PMID- 15866642 OWN - NLM STAT- MEDLINE DCOM- 20050926 LR - 20151119 IS - 0041-1345 (Print) IS - 0041-1345 (Linking) VI - 37 IP - 3 DP - 2005 Apr TI - Markers of fibrosis in early biopsies of renal transplants. PG - 1468-70 AB - Many factors are involved in the development of chronic allograft nephropathy (CAN). Extracellular matrix turnover depends on the balance between fibrogenic and antifibrogenic cytokines. The aim of our study was to analyze the presence of transforming growth factor beta-1 (TGF-beta1), matrix metalloproteinase-2 (MMP-2), and mast cells in 53 early transplant biopsies using immunochemistry with specific monoclonal antibodies. We divided the patients into two groups depending on graft evolution (lost due to CAN versus functioning), renal function, presence of proteinuria, and graft survival. There were no differences in the demographic or immunological data. Renal function was worse and proteinuria greater among the group with CAN. The presence of mast cells was similar in both groups, but TGF-beta1 was expressed more and MMP-2 less in the CAN group. We observed a negative correlation between donor age and mast cells, and a positive correlation between TGF-beta1 and MMP-2. Grafts from younger donors showed better renal function, less proteinuria, greater graft survival, and less frequent development of CAN. According to our experience, cytokines involved in matrix turnover are expressed in early stages, correlating with donor age. The expressions of TGF-beta1 and MMP-2 seem to be important for the development of fibrosis in CAN. FAU - Palomar, R AU - Palomar R AD - Nephrology Department, Marques de Valdecilla Hospital, University of Cantabria, Santander, Spain. mpalomarf@wanadoo.es FAU - Mayorga, M AU - Mayorga M FAU - Ruiz, J C AU - Ruiz JC FAU - Cuevas, J AU - Cuevas J FAU - Rodrigo, E AU - Rodrigo E FAU - Cotorruelo, J G AU - Cotorruelo JG FAU - Val-Bernal, J F AU - Val-Bernal JF FAU - Arias, M AU - Arias M LA - eng PT - Journal Article PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (Biomarkers) RN - 0 (TGFB1 protein, human) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) SB - IM MH - Adult MH - Biomarkers/blood MH - Biopsy MH - Female MH - Fibrosis MH - Histocompatibility Testing MH - Humans MH - Kidney Glomerulus/pathology MH - Kidney Transplantation/*pathology MH - Kidney Tubules/pathology MH - Male MH - Mast Cells/pathology MH - Matrix Metalloproteinase 2/metabolism MH - Middle Aged MH - Renal Circulation MH - Transforming Growth Factor beta/metabolism MH - Transforming Growth Factor beta1 EDAT- 2005/05/04 09:00 MHDA- 2005/09/27 09:00 CRDT- 2005/05/04 09:00 PHST- 2005/05/04 09:00 [pubmed] PHST- 2005/09/27 09:00 [medline] PHST- 2005/05/04 09:00 [entrez] AID - S0041-1345(05)00167-3 [pii] AID - 10.1016/j.transproceed.2005.02.051 [doi] PST - ppublish SO - Transplant Proc. 2005 Apr;37(3):1468-70. doi: 10.1016/j.transproceed.2005.02.051.