Effectiveness of serum beta-2 microglobulin as a tool for evaluating donor kidney status for transplantation

Sci Rep. 2020 May 15;10(1):8109. doi: 10.1038/s41598-020-65134-6.

Abstract

Kidney transplantations using expanded criteria donors (ECD) are being increasingly adopted, but no consensus tools are available to evaluate donor kidney status. Beta-2 microglobulin (B2MG) is a marker of kidney function, and herein, we evaluate the usefulness of assessing B2MG to evaluate donor kidney status. Fifty-seven kidney transplantations were performed from March 2017 to April 2019. Medical records were retrospectively reviewed, and relationships between clinical and laboratory variables and transplant outcomes were investigated. Thirty-eight patients received a standard criteria donor kidney and 19 patients an ECD kidney. Ten patients experienced delayed graft function (DGF), but no patient experienced primary nonfunction. Of the parameters studied, only donor renal replacement therapy (RRT) [odds ratio (OR) 24.162; p = 0.018] and donor serum B2MG (OR 22.685; p = 0.022) significantly predicted DGF. The presence of either of these two risk factors can better reflect the condition of the donor than previous classification. However, on their last follow-up creatinine and estimated glomerular filtration rate values in those with or without these risk factors were not significantly different. For an ECD with a B2MG level of <7.18 and no history of RRT, kidney transplantation can be undertaken without considering the possibility of kidney discard.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Delayed Graft Function / blood
  • Delayed Graft Function / diagnosis*
  • Delayed Graft Function / epidemiology
  • Female
  • Follow-Up Studies
  • Glomerular Filtration Rate
  • Graft Survival*
  • Humans
  • Infant
  • Kidney / physiopathology*
  • Kidney Transplantation / methods*
  • Male
  • Middle Aged
  • Prognosis
  • Prospective Studies
  • Republic of Korea / epidemiology
  • Retrospective Studies
  • Risk Factors
  • Time Factors
  • Tissue Donors / supply & distribution*
  • Young Adult
  • beta 2-Microglobulin / blood*

Substances

  • beta 2-Microglobulin