The immunohistochemical expression of von Willebrand factor, T-cadherin, and Caveolin-1 is increased in kidney allograft biopsies with antibody-mediated injury

Background There are only a few reports evaluating the applicability of endothelial-damage markers analysis by immunohistochemistry (IHC) in kidney allograft samples. This study analyzed the expression of Caveolin-1 (Cav), von Willebrand factor (Vwf), and T-cadherin (Cad) in kidney biopsies and thei...

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Veröffentlicht in:Clinical and experimental nephrology 2021-03, Vol.25 (3), p.305-314
Hauptverfasser: Teixeira, André Costa, Távora, Fábio, de Deus e Silva, Melissa Lou Fagundes, Prado, Renan Martins Gomes, de Matos Esmeraldo, Ronaldo, de Sandes-Freitas, Tainá Veras
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container_end_page 314
container_issue 3
container_start_page 305
container_title Clinical and experimental nephrology
container_volume 25
creator Teixeira, André Costa
Távora, Fábio
de Deus e Silva, Melissa Lou Fagundes
Prado, Renan Martins Gomes
de Matos Esmeraldo, Ronaldo
de Sandes-Freitas, Tainá Veras
description Background There are only a few reports evaluating the applicability of endothelial-damage markers analysis by immunohistochemistry (IHC) in kidney allograft samples. This study analyzed the expression of Caveolin-1 (Cav), von Willebrand factor (Vwf), and T-cadherin (Cad) in kidney biopsies and their association with antibody-mediated injury. Methods In this retrospective study, 114 cases with antibody-mediated changes (Banff, 2020) and 72 with interstitial fibrosis/tubular atrophy were selected. IHC for Cav, Vwf and Cad was performed and evaluated according to their qualitative expression in peritubular capillaries. The cases were grouped according to the presence of microvascular inflammation (MVI), donor-specific antibodies (DSA), C4d positivity and antibody-mediated rejection (AMR). A level of significance 
doi_str_mv 10.1007/s10157-020-01994-6
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This study analyzed the expression of Caveolin-1 (Cav), von Willebrand factor (Vwf), and T-cadherin (Cad) in kidney biopsies and their association with antibody-mediated injury. Methods In this retrospective study, 114 cases with antibody-mediated changes (Banff, 2020) and 72 with interstitial fibrosis/tubular atrophy were selected. IHC for Cav, Vwf and Cad was performed and evaluated according to their qualitative expression in peritubular capillaries. The cases were grouped according to the presence of microvascular inflammation (MVI), donor-specific antibodies (DSA), C4d positivity and antibody-mediated rejection (AMR). A level of significance < 0.05 was adopted. Results Vwf expression was associated with MVI ( p  < 0.001), DSA ( p  = 0.016), C4d ( p  < 0.001) and AMR ( p  < 0.001), and was higher in DSA+/C4d+ cases despite MVI ( p  < 0.001). The expression of Cad correlated with MVI ( p  = 0.015), C4d ( p  = 0.005) and AMR ( p  = < 0.001). Cad was more expressed in chronic AMR compared with acute/active cases ( p  = 0.001). Cav expression was associated with MVI ( p  = 0.029) and AMR ( p  = 0.016) and was also higher in chronic AMR ( p  = 0.049). A combined score of Vwf and Cad was higher in AMR when compared with C4d without rejection and IF/TA cases ( p  < 0.001). Conclusion Vwf, Cad and Cav expression shows association with antibody-mediated injury and may be helpful to support AMR diagnosis.]]></description><identifier>ISSN: 1342-1751</identifier><identifier>EISSN: 1437-7799</identifier><identifier>DOI: 10.1007/s10157-020-01994-6</identifier><identifier>PMID: 33242156</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Antibodies ; Atrophy ; Biopsy ; Cadherins ; Capillaries ; Caveolin ; Caveolin-1 ; Fibrosis ; Graft rejection ; Immunohistochemistry ; Inflammation ; Kidney transplantation ; Medicine ; Medicine &amp; Public Health ; Microvasculature ; Nephrology ; Original Article ; T-cadherin ; Urology ; Von Willebrand factor</subject><ispartof>Clinical and experimental nephrology, 2021-03, Vol.25 (3), p.305-314</ispartof><rights>Japanese Society of Nephrology 2020</rights><rights>Japanese Society of Nephrology 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-7c4fb58cf7998233fb45bfe073effaaea90d958b4480212887bcf650fcff5e983</citedby><cites>FETCH-LOGICAL-c454t-7c4fb58cf7998233fb45bfe073effaaea90d958b4480212887bcf650fcff5e983</cites><orcidid>0000-0002-9648-3507</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10157-020-01994-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10157-020-01994-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33242156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teixeira, André Costa</creatorcontrib><creatorcontrib>Távora, Fábio</creatorcontrib><creatorcontrib>de Deus e Silva, Melissa Lou Fagundes</creatorcontrib><creatorcontrib>Prado, Renan Martins Gomes</creatorcontrib><creatorcontrib>de Matos Esmeraldo, Ronaldo</creatorcontrib><creatorcontrib>de Sandes-Freitas, Tainá Veras</creatorcontrib><title>The immunohistochemical expression of von Willebrand factor, T-cadherin, and Caveolin-1 is increased in kidney allograft biopsies with antibody-mediated injury</title><title>Clinical and experimental nephrology</title><addtitle>Clin Exp Nephrol</addtitle><addtitle>Clin Exp Nephrol</addtitle><description><![CDATA[Background There are only a few reports evaluating the applicability of endothelial-damage markers analysis by immunohistochemistry (IHC) in kidney allograft samples. This study analyzed the expression of Caveolin-1 (Cav), von Willebrand factor (Vwf), and T-cadherin (Cad) in kidney biopsies and their association with antibody-mediated injury. Methods In this retrospective study, 114 cases with antibody-mediated changes (Banff, 2020) and 72 with interstitial fibrosis/tubular atrophy were selected. IHC for Cav, Vwf and Cad was performed and evaluated according to their qualitative expression in peritubular capillaries. The cases were grouped according to the presence of microvascular inflammation (MVI), donor-specific antibodies (DSA), C4d positivity and antibody-mediated rejection (AMR). A level of significance < 0.05 was adopted. Results Vwf expression was associated with MVI ( p  < 0.001), DSA ( p  = 0.016), C4d ( p  < 0.001) and AMR ( p  < 0.001), and was higher in DSA+/C4d+ cases despite MVI ( p  < 0.001). The expression of Cad correlated with MVI ( p  = 0.015), C4d ( p  = 0.005) and AMR ( p  = < 0.001). Cad was more expressed in chronic AMR compared with acute/active cases ( p  = 0.001). Cav expression was associated with MVI ( p  = 0.029) and AMR ( p  = 0.016) and was also higher in chronic AMR ( p  = 0.049). A combined score of Vwf and Cad was higher in AMR when compared with C4d without rejection and IF/TA cases ( p  < 0.001). Conclusion Vwf, Cad and Cav expression shows association with antibody-mediated injury and may be helpful to support AMR diagnosis.]]></description><subject>Antibodies</subject><subject>Atrophy</subject><subject>Biopsy</subject><subject>Cadherins</subject><subject>Capillaries</subject><subject>Caveolin</subject><subject>Caveolin-1</subject><subject>Fibrosis</subject><subject>Graft rejection</subject><subject>Immunohistochemistry</subject><subject>Inflammation</subject><subject>Kidney transplantation</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Microvasculature</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>T-cadherin</subject><subject>Urology</subject><subject>Von Willebrand factor</subject><issn>1342-1751</issn><issn>1437-7799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc2OFCEUhYnROOPoC7gwJG5cDApVUAVL0_EvmcRNG5cEqMsUbRW0UDVjP42vKtM9auLC1b3hfufA5SD0nNHXjNL-TWGUiZ7QhhLKlOKke4DOGW970vdKPax9yxvCesHO0JNSdpRSqYR6jM7atuENE905-rkdAYd5XmMaQ1mSG2EOzkwYfuwzlBJSxMnjm1q-hmkCm00csDduSfkSb4kzwwg5xEt8d74xN5CmEAnDoeAQXQZTYKgd_haGCAdspildZ-MXbEPalwAF34ZlrOol2DQcyAxDMMtRs1vz4Sl65M1U4Nl9vUBf3r_bbj6Sq88fPm3eXhHHBV9I77i3QjpfF5dN23rLhfVA-xa8NwaMooMS0nIuacMaKXvrfCeod94LULK9QK9Ovvucvq9QFj2H4mCaTIS0Ft3wjne0o0f05T_oLq051tdVSgmmuJC8Us2JcjmVksHrfQ6zyQfNqL6LT5_i0zU-fYxPd1X04t56tfUj_kh-51WB9gSUOorXkP_e_R_bX6_LqI4</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Teixeira, André Costa</creator><creator>Távora, Fábio</creator><creator>de Deus e Silva, Melissa Lou Fagundes</creator><creator>Prado, Renan Martins Gomes</creator><creator>de Matos Esmeraldo, Ronaldo</creator><creator>de Sandes-Freitas, Tainá Veras</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9648-3507</orcidid></search><sort><creationdate>20210301</creationdate><title>The immunohistochemical expression of von Willebrand factor, T-cadherin, and Caveolin-1 is increased in kidney allograft biopsies with antibody-mediated injury</title><author>Teixeira, André Costa ; 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Calcified Tissue Abstracts</collection><collection>Health &amp; Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teixeira, André Costa</au><au>Távora, Fábio</au><au>de Deus e Silva, Melissa Lou Fagundes</au><au>Prado, Renan Martins Gomes</au><au>de Matos Esmeraldo, Ronaldo</au><au>de Sandes-Freitas, Tainá Veras</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The immunohistochemical expression of von Willebrand factor, T-cadherin, and Caveolin-1 is increased in kidney allograft biopsies with antibody-mediated injury</atitle><jtitle>Clinical and experimental nephrology</jtitle><stitle>Clin Exp Nephrol</stitle><addtitle>Clin Exp Nephrol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>25</volume><issue>3</issue><spage>305</spage><epage>314</epage><pages>305-314</pages><issn>1342-1751</issn><eissn>1437-7799</eissn><abstract><![CDATA[Background There are only a few reports evaluating the applicability of endothelial-damage markers analysis by immunohistochemistry (IHC) in kidney allograft samples. This study analyzed the expression of Caveolin-1 (Cav), von Willebrand factor (Vwf), and T-cadherin (Cad) in kidney biopsies and their association with antibody-mediated injury. Methods In this retrospective study, 114 cases with antibody-mediated changes (Banff, 2020) and 72 with interstitial fibrosis/tubular atrophy were selected. IHC for Cav, Vwf and Cad was performed and evaluated according to their qualitative expression in peritubular capillaries. The cases were grouped according to the presence of microvascular inflammation (MVI), donor-specific antibodies (DSA), C4d positivity and antibody-mediated rejection (AMR). A level of significance < 0.05 was adopted. Results Vwf expression was associated with MVI ( p  < 0.001), DSA ( p  = 0.016), C4d ( p  < 0.001) and AMR ( p  < 0.001), and was higher in DSA+/C4d+ cases despite MVI ( p  < 0.001). The expression of Cad correlated with MVI ( p  = 0.015), C4d ( p  = 0.005) and AMR ( p  = < 0.001). Cad was more expressed in chronic AMR compared with acute/active cases ( p  = 0.001). Cav expression was associated with MVI ( p  = 0.029) and AMR ( p  = 0.016) and was also higher in chronic AMR ( p  = 0.049). A combined score of Vwf and Cad was higher in AMR when compared with C4d without rejection and IF/TA cases ( p  < 0.001). Conclusion Vwf, Cad and Cav expression shows association with antibody-mediated injury and may be helpful to support AMR diagnosis.]]></abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33242156</pmid><doi>10.1007/s10157-020-01994-6</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9648-3507</orcidid></addata></record>
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subjects Antibodies
Atrophy
Biopsy
Cadherins
Capillaries
Caveolin
Caveolin-1
Fibrosis
Graft rejection
Immunohistochemistry
Inflammation
Kidney transplantation
Medicine
Medicine & Public Health
Microvasculature
Nephrology
Original Article
T-cadherin
Urology
Von Willebrand factor
title The immunohistochemical expression of von Willebrand factor, T-cadherin, and Caveolin-1 is increased in kidney allograft biopsies with antibody-mediated injury
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