Perco P, Wilflingseder J, Kainz A, et al.
Randomized Cross over Trial of PBMCs Genomics In Vivo Using Different
Dialyzer Membranes.
ASN Annual Meeting -- San Francisco
J Am Soc Nephrol
(Nov) 18:613A 2007

We studied genome wide gene expression profiles of PBMCs of patients
undergoing hemodialysis comparing semi-synthetic (SEMI-SYN) versus full-
synthetic (FULL-SYN) dialyzer membranes. Special focus was put on genes
involved in inflammatory processes, cell differentiation, as well as cell
adhesion.
Explorative and statistical analysis was performed with the
TIGR Multi Experiment Viewer (MeV) and the Bioconductor module of the R
software package. Differentially expressed genes were further analyzed on a
functional level using the PANTHER classification system. Pathways holding a
significant number of genes were additionally determined.
A total of
265 differentially regulated genes were identified. 152 genes showed
increased expression in the SEMI-SYN group and could be classified to the
biological process categories immunity and defense, blood clotting, and cell
surface receptor mediated signal transduction. Key members of the integrin
and the TGF-beta signaling pathways were also among the SEMI-SYN upregulated
genes. The 113 genes upregulated in the FULL-SYN group on the other hand were
mainly involved in protein biosynthesis and nucleoside
metabolism.
These data provide evidence for activation of inflammation
in the SEMI-SYN but not FULL-SYN membranes.

© Copyright 2007-2008, American Society of Nephrology.
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