Clinical determinants of telomere length (log T/S) in 5-year protocol biopsies (n = 134)
Parameter . | Univariate linear regression . | Multivariate linear regression . | ||||
---|---|---|---|---|---|---|
Parameter estimate . | Standard error . | P-value . | Parameter estimate . | Standard error . | P-value . | |
Donor characteristics | ||||||
Donor age (per year) | −0.003 | 0.001 | 0.006 | −0.003 | 0.001 | 0.01 |
Donor gender (female) | 0.08 | 0.04 | 0.02 | 0.1 | 0.04 | 0.002 |
Heart beating donor/non-heart beating donora | 0.02 | 0.05 | 0.56 | |||
Living donor/deceased donora | −0.01 | 0.06 | 0.84 | |||
History of hypertension | −0.01 | 0.04 | 0.02 | −0.1 | 0.04 | 0.03 |
History of diabetes mellitusa | 0.20 | 0.21 | 0.4 | |||
History of smokinga | −0.002 | 0.04 | 0.04 | |||
Body mass indexa (kg/m2) | −0.002 | 0.004 | 0.57 | |||
History of cardiovascular events | −0.11 | 0.03 | 0.002 | −0.12 | 0.04 | 0.001 |
eGFR (mL/min/1.73 m2) | 0.00 | 0.00 | 0.57 | |||
Recipient characteristics | ||||||
Recipient agea (years) | −0.003 | 0.001 | 0.05 | |||
Recipient gender (female) | ||||||
CMV disease | −0.06 | 0.05 | 0.25 | |||
Presence of one or more treated acute rejection episodes after transplantationa | −0.02 | 0.04 | 0.6 | |||
Biopsy-proven acute cellular rejection | −0.003 | 0.03 | 0.9 | |||
Acute antibody-mediated rejection | 0.01 | 0.06 | 0.8 | |||
Delayed graft functionb | −0.08 | 0.05 | 0.1 | |||
Pretransplant donor-specific antibody presence | 0.05 | 0.05 | 0.4 | |||
Immunosuppressive protocol (CsA-MMF-Cs versus TAC-MMF-Cs) | 0.1 | 0.03 | 0.02 | |||
eGFR 3 months after TX (mL/min/1.73 m2) | 0.00 | 0.00 | 0.5 | |||
eGFR at 1 year after TX (mL/min/1.73 m2) | −0.05 | 0.04 | 0.1 | |||
eGFR at 2 years after TX (mL/min/1.73 m2) | −0.05 | 0.03 | 0.2 | |||
eGFR 5 years after TX (mL/min/1.73 m2) | 0.00 | 0.002 | 0.7 | |||
Cold ischaemia timea | −0.01 | 0.00 | 0.07 | |||
Cardiovascular events after transplantationa | −0.05 | 0.04 | 0.2 | |||
Post-transplant diabetes mellitusa | −0.03 | 0.03 | 0.4 |
Parameter . | Univariate linear regression . | Multivariate linear regression . | ||||
---|---|---|---|---|---|---|
Parameter estimate . | Standard error . | P-value . | Parameter estimate . | Standard error . | P-value . | |
Donor characteristics | ||||||
Donor age (per year) | −0.003 | 0.001 | 0.006 | −0.003 | 0.001 | 0.01 |
Donor gender (female) | 0.08 | 0.04 | 0.02 | 0.1 | 0.04 | 0.002 |
Heart beating donor/non-heart beating donora | 0.02 | 0.05 | 0.56 | |||
Living donor/deceased donora | −0.01 | 0.06 | 0.84 | |||
History of hypertension | −0.01 | 0.04 | 0.02 | −0.1 | 0.04 | 0.03 |
History of diabetes mellitusa | 0.20 | 0.21 | 0.4 | |||
History of smokinga | −0.002 | 0.04 | 0.04 | |||
Body mass indexa (kg/m2) | −0.002 | 0.004 | 0.57 | |||
History of cardiovascular events | −0.11 | 0.03 | 0.002 | −0.12 | 0.04 | 0.001 |
eGFR (mL/min/1.73 m2) | 0.00 | 0.00 | 0.57 | |||
Recipient characteristics | ||||||
Recipient agea (years) | −0.003 | 0.001 | 0.05 | |||
Recipient gender (female) | ||||||
CMV disease | −0.06 | 0.05 | 0.25 | |||
Presence of one or more treated acute rejection episodes after transplantationa | −0.02 | 0.04 | 0.6 | |||
Biopsy-proven acute cellular rejection | −0.003 | 0.03 | 0.9 | |||
Acute antibody-mediated rejection | 0.01 | 0.06 | 0.8 | |||
Delayed graft functionb | −0.08 | 0.05 | 0.1 | |||
Pretransplant donor-specific antibody presence | 0.05 | 0.05 | 0.4 | |||
Immunosuppressive protocol (CsA-MMF-Cs versus TAC-MMF-Cs) | 0.1 | 0.03 | 0.02 | |||
eGFR 3 months after TX (mL/min/1.73 m2) | 0.00 | 0.00 | 0.5 | |||
eGFR at 1 year after TX (mL/min/1.73 m2) | −0.05 | 0.04 | 0.1 | |||
eGFR at 2 years after TX (mL/min/1.73 m2) | −0.05 | 0.03 | 0.2 | |||
eGFR 5 years after TX (mL/min/1.73 m2) | 0.00 | 0.002 | 0.7 | |||
Cold ischaemia timea | −0.01 | 0.00 | 0.07 | |||
Cardiovascular events after transplantationa | −0.05 | 0.04 | 0.2 | |||
Post-transplant diabetes mellitusa | −0.03 | 0.03 | 0.4 |
Univariate analyses were assessed by linear regression. Multiple linear regression, with backward parameter selection, was used to model the determinants of telomere length. Effect sizes (SE) express the change in log T/S ratio associated with given changes in parameters.
These parameters were included in the multivariate models but were not retained in the final model after backward parameter selection.
bThis is defined as the need for dialysis within the first 7 days after transplantation.
CsA, cyclosporine; Cs, corticosteroids; TAC, tacrolimus; TX: transplantation.
Clinical determinants of telomere length (log T/S) in 5-year protocol biopsies (n = 134)
Parameter . | Univariate linear regression . | Multivariate linear regression . | ||||
---|---|---|---|---|---|---|
Parameter estimate . | Standard error . | P-value . | Parameter estimate . | Standard error . | P-value . | |
Donor characteristics | ||||||
Donor age (per year) | −0.003 | 0.001 | 0.006 | −0.003 | 0.001 | 0.01 |
Donor gender (female) | 0.08 | 0.04 | 0.02 | 0.1 | 0.04 | 0.002 |
Heart beating donor/non-heart beating donora | 0.02 | 0.05 | 0.56 | |||
Living donor/deceased donora | −0.01 | 0.06 | 0.84 | |||
History of hypertension | −0.01 | 0.04 | 0.02 | −0.1 | 0.04 | 0.03 |
History of diabetes mellitusa | 0.20 | 0.21 | 0.4 | |||
History of smokinga | −0.002 | 0.04 | 0.04 | |||
Body mass indexa (kg/m2) | −0.002 | 0.004 | 0.57 | |||
History of cardiovascular events | −0.11 | 0.03 | 0.002 | −0.12 | 0.04 | 0.001 |
eGFR (mL/min/1.73 m2) | 0.00 | 0.00 | 0.57 | |||
Recipient characteristics | ||||||
Recipient agea (years) | −0.003 | 0.001 | 0.05 | |||
Recipient gender (female) | ||||||
CMV disease | −0.06 | 0.05 | 0.25 | |||
Presence of one or more treated acute rejection episodes after transplantationa | −0.02 | 0.04 | 0.6 | |||
Biopsy-proven acute cellular rejection | −0.003 | 0.03 | 0.9 | |||
Acute antibody-mediated rejection | 0.01 | 0.06 | 0.8 | |||
Delayed graft functionb | −0.08 | 0.05 | 0.1 | |||
Pretransplant donor-specific antibody presence | 0.05 | 0.05 | 0.4 | |||
Immunosuppressive protocol (CsA-MMF-Cs versus TAC-MMF-Cs) | 0.1 | 0.03 | 0.02 | |||
eGFR 3 months after TX (mL/min/1.73 m2) | 0.00 | 0.00 | 0.5 | |||
eGFR at 1 year after TX (mL/min/1.73 m2) | −0.05 | 0.04 | 0.1 | |||
eGFR at 2 years after TX (mL/min/1.73 m2) | −0.05 | 0.03 | 0.2 | |||
eGFR 5 years after TX (mL/min/1.73 m2) | 0.00 | 0.002 | 0.7 | |||
Cold ischaemia timea | −0.01 | 0.00 | 0.07 | |||
Cardiovascular events after transplantationa | −0.05 | 0.04 | 0.2 | |||
Post-transplant diabetes mellitusa | −0.03 | 0.03 | 0.4 |
Parameter . | Univariate linear regression . | Multivariate linear regression . | ||||
---|---|---|---|---|---|---|
Parameter estimate . | Standard error . | P-value . | Parameter estimate . | Standard error . | P-value . | |
Donor characteristics | ||||||
Donor age (per year) | −0.003 | 0.001 | 0.006 | −0.003 | 0.001 | 0.01 |
Donor gender (female) | 0.08 | 0.04 | 0.02 | 0.1 | 0.04 | 0.002 |
Heart beating donor/non-heart beating donora | 0.02 | 0.05 | 0.56 | |||
Living donor/deceased donora | −0.01 | 0.06 | 0.84 | |||
History of hypertension | −0.01 | 0.04 | 0.02 | −0.1 | 0.04 | 0.03 |
History of diabetes mellitusa | 0.20 | 0.21 | 0.4 | |||
History of smokinga | −0.002 | 0.04 | 0.04 | |||
Body mass indexa (kg/m2) | −0.002 | 0.004 | 0.57 | |||
History of cardiovascular events | −0.11 | 0.03 | 0.002 | −0.12 | 0.04 | 0.001 |
eGFR (mL/min/1.73 m2) | 0.00 | 0.00 | 0.57 | |||
Recipient characteristics | ||||||
Recipient agea (years) | −0.003 | 0.001 | 0.05 | |||
Recipient gender (female) | ||||||
CMV disease | −0.06 | 0.05 | 0.25 | |||
Presence of one or more treated acute rejection episodes after transplantationa | −0.02 | 0.04 | 0.6 | |||
Biopsy-proven acute cellular rejection | −0.003 | 0.03 | 0.9 | |||
Acute antibody-mediated rejection | 0.01 | 0.06 | 0.8 | |||
Delayed graft functionb | −0.08 | 0.05 | 0.1 | |||
Pretransplant donor-specific antibody presence | 0.05 | 0.05 | 0.4 | |||
Immunosuppressive protocol (CsA-MMF-Cs versus TAC-MMF-Cs) | 0.1 | 0.03 | 0.02 | |||
eGFR 3 months after TX (mL/min/1.73 m2) | 0.00 | 0.00 | 0.5 | |||
eGFR at 1 year after TX (mL/min/1.73 m2) | −0.05 | 0.04 | 0.1 | |||
eGFR at 2 years after TX (mL/min/1.73 m2) | −0.05 | 0.03 | 0.2 | |||
eGFR 5 years after TX (mL/min/1.73 m2) | 0.00 | 0.002 | 0.7 | |||
Cold ischaemia timea | −0.01 | 0.00 | 0.07 | |||
Cardiovascular events after transplantationa | −0.05 | 0.04 | 0.2 | |||
Post-transplant diabetes mellitusa | −0.03 | 0.03 | 0.4 |
Univariate analyses were assessed by linear regression. Multiple linear regression, with backward parameter selection, was used to model the determinants of telomere length. Effect sizes (SE) express the change in log T/S ratio associated with given changes in parameters.
These parameters were included in the multivariate models but were not retained in the final model after backward parameter selection.
bThis is defined as the need for dialysis within the first 7 days after transplantation.
CsA, cyclosporine; Cs, corticosteroids; TAC, tacrolimus; TX: transplantation.
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