NDT Advance Access published online on January 18, 2006
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfk075
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1 Klinik und Poliklinik für Innere Medizin II, Germany
* To whom correspondence should be addressed. Background. Mechanisms involved in the recruitment and activation of inflammatory cells during renal allograft injury are still incompletely understood. Since chemokines play pivotal roles in this process, our prospective study was performed to evaluate further the role of the chemokine receptor CXCR3. Methods. A total of 138 biopsies were included from patients without rejection and unaltered morphology (according to Banff 97 classification grade 1, n = 49), with acute interstitial rejection (Banff grade 4 type I, n = 8), with acute vascular rejection (Banff grade 4 type II, n = 23), with chronic allograft nephropathy (Banff grade 5, n = 16), without rejection but with various other lesions (Banff grade 6, n = 36) and from pre-transplant kidneys (n = 6). The expression of CXCR3-, CD4- and CD8-positive cells was localized by immunohistochemistry and quantified by image analysis. Results. CXCR3 was expressed by infiltrating inflammatory cells, but not by intrinsic renal structures. CXCR3-positive cells were found to be involved in tubulitis and vascular rejection. The area of CXCR3-positive staining was significantly larger in biopsies with acute interstitial rejection (P<0.001) and acute vascular rejection (P<0.001) as compared with normal renal graft biopsies. There was a strong morphological and numerical correlation between CXCR3 and both CD4- and CD8-positive T cells, respectively. Conclusions. A significant part of both CD4- and CD8-positive T cells express the chemokine receptor CXCR3. During renal allograft rejection, the number of these cells increases significantly at the site of injury and might be targeted by CXCR3 blocking agents.
Received August 22, 2005
Accepted December 22, 2005
Orginal Article
Expression of the chemokine receptor CXCR3 in human renal allografts--a prospective study
Ute Hoffmann 1 *,
Stephan Segerer 2,
Petra Rümmele 3,
Bernd Krüger 1,
Miriam Pietrzyk 1,
Ferdinand Hofstädter 3,
Bernhard Banas 1,
and
Bernhard K. Krämer 1
2 Medizinische Poliklinik-Innenstadt, Klinikum der Universität, München, Germany
3 Pathologisches Institut, Universität Regensburg, Germany
Ute Hoffmann, E-mail: Ute.hoffmann{at}klinik.uni-regensburg.de
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