TABLE 7.
References | Endpoint | Definition of PTCML | Findings | Level of evidence (grade) |
---|---|---|---|---|
Einecke et al. (84) | Graft loss | One PTC with ≥5 basement membrane layers | In non-selected transplant population, 1 PTC with ≥5 basement membrane layers predictive of graft loss in multivariate analysis (HR 1.98, p = 0.01) | Low |
Roufosse et al. (85) | TG | Numbers of PTC with ≥3 and ≥5 basement membrane layers | Risk of TG increases with increasing numbers of PTC with ≥3 and ≥5 basement membrane layers | Low + 1 (‘dose–response’ gradient) |
de Kort et al. (86) | Graft loss | Three PTC with ≥5 basement membrane layers | In patients with dnDSA, 3 PTC with ≥5 basement membrane layers associated with increased graft loss (p = 0.016) | Low |
de Kort et al. (86) | TG | Mean basement membrane layer count >2.5 | Mean PTCML count >2.5 associated with increased risk of TG (p = 0.001); progressors to >2.5 associated with more TG | Low |
Dobi et al. (48) | Graft loss | PTC circ score ≥3 | In patients with cAMR, PTC circ ≥3 predicts graft loss | Low |
AMR, antibody-mediated rejection; c, chronic; dn, de novo; DSA, donor-specific antibody; HLA, human leukocyte antigen; HR, hazard ratio; PTC, peritubular capillary; PTCML, peritubular capillary basement membrane multilayering; TG, transplant glomerulopathy.