Table 2 Characteristics of renal transplant recipients with and without disease progression of kidney allograft.
Characteristic | Non-progressor | Progressor | P Value |
---|---|---|---|
(nā=ā65) | (nā=ā31) | ||
Demographics | |||
āAge at biopsy (yr) | 49.7ā±ā11.3 | 50.4ā±ā13.5 | 0.784a |
āMen (n [%]) | 34 (52.3) | 13 (41.9) | 0.342b |
āDiabetes mellitus (n [%]) | 22 (33.8) | 7 (22.6) | 0.261b |
āSystolic BP (mmHg) | 137.2ā±ā21.9 | 137.0ā±ā16.2 | 0.967a |
āBody mass index, (kg/m2) | 23.8ā±ā3.7 | 23.2ā±ā4.9 | 0.443a |
āTiming of the biopsies, (months; median [interquartile range]) | 64.0 (2.6ā157.6) | 86.4 (23.2ā137.5) | 0.689d |
āTotal HLA mismatches | 3.1ā±ā1.4 | 2.7ā±ā1.2 | 0.138a |
āPRA class Iāā„ā10% (n [%]) | 9 (13.8) | 3 (9.7) | 0.746c |
āPRA class IIāā„ā10% (n [%]) | 10 (15.4) | 2 (6.5) | 0.326c |
āPrevious acute rejection (n [%]) | 14 (21.5) | 12 (38.7) | 0.077b |
āRecipient risk score (AāD, 4 grades) | 1.5ā±ā0.6 | 1.6ā±ā0.7 | 0.761a |
āDonor age (yr) | 31.6ā±ā10.8 | 30.3ā±ā8.9 | 0.564a |
āLive donor (n [%]) | 19 (29.2) | 9 (29.0) | 0.984b |
āCold ischemia time (hours) | 8.7ā±ā4.5 | 8.3ā±ā4.0 | 0.691a |
āDonor risk score (0ā39 points) | 7.8ā±ā6.2 | 7.6ā±ā5.9 | 0.897a |
āHigh DcR3 expression (n [%]) | 22 (33.8) | 22 (71.0) | 0.001b |
Laboratory data | |||
āSerum albumin (g/dL) | 3.8ā±ā0.5 | 3.4ā±ā0.6 | 0.001a |
āTotal cholesterol (mg/dL) | 198.5ā±ā43.8 | 195.7ā±ā64.9 | 0.808a |
āUrine protein (g/24āh; medianā[interquartile range]) | 0.46 (0.17ā0.93) | 1.49 (0.34ā3.40) | 0.004d |
āeGFR, MDRD (ml/min/1.73ām2) | 34.0ā±ā15.6 | 20.9ā±ā10.8 | <0.001a |
Histopathology of renal allograft biopsy | |||
āAcute rejection (n [%]) | 36 (55.4) | 17 (54.8) | 0.960b |
āTCMR | 24 (36.9) | 12 (38.7) | Ā |
āABMR | 8 (12.3) | 2 (6.4) | Ā |
āMixed TCMR and ABMR | 4 (6.2) | 3 (9.7) | Ā |
āBorderline rejection (n [%]) | 17 (26.1) | 7 (22.6) | 0.705b |
āCAMR and Transplant glomerulopathy (n [%]) | 12 (18.5) | 7 (22.6) | 0.646b |
āIF/TA (n [%]) | Ā | Ā | 0.006b |
ā0 | 20 (30.8) | 5 (16.1) | Ā |
ā<25% | 35 (53.8) | 11 (35.5) | Ā |
ā26ā50% | 6 (9.2) | 11 (35.5) | Ā |
ā>50% | 4 (6.2) | 4 (12.9) | Ā |
āCADI scores (0ā18 points) | 5.3ā±ā3.3 | 7.3ā±ā3.3 | 0.008a |
āBanff tubulitis score | 1.2ā±ā1.0 | 1.5ā±ā1.0 | 0.167a |
āBanff interstitial inflammation score | 1.5ā±ā0.9 | 1.8ā±ā1.0 | 0.173a |
āPeritubular capillaritis score (median [interquartile range])e | 0.0 (0.0ā1.0) | 0.0 (0.0ā1.0) | 0.225d |
āGlomerulitis score (median [interquartile range]) | 0.0 (0.0ā1.0) | 0.0 (0.0ā1.0) | 0.605d |
āC4d staining by IHC (C4d0 ā C4d3) (median [interquartile range])f | 0.0 (0.0ā2.0) | 0.0 (0.0ā2.0) | 0.561d |
āIntimal or transmural arteritis (median [mināmax]) | 0.0 (0.0ā2.0) | 0.0 (0.0ā3.0) | 0.055d |
Medications | |||
āACEI/ARB (n [%]) | 31 (47.7) | 12 (38.7) | 0.408b |
āImmunosuppression (n [%]) | Ā | Ā | 0.196b |
āCNIā+āMMF-based | 57 (87.7) | 24 (77.4) | Ā |
āCNIā+āmTOR inhibitor-based | 3 (4.6) | 2 (6.5) | Ā |
āmTOR inhibitor-based | 0 (0.0) | 2 (6.5) | Ā |
āOther | 5 (7.7) | 3 (9.5) | Ā |