title: Molecular executors of cell death--differential intrarenal expression of Fas ligand, Fas, granzyme B, and perforin during acute and/or chronic rejection of human renal allografts.
abstract: Two distinct cytolytic pathways have been characterized: one in which the interaction between the Fas antigen and its ligand results in apoptosis, and another in which the pore forming protein perforin and the serine protease granzyme B contribute to DNA fragmentation and cell death. We investigated intrarenal expression of these molecular executors of cell death in light of the potential participation of cytolytically active cellular elements in the antiallograft repertory. Reverse transcriptase-polymerase chain reaction was used to identify intrarenal expression of Fas antigen, Fas ligand, granzyme B and perforin in eighty human renal allograft biopsies; mRNA display was correlated with the Banff histological diagnosis of renal allografts. Our studies demonstrate that: (1) intrarenal expression of Fas ligand mRNA and of granzyme B mRNA are correlates of acute but not chronic rejection; (2) Fas ligand mRNA is not detectable in allografts in the absence of rejection; (3) intrarenal coexpression of members of each lytic pathway (Fas ligand and Fas, granzyme B, and perforin) and that of both pathways (e.g., Fas ligand and granzyme B) are correlates of acute rejection; and (4) a direct correlation exists between the histological severity of acute rejection and intrarenal coexpression of mRNA encoding Fas ligand, Fas, granzyme B, and perforin. Our studies identify, for the first time, the differential expression of the two major lytic pathways in acute and chronic allograft rejection and suggest that specific therapy directed at the cytotoxic attack molecules might be efficacious in the prevention and/or treatment of acute rejection.
authors.affiliation: The Rogosin Institute, Department of Transplantation Medicine, The New York Hospital-Cornell Medical Center, New York, NY 10021, USA.
authors.forename: V K
authors.initials: VK
authors.lastname: Sharma
authors.forename: R M
authors.initials: RM
authors.lastname: Bologa
authors.forename: B
authors.initials: B
authors.lastname: Li
authors.forename: G P
authors.initials: GP
authors.lastname: Xu
authors.forename: M
authors.initials: M
authors.lastname: Lagman
authors.forename: W
authors.initials: W
authors.lastname: Hiscock
authors.forename: J
authors.initials: J
authors.lastname: Mouradian
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: D
authors.initials: D
authors.lastname: Serur
authors.forename: V K
authors.initials: VK
authors.lastname: Rao
authors.forename: M
authors.initials: M
authors.lastname: Suthanthiran
mesh_terms: D000208:Acute Disease; D001706:Biopsy; D016923:Cell Death / Q000235:genetics*; D002908:Chronic Disease; D053222:Fas Ligand Protein; D006084:Graft Rejection / Q000473:pathology / Q000517:prevention & control; D053804:Granzymes; D006801:Humans; D016030:Kidney Transplantation / Q000276:immunology*; D008562:Membrane Glycoproteins / Q000096:biosynthesis* / Q000235:genetics; D054353:Perforin; D016133:Polymerase Chain Reaction / Q000379:methods; D052899:Pore Forming Cytotoxic Proteins; D011237:Predictive Value of Tests; D012333:RNA, Messenger / Q000032:analysis; D012194:RNA-Directed DNA Polymerase; D012697:Serine Endopeptidases / Q000096:biosynthesis* / Q000235:genetics; D014184:Transplantation, Homologous / Q000473:pathology; D019014:fas Receptor / Q000096:biosynthesis* / Q000235:genetics
chemical_list: C505661:FASLG protein, human; D053222:Fas Ligand Protein; D008562:Membrane Glycoproteins; D052899:Pore Forming Cytotoxic Proteins; D012333:RNA, Messenger; D019014:fas Receptor; D054353:Perforin; D012194:RNA-Directed DNA Polymerase; C509213:GZMB protein, human; D053804:Granzymes; D012697:Serine Endopeptidases