Comparative study finds vitamin D supplementation reduces inflammatory markers sTim-3 and HMGB1 in kidney transplant recipients, suggesting improved long-term graft function.
INTRODUCTION: Kidney transplantation is the most effective treatment for end stage kidney disease. However, the long-term survival rate of graft kidney has not been significantly improved. It has been found that the expression and interaction of T cell immunoglobulin mucin 3 and high mobility group protein B1 play a crucial role in cellular immune regulation and inflammatory response in recent years. Further investigation is needed to explore the changes in T cell immunoglobulin mucin 3 and high mobility group protein B1 expression in kidney transplant recipients and their correlation with graft function. RESULTS: ) during the follow-up. Both sTim-3 (82.94 ± 16.93 vs. 110.36 ± 18.77 pg/mL) and HMGB1 (59.35 ± 17.78 vs. 79.69 ± 13.42 pg/mL) levels in the treated group showed a prominent and constant decreasing trend and were significantly lower compared to those in the untreated group. Multifactorial regression analysis indicated that vitamin D supplementation after transplantation was an independent predictor of sTim-3 and HMGB1 Levels at 12 months post-transplant. CONCLUSION: Post-transplant vitamin D supplementation was helpful in decreasing sTim-3 and HMGB1 levels, which might be associated with a better graft function at 12 months post-transplant.
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