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慢性抗体介导排斥反应的诊断挑战。

Diagnostic challenges in chronic antibody-mediated rejection.

机构信息

Department of Pathology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

Nat Rev Nephrol. 2012 Mar 27;8(5):255-7. doi: 10.1038/nrneph.2012.61.

DOI:10.1038/nrneph.2012.61
PMID:22450441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3726203/
Abstract

Measurement of glomerular and peritubular capillaritis in kidney transplant biopsy samples identifies allograft dysfunction associated with alloantibodies. Sis et al. show that this technique has a higher sensitivity but lower specificity than the current diagnostic criteria using peritubular capillary C4d deposition, and that capillaritis is an independent predictor of progression to graft failure.

摘要

在肾移植活检样本中测量肾小球和肾小管毛细血管炎可识别与同种抗体相关的移植物功能障碍。Sis 等人表明,与目前使用肾小管毛细血管 C4d 沉积的诊断标准相比,该技术具有更高的敏感性和较低的特异性,并且毛细血管炎是移植物衰竭进展的独立预测因子。

相似文献

1
Diagnostic challenges in chronic antibody-mediated rejection.慢性抗体介导排斥反应的诊断挑战。
Nat Rev Nephrol. 2012 Mar 27;8(5):255-7. doi: 10.1038/nrneph.2012.61.
2
Capillary deposition of complement split product C4d in renal allografts is associated with basement membrane injury in peritubular and glomerular capillaries: a contribution of humoral immunity to chronic allograft rejection.肾移植受者移植肾中补体裂解产物C4d的毛细血管沉积与肾小管周围及肾小球毛细血管的基底膜损伤相关:体液免疫在慢性移植肾排斥反应中的作用。
J Am Soc Nephrol. 2002 Sep;13(9):2371-80. doi: 10.1097/01.asn.0000025780.03790.0f.
3
Complement activation in acute humoral renal allograft rejection: diagnostic significance of C4d deposits in peritubular capillaries.急性体液性肾移植排斥反应中的补体激活:肾小管周围毛细血管中C4d沉积的诊断意义
J Am Soc Nephrol. 1999 Oct;10(10):2208-14. doi: 10.1681/ASN.V10102208.
4
Peritubular capillary C4d deposition and renal outcome in post-transplant IgA nephropathy.移植后IgA肾病中肾小管周围毛细血管C4d沉积与肾脏预后
Clin Transplant. 2007 Mar-Apr;21(2):159-65. doi: 10.1111/j.1399-0012.2007.00487.x.
5
Histological analysis of late renal allografts of antidonor antibody positive patients with C4d deposits in peritubular capillaries.抗供体抗体阳性且肾小管周围毛细血管有C4d沉积的肾移植受者晚期移植肾的组织学分析。
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J Am Soc Nephrol. 2016 Jan;27(1):324-32. doi: 10.1681/ASN.2014070679. Epub 2015 May 20.
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Mol Biol Rep. 2025 Jun 9;52(1):573. doi: 10.1007/s11033-025-10688-9.
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Complement in Antibody-Mediated Rejection of the Kidney Graft: From Pathophysiology to Clinical Practice.补体在抗体介导的肾移植排斥反应中的作用:从病理生理学到临床实践
J Clin Med. 2025 Apr 18;14(8):2810. doi: 10.3390/jcm14082810.
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Extracellular vesicles: a potential new player in antibody-mediated rejection in lung allograft recipients.细胞外囊泡:肺移植受者抗体介导排斥反应中一个潜在的新因素。
Front Transplant. 2023 Sep 4;2:1248987. doi: 10.3389/frtra.2023.1248987. eCollection 2023.
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Natural Killer Cell Presence in Antibody-Mediated Rejection.自然杀伤细胞在抗体介导的排斥反应中的存在。
Transpl Int. 2024 Jun 24;37:13209. doi: 10.3389/ti.2024.13209. eCollection 2024.
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The Role of Fc Gamma Receptors in Antibody-Mediated Rejection of Kidney Transplants.Fcγ 受体在抗体介导的肾移植排斥反应中的作用。
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Antibody-mediated rejection after lung transplantation.肺移植术后抗体介导的排斥反应。
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本文引用的文献

1
A new diagnostic algorithm for antibody-mediated microcirculation inflammation in kidney transplants.一种新的用于诊断肾移植中抗体介导的微循环炎症的诊断算法。
Am J Transplant. 2012 May;12(5):1168-79. doi: 10.1111/j.1600-6143.2011.03931.x. Epub 2012 Feb 2.
2
A novel pathway of chronic allograft rejection mediated by NK cells and alloantibody.NK 细胞和同种异体抗体介导的慢性移植物排斥的新途径。
Am J Transplant. 2012 Feb;12(2):313-21. doi: 10.1111/j.1600-6143.2011.03836.x. Epub 2011 Nov 9.
3
Significance of C4d Banff scores in early protocol biopsies of kidney transplant recipients with preformed donor-specific antibodies (DSA).供者特异性抗体(DSA)预存的肾移植受者早期 protocol 活检中 C4d Banff 评分的意义。
Am J Transplant. 2011 Jan;11(1):56-65. doi: 10.1111/j.1600-6143.2010.03364.x.
4
NK cell transcripts and NK cells in kidney biopsies from patients with donor-specific antibodies: evidence for NK cell involvement in antibody-mediated rejection.来自具有供体特异性抗体的患者的肾活检中的 NK 细胞转录本和 NK 细胞:NK 细胞参与抗体介导的排斥反应的证据。
Am J Transplant. 2010 Aug;10(8):1812-22. doi: 10.1111/j.1600-6143.2010.03201.x.
5
Evidence for antibody-mediated injury as a major determinant of late kidney allograft failure.抗体介导的损伤是导致晚期肾脏移植物衰竭的主要决定因素的证据。
Transplantation. 2010 Jul 15;90(1):68-74. doi: 10.1097/TP.0b013e3181e065de.
6
Effect of antibodies on endothelium.抗体对内皮的作用。
Am J Transplant. 2009 Nov;9(11):2459-65. doi: 10.1111/j.1600-6143.2009.02819.x. Epub 2009 Sep 22.
7
Endothelial gene expression in kidney transplants with alloantibody indicates antibody-mediated damage despite lack of C4d staining.具有同种抗体的肾移植中内皮基因表达表明存在抗体介导的损伤,尽管缺乏C4d染色。
Am J Transplant. 2009 Oct;9(10):2312-23. doi: 10.1111/j.1600-6143.2009.02761.x. Epub 2009 Jul 22.
8
Peritubular capillaritis in renal allografts: prevalence, scoring system, reproducibility and clinicopathological correlates.肾移植中肾小管周围毛细血管炎:患病率、评分系统、可重复性及临床病理相关性
Am J Transplant. 2008 Apr;8(4):819-25. doi: 10.1111/j.1600-6143.2007.02137.x. Epub 2008 Feb 5.
9
Banff '05 Meeting Report: differential diagnosis of chronic allograft injury and elimination of chronic allograft nephropathy ('CAN').班夫2005年会议报告:慢性移植肾损伤的鉴别诊断及慢性移植肾肾病(CAN)的消除
Am J Transplant. 2007 Mar;7(3):518-26. doi: 10.1111/j.1600-6143.2006.01688.x.
10
Capillary deposition of complement split product C4d in renal allografts is associated with basement membrane injury in peritubular and glomerular capillaries: a contribution of humoral immunity to chronic allograft rejection.肾移植受者移植肾中补体裂解产物C4d的毛细血管沉积与肾小管周围及肾小球毛细血管的基底膜损伤相关:体液免疫在慢性移植肾排斥反应中的作用。
J Am Soc Nephrol. 2002 Sep;13(9):2371-80. doi: 10.1097/01.asn.0000025780.03790.0f.