title: Alterations in extracellular matrix components in transplant glomerulopathy.
abstract: The distribution pattern of extracellular matrix (ECM) components in transplant glomerulopathy was studied in relation to light microscopic features, actin expression of mesangial cells, and intraglomerular inflammatory cells. Nine cases of mild (group I) and nine cases of severe (group II) transplant glomerulopathy were stained with antisera against fibronectin (FN), tenascin (TN), collagen types III and IV, smooth muscle actin, CD45RO, CD68, and Ki-67 antigen. The composition of ECM was similar in the two groups. The expanded mesangium was diffusely stained by type-IV collagen, FN and TN, and focally and weakly stained by type-III collagen and smooth muscle actin. Type-IV collagen was linearly stained along the capillary walls, imparting a double-contour feature, whereas FN and TN showed granular staining along the capillary walls. CD68 positive cells were increased in severe transplant glomerulopathy, but this increase was not related to ECM deposition. These findings suggest that increased glomerular deposition of normal and abnormal ECM components participate in the evolution of transplant glomerulopathy.
authors.affiliation: Department of Pathology, Yonsei University College of Medicine, Korea.
authors.forename: H J
authors.initials: HJ
authors.lastname: Jeong
authors.forename: S H
authors.initials: SH
authors.lastname: Sung
authors.forename: S W
authors.initials: SW
authors.lastname: Hong
authors.forename: J I
authors.initials: JI
authors.lastname: Moon
authors.forename: S I
authors.initials: SI
authors.lastname: Kim
authors.forename: Y S
authors.initials: YS
authors.lastname: Kim
authors.forename: K
authors.initials: K
authors.lastname: Park
mesh_terms: D000199:Actins / Q000032:analysis; D000328:Adult; D015703:Antigens, CD / Q000032:analysis; D015214:Antigens, Differentiation, Myelomonocytic / Q000032:analysis; D002196:Capillaries / Q000737:chemistry; D003094:Collagen / Q000032:analysis; D016326:Extracellular Matrix Proteins / Q000032:analysis / Q000378:metabolism*; D005260:Female; D005353:Fibronectins / Q000032:analysis; D005920:Glomerular Mesangium / Q000737:chemistry; D006801:Humans; D007150:Immunohistochemistry; D007674:Kidney Diseases / Q000209:etiology* / Q000378:metabolism* / Q000473:pathology; D007678:Kidney Glomerulus / Q000098:blood supply / Q000737:chemistry* / Q000473:pathology; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D019063:Tenascin / Q000032:analysis; D000097382:CD68 Molecule
chemical_list: D000199:Actins; D015703:Antigens, CD; D015214:Antigens, Differentiation, Myelomonocytic; D003094:Collagen; D016326:Extracellular Matrix Proteins; D005353:Fibronectins; D019063:Tenascin; C067980:CD68 antigen, human; D000097382:CD68 Molecule