title: Expression of the cytotoxic T cell mediator granzyme B during liver allograft rejection.
abstract: Cytotoxic T lymphocytes (CTL) constitute a major component of the alloreactive response following organ transplantation. The molecular mechanisms of CTL killing remain to be determined but multiple candidate molecules involved in CTL-mediated cytotoxicity have been identified. Granzyme B, a serine protease, participates in perforin-dependent pathways of cytotoxicity and is necessary for induction of DNA fragmentation in target cells. In this study the expression of granzyme B in liver biopsies obtained from liver allograft recipients was determined by semiquantitative reverse transcriptase polymerase chain reaction. Biopsies were classified into four groups--no evidence of rejection, preservation injury, acute rejection, or resolving rejection--according to histopathological criteria. There was a significantly higher frequency of transcripts for granzyme B in the acute rejection group (82.8%) compared to the no rejection (20.0%), resolving rejection (12.5%) and preservation injury (0%) groups. Analysis of granzyme B gene expression in sequential samples from individual patients prior to, and after, treatment for rejection revealed an inverse correlation between granzyme B mRNA and response to treatment. These findings indicate that the cytopathic mediator granzyme B may participate in CTL-mediated cytotoxicity during liver allograft rejection.
authors.affiliation: Transplantation Immunobiology Laboratory, California Pacific Medical Center, San Francisco 94115, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Krams
authors.forename: J C
authors.initials: JC
authors.lastname: Villanueva
authors.forename: M B
authors.initials: MB
authors.lastname: Quinn
authors.forename: O M
authors.initials: OM
authors.lastname: Martinez
mesh_terms: D001483:Base Sequence; D006084:Graft Rejection / Q000201:enzymology* / Q000276:immunology; D053804:Granzymes; D006801:Humans; D016031:Liver Transplantation / Q000276:immunology*; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction; D012697:Serine Endopeptidases / Q000235:genetics / Q000378:metabolism* / Q000502:physiology; D013602:T-Lymphocytes, Cytotoxic / Q000201:enzymology*; D014158:Transcription, Genetic / Q000276:immunology; D014184:Transplantation, Homologous
chemical_list: C509213:GZMB protein, human; D053804:Granzymes; D012697:Serine Endopeptidases