PMID- 9266879 OWN - NLM STAT- MEDLINE DCOM- 19970909 LR - 20190514 IS - 0012-3692 (Print) IS - 0012-3692 (Linking) VI - 112 IP - 2 DP - 1997 Aug TI - Origin of pleural cells after lung transplantation: from donor or recipient? PG - 426-9 AB - We evaluated the change in the percentage of cells of donor origin in pleural fluid of 13 consecutive patients who underwent lung transplantation. Pleural fluid was sampled 2, 4, and 8 days after lung transplantation. DNA, which was extracted from the blood of donors and recipients and from the pleural fluid, was amplified using a polymerase chain reaction technique. The reaction products were electrophoresed, and bands indicating amplified human leukocyte antigen (HLA)-DR alleles were quantified by determining the area under the curve (AUC) by a densitometric analysis. HLA-DR alleles, which were present only in recipient cells (recipient allele), were analyzed and compared to HLA-DR alleles that were present only in donor cells (donor allele). A dilution study was first performed to provide a standard curve relating the percentage of donor and recipient cells in a mixture to their AUC. The AUC of the recipient alleles did not change significantly over the first 8 postoperative days. The AUC of the donor alleles was less on postoperative days 4 and 8 than on day 2 (p<0.05). The donor allele AUC on day 8 was <20% of the shared allele AUC, corresponding to <1% of all cells by the dilution study. We conclude that donor cells are rapidly cleared from the pleural space after lung transplantation, with <1% of cells of donor origin by postoperative day 8. FAU - Judson, M A AU - Judson MA AD - Division of Pulmonary and Critical Care Medicine, Medical University of South Carolina, Charleston 29425-2220, USA. FAU - Sahn, S A AU - Sahn SA FAU - Hahn, A B AU - Hahn AB LA - eng PT - Journal Article PL - United States TA - Chest JT - Chest JID - 0231335 RN - 0 (HLA-DR Antigens) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Alleles MH - Cell Movement MH - DNA/analysis MH - Female MH - HLA-DR Antigens/genetics MH - Heart-Lung Transplantation/pathology MH - Humans MH - Lung Transplantation/*pathology MH - Male MH - Middle Aged MH - Pleura/*cytology MH - Pleural Effusion/*cytology MH - Polymerase Chain Reaction MH - Postoperative Period MH - Time Factors MH - Tissue Donors EDAT- 1997/08/01 00:00 MHDA- 1997/08/01 00:01 CRDT- 1997/08/01 00:00 PHST- 1997/08/01 00:00 [pubmed] PHST- 1997/08/01 00:01 [medline] PHST- 1997/08/01 00:00 [entrez] AID - S0012-3692(15)53012-2 [pii] AID - 10.1378/chest.112.2.426 [doi] PST - ppublish SO - Chest. 1997 Aug;112(2):426-9. doi: 10.1378/chest.112.2.426.