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. 2023 Apr 22;107(5):1102–1114. doi: 10.1097/TP.0000000000004396

TABLE 1.

Histologic and MMDx diagnoses and DSA in the TCMR1 vs TCMR2 biopsy groups in the 175 TCMR cohort

Rejection archetype group
All TCMR(N = 175) TCMR1(N = 75) TCMR2(N = 100) P TCMR1 vs TCMR2
MMDx signout diagnoses
Rejection-related AMR 5 (3%) 0 5 (5%) 0.07
Possible AMR 0 0 0 1.00
Mixed 57 (33%) 44 (59%) 13 (13%) <0.0001
TCMR 103 (59%) 31 (41%) 72 (72%) <0.0001
Possible TCMR 10 (6%) 0 10 (10%) 0.005
No rejection 0 0 0 1.00
Histology diagnoses
Rejection-related AMR 8 (5%) 4 (5%) 4 (4%) 0.73
Transplant glomerulopathy 3 (2%) 0 3 (3%) 0.26
AMR suspected 2 (1%) 1 (1%) 1 (1%) 1.00
Mixed 26 (15%) 18 (24%) 8 (8%) 0.003
TCMR 73 (42%) 39 (52%) 34 (34%) 0.02
TCMR/BK 3 (2%) 2 (3%) 1 (1%) 0.61
Borderline rejection 12 (7%) 2 (3%) 10 (10%) 0.07
No rejection BK nephropathy virus 24 (14%) 3 (4%) 21 (21%) 0.001
No major abnormalities 4 (2%) 1 (1%) 3 (3%) 0.64
Othersa 20 (11%) 5 (7%) 15 (15%) 0.09
DSA status
N in all TCMR (% of N = 142 tested) N in TCMR1(% of N = 59 tested) N in TCMR2 (% of N = 83 tested) P TCMR1 vs TCMR2
DSA positive 51 (36%) 24 (41%) 27 (33%) 0.32
DSA negative 91 (64%) 35 (59%) 56 (67%)
DSA missing/unknown 33 16 17
a

Others includes diabetic nephropathy, glomerulonephritis, fibrosis and atrophy (IFTA), calcineurin inhibitor toxicity, C4d deposition without morphologic evidence for active rejection, donor origin vascular disease, pyelonephritis, systemic infection/diarrhea, and bacterial infection.

Chi-square was performed on the comparison of TCMR1 vs TCMR2 for each histologic diagnosis.

Bold values indicate significant difference between TCMR1 and TCMR2.

AMR, antibody-mediated rejection; DSA, donor-specific antibody; MMDx, Molecular Microscope Diagnostic System; TCMR, T cell–mediated rejection.