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10.1681/ASN.2013101052

http://scihub22266oqcxt.onion/10.1681/ASN.2013101052
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suck abstract from ncbi


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pmid24744438
      J+Am+Soc+Nephrol 2014 ; 25 (11 ): 2471-82
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  • Cytomegalovirus-responsive ?? T cells: novel effector cells in antibody-mediated kidney allograft microcirculation lesions #MMPMID24744438
  • Bachelet T ; Couzi L ; Pitard V ; Sicard X ; Rigothier C ; Lepreux S ; Moreau JF ; Taupin JL ; Merville P ; Déchanet-Merville J
  • J Am Soc Nephrol 2014[Nov]; 25 (11 ): 2471-82 PMID24744438 show ga
  • Human cytomegalovirus infection in transplant recipients has been associated with adverse renal allograft outcome and with a large ?? T-cell response, but whether both mechanisms are connected is unknown. We previously showed that most expanded circulating cytomegalovirus-responsive ?? T cells express the Fc?-receptor CD16, suggesting that ?? T cells may participate in allograft lesions mediated by donor-specific antibodies through antibody-dependent cellular cytotoxicity. Here, we show that cytomegalovirus-specific CD16(pos) ?? T cells can perform antibody-dependent cellular cytotoxicity against stromal cells coated with donor-specific antibodies in vitro. In vivo, graft-infiltrating ?? T cells localized in close contact with endothelial cells only in patients who experienced cytomegalovirus infection and were more frequent within peritubular capillaries and glomeruli from antibody-mediated acute rejections than within those from T cell-mediated acute rejections. Finally, a persistently increased percentage of circulating cytomegalovirus-induced ?? T cells correlated inversely with the 1-year eGFR only in kidney recipients with donor-specific antibodies. Collectively, these data support the conclusion that cytomegalovirus-induced ?? T cells are involved in, and may serve as a clinical biomarker of, antibody-mediated lesions of kidney transplants. Moreover, these findings offer a new physiopathologic link between cytomegalovirus infection and allograft dysfunction in recipients with donor-specific antibodies.
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Cell Line, Transformed [MESH]
  • |Cytomegalovirus Infections/*immunology/pathology [MESH]
  • |Endothelium, Vascular/cytology/immunology [MESH]
  • |Female [MESH]
  • |Fibroblasts/cytology/immunology [MESH]
  • |GPI-Linked Proteins/immunology [MESH]
  • |Graft Rejection/*immunology [MESH]
  • |Histocompatibility Testing [MESH]
  • |Human Umbilical Vein Endothelial Cells [MESH]
  • |Humans [MESH]
  • |Isoantibodies/*immunology [MESH]
  • |Kidney Transplantation/*adverse effects [MESH]
  • |Killer Cells, Natural/immunology [MESH]
  • |Male [MESH]
  • |Microcirculation/immunology [MESH]
  • |Middle Aged [MESH]
  • |Perforin [MESH]
  • |Pore Forming Cytotoxic Proteins/immunology [MESH]
  • |Receptors, Antigen, T-Cell, gamma-delta/*immunology [MESH]
  • |Receptors, IgG/immunology [MESH]
  • |Transplantation, Homologous [MESH]


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