title: Renal expression of CD44 correlates with acute renal allograft rejection.
abstract: As CD44 is involved in the activation, proliferation, adhesion, and extravasation of lymphocytes, we hypothesized that CD44 could be involved in the pathogenesis of acute renal allograft rejection. Renal biopsies and plasma were collected from patients suffering an episode of acute renal allograft rejection. CD44 and its ligands, hyaluronic acid (HA) and osteopontin, were analyzed retrospectively by immunohistochemistry and, computer-aided, morphometric analysis. Soluble CD44 (sCD44) and osteopontin in the plasma were determined by enzyme-linked immunosorbent assay. During acute rejection episodes, CD44 and its ligands, HA and osteopontin, were upregulated in the renal allograft. Also, increased sCD44 plasma levels were observed, which correlated with both tubular expression of CD44 and the extent of infiltrate. No differences could be detected between the different pathologic grades of rejection. Upregulation of tubular CD44 and increased levels of circulating sCD44 may reflect a common pathogenic mechanism during acute renal rejection and could be useful markers in the diagnosis of acute renal rejection.
authors.affiliation: Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: K M A
authors.initials: KM
authors.lastname: Rouschop
authors.forename: J J T H
authors.initials: JJ
authors.lastname: Roelofs
authors.forename: M
authors.initials: M
authors.lastname: Sylva
authors.forename: A T
authors.initials: AT
authors.lastname: Rowshani
authors.forename: I J M
authors.initials: IJ
authors.lastname: Ten Berge
authors.forename: J J
authors.initials: JJ
authors.lastname: Weening
authors.forename: S
authors.initials: S
authors.lastname: Florquin
mesh_terms: D000208:Acute Disease; D000328:Adult; D001706:Biopsy; D005260:Female; D006084:Graft Rejection / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D018960:Hyaluronan Receptors / Q000032:analysis*; D006820:Hyaluronic Acid / Q000032:analysis; D007150:Immunohistochemistry; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000276:immunology* / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D053495:Osteopontin; D012795:Sialoglycoproteins / Q000032:analysis; D014184:Transplantation, Homologous / Q000276:immunology / Q000473:pathology; D015854:Up-Regulation
chemical_list: D018960:Hyaluronan Receptors; D007166:Immunosuppressive Agents; C506895:SPP1 protein, human; D012795:Sialoglycoproteins; D053495:Osteopontin; D006820:Hyaluronic Acid