文献詳細
今月の主題 腎移植
腎移植の検査
文献概要
近年の移植件数の増加,拒絶反応の理解の向上,免疫抑制剤の改良などに伴って,臨床検査の需要増加や検査内容の変化が認められるようになった.なかでも移植腎生検は,依然として,腎移植患者の診断と治療に寄与する最も重要な検査の一つである.ここでは,移植腎生検の診断ツールであるBanff分類を中心に,腎移植病理の最近の話題や問題点について概説する.
参考文献
1) Racusen LC, Solez K, Colvin RB, et al:The Banff 97 working classification of renal allograft pathology. Kidney Int 55:713-723, 1999
2) Racusen LC, Colvin RB, Solez K, et al:Antibody-mediated rejection criteria-an addition to the Banff 97 classification of renal allograft rejection. Am J Transplant 3:708-714, 2003
3) Racusen LC, Halloran PF, Solez K, et al:Banff 2003 meeting report:new diagnostic insights and standards. Am J Transplant 4:1562-1566, 2004
4) Solez K, Colvin RB, Racusen LC, et al:Banff '05 Meeting Report:differential diagnosis of chronic allograft injury and elimination of chronic allograft nephropathy(‘CAN'). Am J Transplant 7:518-526, 2007
5) Takemoto SK, Zeevi A, Feng S, et al:National conference to assess antibody-mediated rejection in solid organ transplantation. Am J Transplant 4:1033-1041, 2004
6) Yamamoto I, Horita S, Yamaguchi Y, et al:Glomerular expression of plasmalemmal vesicle-associated protein-1 in patients with transplant glomerulopathy. Am J Transplant 7:1954-1960, 2007
7) Seemayer C, Gaspert A, Mihatsch M, et al:C4d staining of renal allograft biopsies:a comparative analysis of different staining techniques. Nephrol Dial Transplant 22:568-576, 2007
8) Fidler ME, Gloor JM, Lager DJ, et al:Histologic findings of antibody-mediated rejection in ABO blood-group-incompatible living-donor kidney transplantation. Am J Transplant 4:101-107, 2004
9) Mauiyyedi S, Crespo M, Collins AB, et al:Acute humoral rejection in kidney transplantation:Ⅱ. Morphology, immunopathology, and pathologic classification. J Am Soc Nephrol 13:779-787, 2002
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