[Study of CD45 isoforms on T CD8 lymphocytes, in the peripheral blood and the graft in patients after kidney transplantation]

Presse Med. 1992 Dec 2;21(41):1991-3.
[Article in French]

Abstract

We report characterization of CD45 isoforms expressed by CD8+ lymphocytes in peripheral blood and in the graft of 40 kidney transplanted patients who underwent kidney biopsy on the basis of clinical signs suggesting rejection. Standard histological examination of the biopsy fragments and three-color cytofluorimetric analysis of lymphocytes extracted from the same fragments by mechanical and enzymatic treatment were performed simultaneously and compared to the peripheral blood lymphocytes. In 14/40 biopsies where lymphocyte extraction succeeded, the predominant subset was CD8 (CD4/CD8 mean ratio was 0.53). Almost all CD8+ cells were activated: among these CD8+ cells, 55 percent were HLA-DR+, and 68 percent CD45RO+, i.e. of a memory cell type with cytotoxic activity. This situation resembles the in vitro observation made during mitogenic stimulation of lymphocytes by phytohemagglutinin, OKT3 or CML ("culture mixte lymphocytaire"). Beside their evident interest for the diagnosis, these data could be useful for our understanding of the physiopathology of the rejection crisis.

MeSH terms

  • Biopsy, Needle
  • CD8 Antigens / immunology*
  • Flow Cytometry
  • Graft Rejection / etiology
  • Graft Rejection / immunology*
  • Graft Rejection / pathology
  • Humans
  • Kidney Transplantation / adverse effects
  • Kidney Transplantation / methods*
  • Leukocyte Common Antigens / immunology*
  • T-Lymphocytes / physiology*

Substances

  • CD8 Antigens
  • Leukocyte Common Antigens