.5%) 1.59 (0.81 to 3.03) Female 14 (14.7%) 1 Donor age 0.05 <60 years 54 (20.6%) 5.88 (0.81 to 50.0) ≥60 1 (4.2%) 1 Donor sex 0.22 Male 44 (21.1%) 1.72 (0.83 to 3.70) Female 11 (14.5%) 1 Time on dialysis 0.64 <15 months 24 (18.0%) 1 ≥15 months 31 (20.3%) 1.15 (0.64 to 2.09) Donor type 0.47 Brain death 19 (17.1%) 1 Circulatory death 36 (20.6%) 1.25 (0.68 to 2.32) Delayed graft function 0.45 Yes 30 (21.0%) 1.25 (0.70 to 2.26) No 25 (17.5%) 1 TNF- −308 polymorphism 0.003 GG 38 (16.0%) 1 GA/AA 17 (34.6%) 2.78 (1.40 to 5.51) Immunosuppressive treatment 0.003 Thymoglobulin + FK + MMF + P 8 (8.2%) 1 IL2R + FK + MMF + P 32 (25.2%) 3.74 (1.63 to 8.57) Other (belatacept, SRL) 15 (24.2%) 3.55 (1.40 to 8.98) HLA mismatch 0.75 <3 4 (22.2%) 1.20 (1.38 to 3.85) ≥3 51 (19.1%) 1 HLA-DR mismatch 0.22 ≤1 34 (21.9%) 1 2 21 (16.2%) 0.69 (0.38 to 1.25) HLA-A mismatch 0.86 ≤1 28 (19.7%) 1 2 27 (18.9%) 0.95 (0.52 to 1.71) HLA-B mismatch 0.56 ≤1 22 (17.7%) 1 2 33 (20.5%) 1.20 (0.66 to 2.18)
FK: tacrolimus; MMF: mycophenolate; P: prednisone; IL2R: interleukin- (IL-) 2 receptor antagonist; SRL: sirolimus.