Local complement C3 expression is upregulated in humoral and cellular rejection of renal allografts

Am J Transplant. 2005 Jun;5(6):1490-4. doi: 10.1111/j.1600-6143.2005.00873.x.

Abstract

Evidence on the role of the complement system in transplantation pathology has been accelerated by the discovery of C4d as an in situ marker of antibody-mediated rejection. However, a local or systemic source of complement expression during acute rejection is under discussion. Thus, we quantitatively analyzed local RNA expression of complement component C3 as a pivotal molecule in active humoral and cellular rejection of renal allografts. After laser microdissection, real-time RT-PCR was performed for C3 using RNA extracted from tubuli and glomeruli of 68 paraffin-embedded renal allograft biopsies. Protocol and indication biopsies with signs of humoral and/or cellular rejection were investigated. Quantitative expression analysis of cytokines (IFN gamma, MCP-1, IL2, IL8) potentially influencing local C3 expression was performed. We observed a significant increase in median expression level of C3 mRNA in tubuli of C4d-positive indication biopsies, and in tubuli from indication biopsies with signs of T-cell-mediated cellular rejection. Highest expression levels were found in C4d-positive indication biopsies with signs of cellular rejection. Biopsies with upregulated C3 showed increased IFN gamma expression, suggesting allograft-infiltrating T-cells as potential stimulus for local C3 expression. Therefore, locally synthesized complement component C3 contributes to both humoral and cellular rejection, with tubular epithelial cells being a major source.

Publication types

  • Comparative Study

MeSH terms

  • Biopsy
  • Complement C3 / metabolism*
  • Cytokines / genetics
  • Cytokines / metabolism
  • Epithelial Cells / cytology
  • Epithelial Cells / metabolism*
  • Graft Rejection / metabolism*
  • Humans
  • Kidney Glomerulus / cytology
  • Kidney Glomerulus / metabolism
  • Kidney Transplantation*
  • Kidney Tubules / cytology
  • Kidney Tubules / metabolism
  • RNA, Messenger
  • Reverse Transcriptase Polymerase Chain Reaction
  • Transplantation, Homologous
  • Up-Regulation

Substances

  • Complement C3
  • Cytokines
  • RNA, Messenger