Early microchimerism in peripheral blood following kidney transplantation.

Abstract:

BACKGROUND:The role of microchimerism found in the peripheral blood of renal transplant recipients remains a matter of debate. We assessed the frequency of microchimerism after kidney transplantation and examined its influence on clinical courses over a 12-month follow-up period. PATIENTS AND METHODS:Ten single-kidney recipients underwent microchimerism detection at 2 days, 2 weeks, and 1, 3, 6, and 12 months after transplantation, with mismatch human leukocyte antigen (HLA)-A, -B, and -C used as markers. RESULTS:Microchimerism was detected in 8 (80%) patients at 2 days after kidney transplantation. In 3 of those, microchimerism became negative within 3 months after transplantation, whereas it remained present for up to 12 months in 3 patients (33 %). There was 1 acute rejection episode in a patient in whom microchimerism became negative within 3 months. Protocol renal graft biopsy specimens obtained 3 months after transplantation revealed no acute cellular-mediated rejection (ACMR) or acute antibody-mediated rejection (AAMR) in the 5 patients positive for microchimerism at 3 months. CONCLUSIONS:Microchimerism was frequently detected after kidney transplantation. Microchimerism that remained for more than 3 months post-transplantation might be correlated with a lower incidence of rejection, thus its monitoring may help identify recipients with a low rejection risk.

journal_name

Transplant Proc

authors

Kishikawa H,Kinoshita T,Yonemoto S,Kawamura M,Nakazawa S,Ueda N,Hirai T,Nishimura K,Hashimoto M,Ichikawa Y

doi

10.1016/j.transproceed.2013.12.036

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

388-90

issue

2

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(13)01432-2

journal_volume

46

pub_type

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