RT Journal Article T1 Serum biomarkers in uncontrolled no heart-beating donors may identify kidneys that will never work after transplantation A1 López Farre, Antonio José A1 Santos Sancho, Juana María A1 Modrego, Javier A1 Zamorano León, José Javier A1 Martín, Leyre A1 Sánchez Fructuoso, Ana Isabel A1 Rodríguez Sierra, Pablo A1 Herrero Calvo, José Antonio A1 Río Gallegos, Francisco José Del A1 Barrientos Alberto, A1 Barrientos Guzmán, Alberto AB Background/aimsKidneys from uncontrolled non heart-beating donors achieve a good level of renal function after transplantation. However, a number of them will never function in the recipient. Our aim was to determine if serum biomarkers associated with platelet activity, inflammation and the nitric oxide system in uncontrolled non heart-beating donors may help to predict no renal function recovery after renal transplantation.MethodsSerum levels of interleukin (IL)-6, IL-10, intercellular cell adhesion molecule-1 (ICAM-1), cyclic guanosine monophosphate (cGMP), nitrite + nitrate and platelet factor-4 (PF4) were measured using enzyme-linked immunosorbent assay (ELISA) kits in 88 uncontrolled non heart-beating donors divided according to the renal functionality achieved in the recipients into functional (n = 76) and non functional (n = 12).ResultsKidneys from donors with higher IL-6 levels (>900 pg/ml) were functional after transplantation. Serum cGMP levels below 372.3 fmol/l were also associated with kidneys that recovered the renal function. However, serum levels of PF4 showed the best correlation with recovery of renal functional in the recipients since they were significantly lower in the donors whose kidneys functioned after transplantation.ConclusionsSerum PF4 levels in uncontrolled non heart-beating donors may be a good predictor for kidneys that never will reach functional recovery. Some serum cGMP, IL-6 and IL-10 levels may simply help identify kidneys that will function after transplantation. PB Springer SN 1724-6059 YR 2016 FD 2016-07-01 LK https://hdl.handle.net/20.500.14352/99309 UL https://hdl.handle.net/20.500.14352/99309 LA eng NO López-Farré, A.J., Santos-Sancho, J.M., Modrego, J. et al. Serum biomarkers in uncontrolled no heart-beating donors may identify kidneys that will never work after transplantation. J Nephrol 29, 119–127 (2016). https://doi.org/10.1007/s40620-015-0203-3 NO Fondo de Investigaciones de la Seguridad Social NO Fondo Europeo de Desarrollo Regional DS Docta Complutense RD 10 abr 2025