PMID- 20102397 OWN - NLM STAT- MEDLINE DCOM- 20100721 LR - 20100127 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 56 IP - 2 DP - 2010 Jan TI - Microchimerism in renal allografts: clinicopathological associations according to the type of chimeric cells. PG - 188-97 LID - 10.1111/j.1365-2559.2009.03466.x [doi] AB - AIMS: Recent studies have highlighted the presence of microchimerism in various solid allografts. The biological significance of these chimeric cells is controversial. They may be beneficial, leading to better tolerance of grafts or participating in tissue repair or, in contrast, deleterious if involved in chronic lesions. The aim was to assess the frequency and cellular nature of microchimerism in female renal grafts of male recipients by combined fluorescence in situ hybridization (FISH) for Y chromosome and immunohistochemistry and to investigate associations between intragraft microchimerism and histological lesions or allograft outcome. METHODS AND RESULTS: We screened 33 renal biopsy specimens, including 11 with acute T-cell-mediated rejection and nine with transplant glomerulopathy, from 22 male recipients transplanted with female kidneys by FISH and immunohistochemistry with antibodies against smooth muscle actin (mesangial cells), CD31 (endothelial cells), KL1 (epithelial cells), CD45 (leucocyte common antigen) and glomerular epithelial protein 1 (podocytes). Tubular microchimerism was detected in 71% of the patients with a mean percentage of chimeric epithelial cells of 1.4%. Glomerular microchimerism involving podocytes, mesangial and endothelial cells was present with a mean number of chimeric cells per glomerular section of, respectively, 0.6, 2.66 and 3.53. There was an association between endothelial microchimerism and a previous episode of acute T-cell-mediated rejection. CONCLUSIONS: In conclusion, microchimerism in renal grafts occurs frequently, but at a low level and affects tubular cells and all glomerular cell compartments in human renal allografts. FAU - Ferlicot, Sophie AU - Ferlicot S AD - Service d'Anatomie et de Cytologie Pathologiques, Universite Paris-Sud 11, APHP Hopital de Bicetre, Le Kremlin-Bicetre, France. sophie.ferlicot@bct.aphp.fr FAU - Vernochet, Amelia AU - Vernochet A FAU - Romana, Serge AU - Romana S FAU - Ortin-Serrano, Monique AU - Ortin-Serrano M FAU - Letierce, Alexia AU - Letierce A FAU - Bregerie, Olivier AU - Bregerie O FAU - Durrbach, Antoine AU - Durrbach A FAU - Guettier, Catherine AU - Guettier C LA - eng PT - Journal Article PL - England TA - Histopathology JT - Histopathology JID - 7704136 SB - IM MH - Biopsy MH - *Chimerism MH - Chromosomes, Human, Y/genetics MH - Endothelial Cells/*metabolism/pathology MH - Female MH - Glomerulonephritis/*genetics MH - Graft Rejection/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kidney Transplantation/*pathology/physiology MH - Kidney Tubules/*metabolism/pathology MH - Male MH - Mesangial Cells/*metabolism/pathology MH - Podocytes/*metabolism/pathology MH - Sex Factors MH - T-Lymphocytes MH - Transplantation, Homologous EDAT- 2010/01/28 06:00 MHDA- 2010/07/22 06:00 CRDT- 2010/01/28 06:00 PHST- 2010/01/28 06:00 [entrez] PHST- 2010/01/28 06:00 [pubmed] PHST- 2010/07/22 06:00 [medline] AID - HIS3466 [pii] AID - 10.1111/j.1365-2559.2009.03466.x [doi] PST - ppublish SO - Histopathology. 2010 Jan;56(2):188-97. doi: 10.1111/j.1365-2559.2009.03466.x.