The profiles correspond to increasing regulatory complexity, and subsequent profiles are modeled using increasing numbers of events. Data were warehoused in a Labkey system (Labkey, Inc., Seattle, WA). Primary data are available in accord with proposed Minimum Information About a Microarray Experiment standards (http://viromics.washington.edu). Also, data are available from the Metadata for Architectural Contents in Europe
database (http://mace.ihes.fr) using an accession number (2491581318). We identified 57 chronic HCV patients undergoing OLT at the UWMC and obtained core needle biopsies from various Selleckchem Fostamatinib time points post-OLT (Fig. 1). We grouped patients by post-OLT clinical outcome. Of 57 patients, 14 (25%) developed an adverse clinical outcome post-OLT (Table 1). After classifying our control, uninfected normal pool (UNP) of liver tissue, as group 1 (G1), we designated 43 HCV patients with no adverse clinical outcome as group 2 (G2). Three adverse clinical outcomes were defined for patient grouping. Rapamycin cell line We first determined the patients’ most recent Batts-Ludwig stage of hepatic fibrosis by having one pathologist
stage the most recent biopsy before June 1, 2009, when we stopped collecting clinical information on the cohort for this study. We identified 4 patients with most recent biopsies at stage 3-4 and designated them as group 3 (G3). We also determined whether patients presented clinical symptoms of cirrhosis (e.g., portal hypertension, encephalopathy, ascites, MCE公司 and bleeding esophageal
varices) and identified 3 patients, designated as group 4 (G4). Finally, we identified 7 HCV patients who died or underwent retransplantation resulting from graft failure, designated as group 5 (G5). All patients in G4 and G5 also developed stage 3-4 fibrosis before clinical cirrhosis or death/retransplantation. We confirmed that no patients demonstrated evidence of stage 3-4 fibrosis or symptoms of cirrhosis at the time the samples were collected. Therefore, gene-expression changes determined by our analysis to be significantly associated with severe liver injury were identified from samples taken before clinical or histological evidence of disease progression. We also divided the 111 liver biopsy specimens based on time post-OLT sampling (Fig. 1A). The relative heterogeneity of both timing of post-transplant biopsies from patients of this cohort and pathological phenotypes displayed by the different patients in the cohort (Fig. 1A) required particular attention during data analysis. Clinical annotation defined disease categories (G2-G5), and samples were further subdivided into time categories (i.e., early, intermediate, or late). These intervals were based on HCV reinfection kinetics and spreading in the donor organ and homogeneity of sample distribution. Nonprogressors (G2) also encompassed samples beyond the 2-year follow-up period of the severe liver disease groups (Fig. 1B).