TABLE 1.
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 |
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.