Renal transplant fibrosis correlates with intragraft expression of tissue inhibitor of metalloproteinase messenger RNA

Background: Chronic renal allograft nephropathy is characterized by an abnormal accumulation of extracellular matrix proteins in the glomeruli and tubulo‐interstitium. The aim of this study was to determine the relationship between intragraft expression of the genes controlling the accumulation of e...

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Veröffentlicht in:British journal of surgery 2002-07, Vol.89 (7), p.933-937
Hauptverfasser: Nicholson, M. L., Waller, J. R., Bicknell, G. R.
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container_title British journal of surgery
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creator Nicholson, M. L.
Waller, J. R.
Bicknell, G. R.
description Background: Chronic renal allograft nephropathy is characterized by an abnormal accumulation of extracellular matrix proteins in the glomeruli and tubulo‐interstitium. The aim of this study was to determine the relationship between intragraft expression of the genes controlling the accumulation of extracellular matrix and the development of chronic renal allograft nephropathy in human renal transplants. Methods: Forty renal allografts with stable renal function were biopsied 6 months after transplantation. Single glomeruli were plucked from the surface of these protocol biopsies and total messenger RNA (mRNA) was extracted. Reverse transcriptase–polymerase chain reaction was used to study the intragraft expression of several fibrosis‐associated genes (collagen III, collagen IVα2, matrix metalloproteinase (MMP) 2, tissue inhibitors of metalloproteinases (TIMPs) 1 and 2, tenascin and transforming growth factor (TGF) β). The level of tubulo‐interstitial fibrosis was measured by quantitative immunostaining of collagen III. Results: There were positive correlations between the level of tubulo‐interstitial collagen III immunostaining and intragraft expression of the genes for TIMP‐1 (r S = 0·70, P < 0·02) and TIMP‐2 (r S = 0·59, P < 0·02). Interstitial fibrosis was also strongly correlated with the levels of TGF‐β mRNA (r S = 0·67, P < 0·002). Finally, TIMP‐1 expression increased with TGF‐β expression (r S = 0·77, P < 0·002). Conclusion: Failure of extracellular matrix degradation may be an important molecular mechanism in the pathogenesis of chronic renal allograft damage. © 2002 British Journal of Surgery Society Ltd
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L. ; Waller, J. R. ; Bicknell, G. R.</creator><creatorcontrib>Nicholson, M. L. ; Waller, J. R. ; Bicknell, G. R.</creatorcontrib><description>Background: Chronic renal allograft nephropathy is characterized by an abnormal accumulation of extracellular matrix proteins in the glomeruli and tubulo‐interstitium. The aim of this study was to determine the relationship between intragraft expression of the genes controlling the accumulation of extracellular matrix and the development of chronic renal allograft nephropathy in human renal transplants. Methods: Forty renal allografts with stable renal function were biopsied 6 months after transplantation. Single glomeruli were plucked from the surface of these protocol biopsies and total messenger RNA (mRNA) was extracted. Reverse transcriptase–polymerase chain reaction was used to study the intragraft expression of several fibrosis‐associated genes (collagen III, collagen IVα2, matrix metalloproteinase (MMP) 2, tissue inhibitors of metalloproteinases (TIMPs) 1 and 2, tenascin and transforming growth factor (TGF) β). The level of tubulo‐interstitial fibrosis was measured by quantitative immunostaining of collagen III. Results: There were positive correlations between the level of tubulo‐interstitial collagen III immunostaining and intragraft expression of the genes for TIMP‐1 (r S = 0·70, P &lt; 0·02) and TIMP‐2 (r S = 0·59, P &lt; 0·02). Interstitial fibrosis was also strongly correlated with the levels of TGF‐β mRNA (r S = 0·67, P &lt; 0·002). Finally, TIMP‐1 expression increased with TGF‐β expression (r S = 0·77, P &lt; 0·002). 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Urinary tract diseases ; Postoperative Complications - metabolism ; Postoperative Complications - pathology ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger - metabolism ; Tissue Inhibitor of Metalloproteinase-1 - metabolism ; Tissue Inhibitor of Metalloproteinase-2 - metabolism ; Tissue Inhibitor of Metalloproteinases - metabolism ; Transplantation, Homologous ; Urinary system involvement in other diseases. 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L.</creatorcontrib><creatorcontrib>Waller, J. R.</creatorcontrib><creatorcontrib>Bicknell, G. R.</creatorcontrib><title>Renal transplant fibrosis correlates with intragraft expression of tissue inhibitor of metalloproteinase messenger RNA</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background: Chronic renal allograft nephropathy is characterized by an abnormal accumulation of extracellular matrix proteins in the glomeruli and tubulo‐interstitium. The aim of this study was to determine the relationship between intragraft expression of the genes controlling the accumulation of extracellular matrix and the development of chronic renal allograft nephropathy in human renal transplants. Methods: Forty renal allografts with stable renal function were biopsied 6 months after transplantation. Single glomeruli were plucked from the surface of these protocol biopsies and total messenger RNA (mRNA) was extracted. Reverse transcriptase–polymerase chain reaction was used to study the intragraft expression of several fibrosis‐associated genes (collagen III, collagen IVα2, matrix metalloproteinase (MMP) 2, tissue inhibitors of metalloproteinases (TIMPs) 1 and 2, tenascin and transforming growth factor (TGF) β). The level of tubulo‐interstitial fibrosis was measured by quantitative immunostaining of collagen III. Results: There were positive correlations between the level of tubulo‐interstitial collagen III immunostaining and intragraft expression of the genes for TIMP‐1 (r S = 0·70, P &lt; 0·02) and TIMP‐2 (r S = 0·59, P &lt; 0·02). Interstitial fibrosis was also strongly correlated with the levels of TGF‐β mRNA (r S = 0·67, P &lt; 0·002). Finally, TIMP‐1 expression increased with TGF‐β expression (r S = 0·77, P &lt; 0·002). Conclusion: Failure of extracellular matrix degradation may be an important molecular mechanism in the pathogenesis of chronic renal allograft damage. © 2002 British Journal of Surgery Society Ltd</description><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Female</subject><subject>Fibrosis - metabolism</subject><subject>Humans</subject><subject>Immunohistochemistry - methods</subject><subject>Kidney Diseases - metabolism</subject><subject>Kidney Diseases - pathology</subject><subject>Kidney Transplantation</subject><subject>Kidneys</subject><subject>Male</subject><subject>Matrix Metalloproteinases - metabolism</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Postoperative Complications - metabolism</subject><subject>Postoperative Complications - pathology</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA, Messenger - metabolism</subject><subject>Tissue Inhibitor of Metalloproteinase-1 - metabolism</subject><subject>Tissue Inhibitor of Metalloproteinase-2 - metabolism</subject><subject>Tissue Inhibitor of Metalloproteinases - metabolism</subject><subject>Transplantation, Homologous</subject><subject>Urinary system involvement in other diseases. 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Urinary tract diseases</topic><topic>Postoperative Complications - metabolism</topic><topic>Postoperative Complications - pathology</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA, Messenger - metabolism</topic><topic>Tissue Inhibitor of Metalloproteinase-1 - metabolism</topic><topic>Tissue Inhibitor of Metalloproteinase-2 - metabolism</topic><topic>Tissue Inhibitor of Metalloproteinases - metabolism</topic><topic>Transplantation, Homologous</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicholson, M. L.</creatorcontrib><creatorcontrib>Waller, J. R.</creatorcontrib><creatorcontrib>Bicknell, G. 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R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal transplant fibrosis correlates with intragraft expression of tissue inhibitor of metalloproteinase messenger RNA</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2002-07</date><risdate>2002</risdate><volume>89</volume><issue>7</issue><spage>933</spage><epage>937</epage><pages>933-937</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background: Chronic renal allograft nephropathy is characterized by an abnormal accumulation of extracellular matrix proteins in the glomeruli and tubulo‐interstitium. The aim of this study was to determine the relationship between intragraft expression of the genes controlling the accumulation of extracellular matrix and the development of chronic renal allograft nephropathy in human renal transplants. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current)
subjects Biological and medical sciences
Biopsy, Needle
Female
Fibrosis - metabolism
Humans
Immunohistochemistry - methods
Kidney Diseases - metabolism
Kidney Diseases - pathology
Kidney Transplantation
Kidneys
Male
Matrix Metalloproteinases - metabolism
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Postoperative Complications - metabolism
Postoperative Complications - pathology
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - metabolism
Tissue Inhibitor of Metalloproteinase-1 - metabolism
Tissue Inhibitor of Metalloproteinase-2 - metabolism
Tissue Inhibitor of Metalloproteinases - metabolism
Transplantation, Homologous
Urinary system involvement in other diseases. Miscellaneous
title Renal transplant fibrosis correlates with intragraft expression of tissue inhibitor of metalloproteinase messenger RNA
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