Accumulating monocytes in the vasculature of rat renal allografts: phenotype, cytokine, inducible no synthase, and tissue factor mRNA expression

BACKGROUND

Necrotic patches and hemorrhagic lesions develop in the renal tissue between day 4 and day 5 after transplantation of fully allogeneic DA rat kidneys to LEW recipients. These lesions are at least in part due to destruction and obstruction of blood vessels. Damage of graft endothelial cells and blood coagulation are likely to be mediated by intravascular graft leukocytes. However, this cell population has not been thoroughly characterized before.

METHODS

We perfused untreated control kidneys, renal isografts, and allografts on day 4 after transplantation with phosphate-buffered saline/ethylenediaminetetraacetic acid to harvest leukocytes from both the blood stream as well as from the marginal intravascular pool. The mRNA expression of typical products of activated monocytes was analyzed in reverse-transcriptase polymerase chain reaction experiments. Graft monocytes were purified and their immunophenotype was investigated by flow cytometry.

RESULTS

Allograft rejection led to a 10-fold increase in the number of intravascular graft leukocytes compared to isografts. A mean number of about 100x10(6) leukocytes was harvested from a single allogeneic kidney, about 73% of these cells were monocytes and most of them displayed an activated phenotype. Compared to isografts, intravascular allograft leukocytes displayed an increased expression of tumor necrosis factor-alpha, inducible NO synthase and tissue factor.

CONCLUSIONS

Our study shows that large numbers of activated monocytes accumulate inside allograft vessels. As they express genes the products of which might damage the allograft by inducing cell death or thrombosis, we speculate that they directly participate in allograft destruction.

Dynamics of monocytes/macrophages and T lymphocytes in acutely rejecting rat renal allografts

We examined the infiltration of acutely rejecting renal allografts (DA-->LEW) by ED1+ and ED2+ macrophages and T lymphocytes at intervals of 24 h after transplantation. Donor and recipient macrophages were differentiated by MHC class II antigen expression in double-staining experiments with ED1. Proliferation was assayed after pulse-labelling with BrdU. We subdivided allograft infiltration into three consecutive phases: 1) During phase I on days 1 to 2 after allogeneic kidney transplantation, perivascular infiltrates developed that contained numerous donor and recipient macrophages. Allograft rejection could already be diagnosed 24 h after transplantation by perivascular infiltration of T lymphocytes, whereas T cells were rarely found in isografts. 2) Phase II of allograft rejection from day 3 to 4 was characterized by massive propagation of the infiltrate. About equal numbers of interstitial donor and recipient macrophages were counted. Both macrophages and T lymphocytes proliferated in situ and macrophages outnumbered T cells until complete rejection. 3) During phase III the allograft was destroyed. Large intravascular monocytes surprisingly expressed the ED2 antigen. In the interstitium of viable graft regions, the population of recipient macrophages grew, whereas the population of donor macrophages and of T lymphocytes decreased.

Morphological studies of the valves of the kidney vein in domestic swine

It was established macroscopically that 37.5% of the renal veins investigated possess valves. Valves were observed on both sides, but predominantly on the left side of the kidneys (14.58%). Some valves were also observed in the main branches of the renal veins. The structure of the valves was studied with the use of light and electron microscopy. The most important finding was the observation of mast cells in the valves. This is probably a common biological phenomenon, since mast cells have been observed in the cardiac valves and the wall of the renal artery and vein.

Age-related changes in the human renal veins and their valves

Age-related anatomical changes in the human renal veins and their valves were studied. The principal changes were: 1. The muscle fiber bundles were noted to progressively atrophy as a function of age, while conservely the elastic fiber bundles hypertrophied. 2. The valves of the renal veins were observed to become gradually thicker with age as a result of the increased number of collagen fiber bundles.

Renal blood vascular system in the elasmobranch, Raja erinacea Mitchill, in relation to kidney zones

The arrangement and structure of renal blood vessels were studied in a marine skate with injection of silicone rubber and methacrylate resin after intravenous administration of epinephrine and perfusion fixation. The methacrylate casts were investigated with the scanning electron microscope. Histology was performed by light and transmission electron microscopy of serial sections. The course of the blood vessels is described in relation to the renal zones of lateral bundles and mesial tissue. Each nephron performs two loops in the lateral bundles and two coilings in the mesial tissue before it joins the collecting duct system. The lateral bundles contain an elaborate countercurrent arrangement of neck segment, proximal tubule segment PIa, early distal tubule segment, and collecting tubule. Within the bundles, the nephron portions are associated with a blind-ended central vessel, which is connected with the venous sinuses of the mesial tissue. The microcirculatory bed around the bundles is supplied with arterial blood via small bundle arteries that originate from the intrarenal arteries in parallel to the afferent arterioles of the glomeruli. The efferent arterioles of the glomeruli convey their blood to the peritubular sinuses of the mesial tissue, which is largely irrigated with venous blood of the renal portal system. The mesial tissue, containing the proximal tubule segments PIb and PII, intermediate segment, and late distal tubule segment LDTb, receives venous blood from the caudal vein and the lateral musculature via afferent renal and intrarenal veins and from the efferent arterioles of the glomeruli and venules of the microcirculation of the bundles. The sinuses are drained by efferent renal veins via efferent intrarenal veins. By comparing the renal structures of the skate with those of dogfish, a unique type of circulation--as related to nephron segments, renal zones, and fine structure of the wall of the vessels--is revealed in marine elasmobranchs of different evolutionary levels.