Computer morphometry of lymphocytes in the diagnosis of chronic transplant nephropathy


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Aim: to assess the role of immunological mechanisms in the development and progression of chronic transplant nephropathy (CTN) and the prognostic value of rapid computer morphometry of lymphocytes in predicting the risk of renal allograft rejection.
Subjects and methods. Thirty-seven renal graft recipients (29 males and 8 females; mean age 35.9±2.2 years; mean time after renal allografting 19.9±2.7 months). Twenty-three patients had satisfactory renal graft function; 14 patients were diagnosed as having CTN. A control group included 30 apparently healthy individuals. Along with physical examination, vital computer phase morphometry (CPM) of peripheral blood immunocompetent cells was carried out in all the patients.
Results. Small and average cells were predominant in the T and B lymphocyte populations. In CTN, there were increases in diameter, perimeter, and area and decreases in the phase height and volume of B lymphocytes, which is indicative of their activation. There was a predominance of average B lymphocytes in CTN.
Conclusion. Vital CPM of peripheral blood immunocompetent cells may be used for the early diagnosis and prediction of CTN development.

作者简介

A Vatazin

M.F. Vladimirsky Moscow Regional Research Clinical Institute

Email: svia@rambler.ru, hadik2@rol.ru
M.F. Vladimirsky Moscow Regional Research Clinical Institute

A Valov

Russian Children's Clinical Hospital, Russian Agency for Health Care

отделение по пересадке почкиканд. мед. наук, зав; ГУ Российская детская клиническая больница Росздрава; Russian Children's Clinical Hospital, Russian Agency for Health Care

I Vasilenko

Russian Gerontology Research Clinical Center, Russian Agency for Health Care

Email: svia@rambler.ru, hadik2@rol.ru
лаборатория компьютерной цитоморфометриид-р мед. наук, проф., зав; ФГУ Российский геронтологический научно-клинический центр Росздрава; Russian Gerontology Research Clinical Center, Russian Agency for Health Care

E Shcherbakova

M.F. Vladimirsky Moscow Regional Research Clinical Institute

M.F. Vladimirsky Moscow Regional Research Clinical Institute

V Metelin

Russian Gerontology Research Clinical Center, Russian Agency for Health Care

лаборатория компьютерной цитоморфометрииканд. биол. наук, ст. науч. сотр; ФГУ Российский геронтологический научно-клинический центр Росздрава; Russian Gerontology Research Clinical Center, Russian Agency for Health Care

参考

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  2. Mauiyyedi S., Pelle P. D., Saidman S. et al. Chronic humoral rejection: identification of antibody-mediated chronic renal allograft rejection by CD4 deposits in peritubular capillaries. J. Am. Soc. Nephrol. 2001; 12 (3): 574-582.
  3. Василенко И. А., Шабалин В. Н., Тычинский В. П. и др. Новая технология прижизненной компьютерной фазовой микроскопии: диагностические возможности и перспективы. В кн.: Радиоэлектроника в медицинской диагностике (оценка функций и состояния организма). М. 1995. 164-169.
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  6. Столяревич Е. С. Хроническая трансплантационная нефропатия: механизмы развития и факторы прогрессирования (Ч. 1). Нефрол. и диализ 2002; 4 (2): 24-32.
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