The early course of kidney allograft rejection: defining the time when rejection begins

Am J Transplant. 2009 Mar;9(3):483-93. doi: 10.1111/j.1600-6143.2008.02546.x.

Abstract

We studied the early events in mouse kidney allografts and isografts to define when allorecognition begins and when alloimmune tissue injury begins. Allografts but not isografts showed T-cell infiltration in perivascular areas from day 1, but tubulitis and arteritis did not develop until day 7. Flow cytometry confirmed the early allospecific CD3(+)CD8(+) T-cell infiltrate. At day 1, both allografts and isografts showed extensive transcriptome changes, reflecting the response to surgery, but only allografts showed expression of interferon-gamma (IFN-gamma)-inducible transcripts and T-cell-associated transcripts. Although the number of CD68(+) myeloid cell numbers did not increase in day 1 isografts or allografts, mRNA expression for myeloid markers was increased in isografts and allografts, suggesting activation of resident cells of the macrophage-dendritic cell series (MMDCs) in response to injury, followed by increased CD68(+) cell numbers from day 2. By day 3, an interstitial T-cell and MMDC infiltrate was established in allografts, corresponding with the emergence of allospecific tissue injury, as reflected by decreased parenchymal transcripts. Thus, in renal allografts, allorecognition by T cells occurs in perivascular sites by day 1, but alloimmune parenchymal damage begins at day 3, coinciding with the emergence of the interstitial T-cell-MMDC infiltrate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Differentiation / drug effects
  • Cell Differentiation / immunology
  • Dendritic Cells / drug effects
  • Dendritic Cells / immunology
  • Flow Cytometry
  • Graft Rejection / immunology*
  • Immunohistochemistry
  • Interferon-gamma / pharmacology
  • Kidney Transplantation / immunology*
  • Macrophages / drug effects
  • Macrophages / immunology
  • Male
  • Mice
  • Oligonucleotide Array Sequence Analysis
  • Phenotype
  • RNA, Messenger / genetics
  • Time Factors
  • Transcription, Genetic / genetics
  • Transplantation, Homologous / immunology

Substances

  • RNA, Messenger
  • Interferon-gamma