TABLE 3.
Index biopsy | Follow-up biopsy | |||||||
---|---|---|---|---|---|---|---|---|
Responder | Nonresponder | P | Responder | Nonresponder | P | |||
DSA at index biopsy | Against class I(%) | 14 (21) | 39 (33) | 0.08 | 7 (11) | 26 (22) | 0.051 | |
Against class II (%) | 33 (50) | 78 (67) | 0.03 | 27 (41) | 60 (51) | 0.18 | ||
Sum MFI class I | 2998 ± 7948 | 3873 ± 5184 | 0.64 | 1938 ± 4020 | 2646 ± 3699 | 0.66 | ||
Sum MFI class II | 12 082 ± 14 109 | 12 769 ± 13 777 | 0.81 | 8821 ± 9918 | 11 777 ± 13 362 | 0.31 | ||
Banff scores | g | 0 | 4 (6) | 5 (4) | 0.005 | 51 (77) | 3 (3) | <0.001 |
1 | 29 (44) | 33 (28) | 15 (23) | 38 (33) | ||||
2 | 26 (39) | 40 (35) | 0 | 48 (41) | ||||
3 | 7 (11) | 39 (34) | 0 | 28 (24) | ||||
ptc | 0 | 14 (21) | 16 (14) | 0.04 | 58 (88) | 13 (11) | <0.001 | |
1 | 37 (56) | 52 (44) | 8 (12) | 68 (58) | ||||
2 | 15 (23) | 44 (38) | 0 | 33 (28) | ||||
3 | 0 | 5 (4) | 0 | 3 (93) | ||||
Mean MVI (g+ptc) | 2.56 ± 0.89 | 3.29 ± 1.12 | <0.001 | 0.35 ± 0.48 | 3.08 ± 1.0 | <0.001 | ||
C4d | 0 | 57 (86) | 86 (74) | 0.15 | 62 (94) | 90 (77) | 0.01 | |
1 | 1 (2) | 2 (2) | 2 (3) | 3 (3) | ||||
2 | 3 (5) | 5 (4) | 0 | 6 (5) | ||||
3 | 5 (8) | 24 (21) | 2 (3) | 18 (15) | ||||
cg | 0 | 41 (65) | 48 (43) | 0.03 | 51 (77) | 52 (45) | <0.001 | |
1 | 11 (18) | 27 (24) | 6 (9) | 24 (21) | ||||
2 | 5 (8) | 21 (19) | 4 (6) | 21 (18) | ||||
3 | 6 (10) | 17 (15) | 5 (8) | 19 (16) | ||||
Mean sum chronicity scores(cg+cv+ct+cv) | 3.23 ± 2.20 | 4.12 ± 2.25 | 0.009 | 3.26 ± 2.09 | 4.12 ± 2.41 | 0.02 | ||
Treatment | IVIG | 63 (96) | 111 (95) | 0.86 | ||||
Steroids | 63 (96) | 111(96) | 0.86 | |||||
Rituximab | 30 (46) | 69 (59) | 0.08 | |||||
Plasmapheresis | 4 (6) | 3 (3) | 0.24 |
Bold values indicate statistically significant value with P <0.05.
cg, transplant glomerulopathy; ct, tubular atrophy; cv, fibrous intimal thickening; DSA, donor-specific antibody; g, glomerulitis; MFI, mean fluorescent intensity; MVI, microvascular inflammation; ptc, peritubular capillaritis.