PMID- 24655970 OWN - NLM STAT- MEDLINE DCOM- 20141209 LR - 20151119 IS - 1873-2623 (Electronic) IS - 0041-1345 (Linking) VI - 46 IP - 2 DP - 2014 TI - Early microchimerism in peripheral blood following kidney transplantation. PG - 388-90 LID - S0041-1345(13)01432-2 [pii] LID - 10.1016/j.transproceed.2013.12.036 [doi] AB - BACKGROUND: The role of microchimerism found in the peripheral blood of renal transplant recipients remains a matter of debate. We assessed the frequency of microchimerism after kidney transplantation and examined its influence on clinical courses over a 12-month follow-up period. PATIENTS AND METHODS: Ten single-kidney recipients underwent microchimerism detection at 2 days, 2 weeks, and 1, 3, 6, and 12 months after transplantation, with mismatch human leukocyte antigen (HLA)-A, -B, and -C used as markers. RESULTS: Microchimerism was detected in 8 (80%) patients at 2 days after kidney transplantation. In 3 of those, microchimerism became negative within 3 months after transplantation, whereas it remained present for up to 12 months in 3 patients (33 %). There was 1 acute rejection episode in a patient in whom microchimerism became negative within 3 months. Protocol renal graft biopsy specimens obtained 3 months after transplantation revealed no acute cellular-mediated rejection (ACMR) or acute antibody-mediated rejection (AAMR) in the 5 patients positive for microchimerism at 3 months. CONCLUSIONS: Microchimerism was frequently detected after kidney transplantation. Microchimerism that remained for more than 3 months post-transplantation might be correlated with a lower incidence of rejection, thus its monitoring may help identify recipients with a low rejection risk. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Kishikawa, H AU - Kishikawa H AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. Electronic address: hidefumi69@hotmail.com. FAU - Kinoshita, T AU - Kinoshita T AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Yonemoto, S AU - Yonemoto S AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Kawamura, M AU - Kawamura M AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Nakazawa, S AU - Nakazawa S AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Ueda, N AU - Ueda N AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Hirai, T AU - Hirai T AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Nishimura, K AU - Nishimura K AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Hashimoto, M AU - Hashimoto M AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. FAU - Ichikawa, Y AU - Ichikawa Y AD - Department of Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. LA - eng PT - Journal Article PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (Biomarkers) RN - 0 (HLA Antigens) SB - IM MH - Adult MH - Aged MH - Biomarkers/*blood MH - *Chimerism MH - Female MH - HLA Antigens/blood/*genetics MH - Humans MH - *Kidney Transplantation MH - Male MH - Middle Aged EDAT- 2014/03/25 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/03/25 06:00 PHST- 2013/09/20 00:00 [received] PHST- 2013/12/01 00:00 [revised] PHST- 2013/12/11 00:00 [accepted] PHST- 2014/03/25 06:00 [entrez] PHST- 2014/03/25 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0041-1345(13)01432-2 [pii] AID - 10.1016/j.transproceed.2013.12.036 [doi] PST - ppublish SO - Transplant Proc. 2014;46(2):388-90. doi: 10.1016/j.transproceed.2013.12.036.