Soluble CD30 measured after lung transplantation does not predict bronchiolitis obliterans syndrome in a tacrolimus/mycophenolate mofetil-based immunosuppressive regimen

J Heart Lung Transplant. 2008 Oct;27(10):1172-5. doi: 10.1016/j.healun.2008.06.007.

Abstract

Background: The purpose of this study was to determine the utility of post-transplant serum soluble CD30 levels as a biomarker for the development of the bronchiolitis obliterans syndrome (BOS) after lung transplantation during a tacrolimus/mycophenolate mofetil-based regimen.

Methods: Soluble CD30 (sCD30) concentrations were measured prior to transplantation and in 175 samples taken after transplantation in 7 patients developing BOS and 7 non-BOS patients closely matched for age, underlying diseases, follow-up and gender.

Results: High pre-transplant sCD30 levels dropped significantly after lung transplantation, but in the post-transplant samples no differences could be detected between patients developing BOS or not, and no changes were found prior to or during the development of BOS.

Conclusions: After transplantation, sCD30 levels are consistently suppressed, but BOS is not prevented, indicating that sCD30 cannot be used as a biomarker to predict BOS after transplantation in the regimen employed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antigens, CD / blood
  • Biomarkers / blood
  • Bronchiolitis Obliterans / diagnosis*
  • Emphysema / surgery
  • Female
  • Graft Survival / physiology
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Informed Consent
  • Ki-1 Antigen / blood*
  • Lung Transplantation / adverse effects
  • Lung Transplantation / physiology*
  • Male
  • Middle Aged
  • Mycophenolic Acid / analogs & derivatives
  • Mycophenolic Acid / therapeutic use
  • Postoperative Complications / diagnosis*
  • Predictive Value of Tests
  • Pulmonary Disease, Chronic Obstructive / surgery
  • Tacrolimus / therapeutic use

Substances

  • Antigens, CD
  • Biomarkers
  • Immunosuppressive Agents
  • Ki-1 Antigen
  • Mycophenolic Acid
  • Tacrolimus