Research Article

Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study

Volume: 51 Number: 2 June 29, 2026
TR EN

Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study

Abstract

Purpose: This study aimed to address the limited understanding of complement-associated molecular mechanisms in antibody-mediated rejection (ABMR) by evaluating ABMR-related mRNA and miRNA expression in an in vitro HK-2 cell model exposed to donor-specific anti-HLA antibodies. Materials and Methods: We used the HK-2 cell line derived from normal kidney epithelial cells. An end-stage renal disease patient with HLA class I donor specific antibody, who was registered on the kidney waiting list for a positive serum [DSA(+)] and a healthy male without blood transfusion [negative control DSA (-)] were included in the study. The model includes both complement-dependent cytotoxicity (CDC) with and without complement in cell culture. Then, immune response–related mRNA and miRNA expression levels were evaluated by qRT-PCR. Results: mRNA and miRNA expression levels were analyzed by qRT-PCR, revealing pronounced dysregulation in the DSA(+) CDC C(+) group. Let-7c-5p and miR-155 were markedly upregulated (~10³–10⁴-fold), whereas miR-21, miR-217, miR-145, miR-125a-5p, and miR-885 were downregulated (~10⁻²–10⁻⁴-fold). At the mRNA level, strong upregulation of TGF-β (~50-fold), TNF-α (~10-fold), and caspase-3 (~10-fold) was observed, while C1qB was markedly downregulated (~0.1-fold). Additionally, differences in the expression of TNF-α, C1qB and several miRNAs (miR-142-5p, miR-155, miR-125a-5p, miR-21, miR-29b-3p, miR-145, and miR-217) were detected between CDC complement C(−) and C(+) conditions. Conclusion: This study presents the initial characterization of an in vitro ABMR model using kidney tubule epithelial cells and donor specific anti-HLA–A2 (+) serum. Furthermore, this is the first allorecognition model that assesses both C1q mRNA and certain miRNA expressions linked to antibody mediated rejection simultaneously.

Keywords

Anti-HLA Antibodies, miRNA, Expression, Kidney cell

Project Number

Project number 2022-TDR-SABE-0009.

References

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APA
Eldem, A., Kılıçaslan Ayna, T., Pehlivan, M., Özkızılcık Koçyiğit, A., Soyöz, M., Tuğmen, C., & Pirim, İ. (2026). Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study. Cukurova Medical Journal, 51(2), 395-405. https://doi.org/10.17826/cumj.1843673
AMA
1.Eldem A, Kılıçaslan Ayna T, Pehlivan M, et al. Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study. Cukurova Med J. 2026;51(2):395-405. doi:10.17826/cumj.1843673
Chicago
Eldem, Aslı, Tülay Kılıçaslan Ayna, Melek Pehlivan, et al. 2026. “Effect of Anti-HLA Antibodies on MRNA and MiRNA Expression in HK-2 Cells: A Preliminary Study”. Cukurova Medical Journal 51 (2): 395-405. https://doi.org/10.17826/cumj.1843673.
EndNote
Eldem A, Kılıçaslan Ayna T, Pehlivan M, Özkızılcık Koçyiğit A, Soyöz M, Tuğmen C, Pirim İ (June 1, 2026) Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study. Cukurova Medical Journal 51 2 395–405.
IEEE
[1]A. Eldem et al., “Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study”, Cukurova Med J, vol. 51, no. 2, pp. 395–405, June 2026, doi: 10.17826/cumj.1843673.
ISNAD
Eldem, Aslı - Kılıçaslan Ayna, Tülay - Pehlivan, Melek - Özkızılcık Koçyiğit, Aslı - Soyöz, Mustafa - Tuğmen, Cem - Pirim, İbrahim. “Effect of Anti-HLA Antibodies on MRNA and MiRNA Expression in HK-2 Cells: A Preliminary Study”. Cukurova Medical Journal 51/2 (June 1, 2026): 395-405. https://doi.org/10.17826/cumj.1843673.
JAMA
1.Eldem A, Kılıçaslan Ayna T, Pehlivan M, Özkızılcık Koçyiğit A, Soyöz M, Tuğmen C, Pirim İ. Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study. Cukurova Med J. 2026;51:395–405.
MLA
Eldem, Aslı, et al. “Effect of Anti-HLA Antibodies on MRNA and MiRNA Expression in HK-2 Cells: A Preliminary Study”. Cukurova Medical Journal, vol. 51, no. 2, June 2026, pp. 395-0, doi:10.17826/cumj.1843673.
Vancouver
1.Aslı Eldem, Tülay Kılıçaslan Ayna, Melek Pehlivan, Aslı Özkızılcık Koçyiğit, Mustafa Soyöz, Cem Tuğmen, İbrahim Pirim. Effect of anti-HLA antibodies on mRNA and miRNA expression in HK-2 cells: a preliminary study. Cukurova Med J. 2026 Jun. 1;51(2):395-40. doi:10.17826/cumj.1843673