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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2000-2-24
pubmed:abstractText
Chronic rejection represents a major cause of long-term kidney graft loss. T cells that are predominant in long-term rejected kidney allografts (35 +/- 10% of area infiltrate) may thus be instrumental in this phenomenon, which is likely to be dependent on the indirect pathway of allorecognition only. We have analyzed the variations in T cell repertoire usage of the V beta chain at the complementary determining region 3 (CDR3) level in 18 human kidney grafts lost due to chronic rejection. We observed a strongly biased intragraft TCR V beta usage for the majority of V beta families and also a very high percentage (55%) of V beta families exhibiting common and oligoclonal V beta-C beta rearrangements in the grafts of patients with chronic rejection associated with superimposed histologically acute lesions. Furthermore, V beta 8 and V beta 23 families exhibited common and oligoclonal V beta-J beta rearrangements in 4 of 18 patients (22%). Several CDR3 amino acid sequences were found for the common and oligoclonal V beta 8-J beta 1.4 rearrangement. Quantitative PCR showed that biased V beta transcripts were also overexpressed in chronically rejected kidneys with superimposed acute lesions. In contrast, T lymphocytes infiltrating rejected allografts with chronic rejection only showed an unaltered Gaussian-type CDR3 length distribution. This pattern suggests that late graft failure associated with histological lesions restricted to Banff-defined chronic rejection does not involve T cell-mediated injury. Thus, our observation suggests that a limited number of determinants stimulates the recipient immune system in long-term allograft failure. The possibility of a local response against viral or parenchymatous cell-derived determinants is discussed.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
164
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1553-63
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10640774-Acute Disease, pubmed-meshheading:10640774-Adolescent, pubmed-meshheading:10640774-Adult, pubmed-meshheading:10640774-Aged, pubmed-meshheading:10640774-Cell Movement, pubmed-meshheading:10640774-Child, pubmed-meshheading:10640774-Chronic Disease, pubmed-meshheading:10640774-Clone Cells, pubmed-meshheading:10640774-Female, pubmed-meshheading:10640774-Gene Rearrangement, beta-Chain T-Cell Antigen Receptor, pubmed-meshheading:10640774-Genome, Viral, pubmed-meshheading:10640774-Graft Rejection, pubmed-meshheading:10640774-Humans, pubmed-meshheading:10640774-Kidney Transplantation, pubmed-meshheading:10640774-Macrophages, pubmed-meshheading:10640774-Male, pubmed-meshheading:10640774-Middle Aged, pubmed-meshheading:10640774-Monocytes, pubmed-meshheading:10640774-Receptors, Antigen, T-Cell, alpha-beta, pubmed-meshheading:10640774-T-Lymphocyte Subsets, pubmed-meshheading:10640774-Transcription, Genetic
pubmed:year
2000
pubmed:articleTitle
Highly altered V beta repertoire of T cells infiltrating long-term rejected kidney allografts.
pubmed:affiliation
Institut National de la Santé et de la Recherche Médicale, Unité 437, "Immunointervention dans les Allo et Xénotransplantations" Nantes, France.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't