Abstract:
:To determine if acute lung rejection after heart-lung transplantation can be detected noninvasively with indium-111-labeled (111In) lymphocytes, we studied 33 allogeneic and 18 isogeneic heterotopic heart-lung transplants in rats. Twenty-four hours after injection of isogeneic splenic 111In-lymphocytes (75 +/- 2 microCi/100 million cells), animals were scanned at 2 to 8 days after transplant (Tx). Also, percent indium uptake of the graft was determined and compared with pathologic lung changes. Between the vascular and destructive phases of lung rejection, 111In-lymphocyte uptake of lung allografts was significantly greater than isografts (p less than 0.001). Lung allografts in the alveolar phase (4-6 days after Tx) showed the most intense uptake (2.7 +/- 0.1%) of injected 111In-lymphocytes. All scintigrams of allografts from the late vascular to the early destructive phase (3-7 days after Tx) showed visualization of the lung graft (27/27 true positive, sensitivity = 100%). In contrast, lung isografts of the same period showed no pathological sign of rejection and were only rarely visualized (12/14 true negative, specificity = 86%). Lung rejection may be accurately assessed noninvasively by gamma scintigraphy with 111In-lymphocytes. This technique may prove useful in the detection of acute lung rejection in human heart-lung transplant recipients. Modification of the labeling dose chosen may further improve scan accuracy.
journal_name
Circulationjournal_title
Circulationauthors
Arai H,Yuda T,Goodgold HM,deMello DE,Hendershott L,Pennington DGsubject
Has Abstractpub_date
1991-11-01 00:00:00pages
III355-63issue
5 Suppleissn
0009-7322issn
1524-4539journal_volume
84pub_type
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