Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2003-10-20
pubmed:abstractText
Long-term renal allograft survival is limited mainly by the progressive process termed chronic allograft nephropathy (CAN) or chronic rejection. A pathological feature of CAN is characterized by progressive interstitial fibrosis. Transforming growth factor (TGF)-beta(1) plays an important role in fibrogenesis. We investigated whether the degree of TGF-beta(1) expression in early biopsy specimens routinely obtained from stable allografts at 100 days could predict fibrosis and graft dysfunction in the late phase by immunohistochemistry. Patients were children with a graft from related donors. We immunohistochemically determined intracellular and extracellular expression of TGF-beta(1) in the graft at 100 days using LC antibody (LC) for intracellular TGF-beta(1) and CC antibody (CC) for extracellular TGF-beta(1). We used the change in creatinine clearance between 100 days and 3 years after transplantation (Delta Ccr) as an index of long-term graft function. Image analysis was used to calculate the relative area involved by interstitial fibrosis in trichrome-stained sections of graft biopsy specimens at 100 days and 3 years, designating the change as Delta FI. Delta Ccr was - 4.2 +/- 9.4 mL/min in subjects with minimal early immunoreactivity for CC and - 20.5 +/- 5.9 mL/min in subjects with strong reactivity (p < 0.05). Delta Ccr was - 14.5 +/- 18.6 mL/min in subjects with minimal early immunoreactivity for LC and - 11.7 +/- 12.8 mL/min in those with strong reactivity. Delta FI in subjects with minimal CC reactivity (1.28 +/- 4.11 %) tended to be lower than in subjects with strong reactivity (8.45 +/- 15.47 %). Neither fibrosis at 100 days nor Delta FI differed between subjects with minimal and strong LC reactivity. Thus, extracellular TGF-beta(1) expression in grafts at 100 days after transplantation has an influence on long-term graft function and tends to be associated with increased graft fibrosis at 3 years.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0001-7868
pubmed:author
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
234-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14566671-Adolescent, pubmed-meshheading:14566671-Age Factors, pubmed-meshheading:14566671-Biopsy, pubmed-meshheading:14566671-Child, pubmed-meshheading:14566671-Chronic Disease, pubmed-meshheading:14566671-Data Interpretation, Statistical, pubmed-meshheading:14566671-Female, pubmed-meshheading:14566671-Fibrosis, pubmed-meshheading:14566671-Graft Rejection, pubmed-meshheading:14566671-Humans, pubmed-meshheading:14566671-Immunohistochemistry, pubmed-meshheading:14566671-Kidney, pubmed-meshheading:14566671-Kidney Diseases, pubmed-meshheading:14566671-Kidney Transplantation, pubmed-meshheading:14566671-Male, pubmed-meshheading:14566671-Prognosis, pubmed-meshheading:14566671-Risk Factors, pubmed-meshheading:14566671-Staining and Labeling, pubmed-meshheading:14566671-Time Factors, pubmed-meshheading:14566671-Transforming Growth Factor beta, pubmed-meshheading:14566671-Transplantation, Homologous
pubmed:year
2003
pubmed:articleTitle
Significance of early biopsy in pediatric kidney transplantation.
pubmed:affiliation
Department of Urology, Kawasaki Medical School, Matsushima, Kurashika, Japan.
pubmed:publicationType
Journal Article, Comparative Study