Using transcriptional profiling to develop a diagnostic test of operational tolerance in liver transplant recipients
J. Clin. Invest. 118:8 doi:10.1172/JCI35342
[Go to this article.]
Options: View larger image (or click on image)
Medium
Figure 1
Study outline.

Peripheral blood samples were obtained from a total of 80 liver transplant recipients and 16 healthy individuals. Samples from TOL and non-TOL recipients were separated into a training set (38 samples) and a test set (23 samples). Differential microarray gene expression between TOL and non-TOL samples in the training set was first estimated employing SAM. This was followed by a search to identify genetic classifiers for prediction employing PAM, which resulted in a 26-probe signature. The PAM-derived signature was then employed to estimate the prevalence of tolerance among a cohort of 19 STA recipients. Next, among the genes identified by SAM and PAM, 68 genes were selected for validation on a qPCR platform, and the 34 validated targets were employed to identify additional classifiers employing MiPP. The 3 signatures identified by MiPP on the qPCR data set were then used to classify samples in the independent test of 11 TOL and 12 non-TOL recipients. None of the samples from the test set were employed for the genetic classifier discovery process.