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Published in: Respiratory Research 1/2016

Open Access 01-12-2016 | Review

Diagnostic value of plasma and bronchoalveolar lavage samples in acute lung allograft rejection: differential cytology

Authors: Nicole E. Speck, Macé M. Schuurmans, Christian Murer, Christian Benden, Lars C. Huber

Published in: Respiratory Research | Issue 1/2016

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Abstract

Diagnosis of acute lung allograft rejection is currently based on transbronchial lung biopsies. Additional methods to detect acute allograft dysfunction derived from plasma and bronchoalveolar lavage samples might facilitate diagnosis and ultimately improve allograft survival. This review article gives an overview of the cell profiles of bronchoalveolar lavage and plasma samples during acute lung allograft rejection. The value of these cells and changes within the pattern of differential cytology to support the diagnosis of acute lung allograft rejection is discussed. Current findings on the topic are highlighted and trends for future research are identified.
Literature
1.
2.
go back to reference Yusen RD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Goldfarb SB, Levvey BJ, Lund LH, Meiser B, Rossano JW, Stehlik J. The registry of the international society for heart and lung transplantation: thirty-second official adult lung and heart-lung transplantation report--2015; focus theme: early graft failure. J Heart Lung Transplant. 2015;34:1264–77.PubMedCrossRef Yusen RD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Goldfarb SB, Levvey BJ, Lund LH, Meiser B, Rossano JW, Stehlik J. The registry of the international society for heart and lung transplantation: thirty-second official adult lung and heart-lung transplantation report--2015; focus theme: early graft failure. J Heart Lung Transplant. 2015;34:1264–77.PubMedCrossRef
3.
go back to reference Orens JB, Garrity Jr ER. General overview of lung transplantation and review of organ allocation. Proc Am Thorac Soc. 2009;6:13–9.PubMedCrossRef Orens JB, Garrity Jr ER. General overview of lung transplantation and review of organ allocation. Proc Am Thorac Soc. 2009;6:13–9.PubMedCrossRef
4.
go back to reference Estenne M, Hertz MI. Bronchiolitis obliterans after human lung transplantation. Am J Respir Crit Care Med. 2002;166:440–4.PubMedCrossRef Estenne M, Hertz MI. Bronchiolitis obliterans after human lung transplantation. Am J Respir Crit Care Med. 2002;166:440–4.PubMedCrossRef
5.
go back to reference Yusen RD, Christie JD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Dobbels F, Kirk R, Lund LH, Rahmel AO, Stehlik J. The registry of the international society for heart and lung transplantation: thirtieth adult lung and heart-lung transplant report--2013; focus theme: age. J Heart Lung Transplant. 2013;32:965–78.PubMedCrossRef Yusen RD, Christie JD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Dobbels F, Kirk R, Lund LH, Rahmel AO, Stehlik J. The registry of the international society for heart and lung transplantation: thirtieth adult lung and heart-lung transplant report--2013; focus theme: age. J Heart Lung Transplant. 2013;32:965–78.PubMedCrossRef
6.
go back to reference Sharples LD, McNeil K, Stewart S, Wallwork J. Risk factors for bronchiolitis obliterans: a systematic review of recent publications. J Heart Lung Transplant. 2002;21:271–81.PubMedCrossRef Sharples LD, McNeil K, Stewart S, Wallwork J. Risk factors for bronchiolitis obliterans: a systematic review of recent publications. J Heart Lung Transplant. 2002;21:271–81.PubMedCrossRef
7.
go back to reference Khalifah AP, Hachem RR, Chakinala MM, Yusen RD, Aloush A, Patterson GA, Mohanakumar T, Trulock EP, Walter MJ. Minimal acute rejection after lung transplantation: a risk for bronchiolitis obliterans syndrome. Am J Transplant. 2005;5:2022–30.PubMedCrossRef Khalifah AP, Hachem RR, Chakinala MM, Yusen RD, Aloush A, Patterson GA, Mohanakumar T, Trulock EP, Walter MJ. Minimal acute rejection after lung transplantation: a risk for bronchiolitis obliterans syndrome. Am J Transplant. 2005;5:2022–30.PubMedCrossRef
8.
go back to reference Burton CM, Iversen M, Carlsen J, Mortensen J, Andersen CB, Steinbruchel D, Scheike T. Acute cellular rejection is a risk factor for bronchiolitis obliterans syndrome independent of post-transplant baseline FEV1. J Heart Lung Transplant. 2009;28:888–93.PubMedCrossRef Burton CM, Iversen M, Carlsen J, Mortensen J, Andersen CB, Steinbruchel D, Scheike T. Acute cellular rejection is a risk factor for bronchiolitis obliterans syndrome independent of post-transplant baseline FEV1. J Heart Lung Transplant. 2009;28:888–93.PubMedCrossRef
9.
go back to reference Stewart S, Fishbein MC, Snell GI, Berry GJ, Boehler A, Burke MM, Glanville A, Gould FK, Magro C, Marboe CC, et al. Revision of the 1996 working formulation for the standardization of nomenclature in the diagnosis of lung rejection. J Heart Lung Transplant. 2007;26:1229–42.PubMedCrossRef Stewart S, Fishbein MC, Snell GI, Berry GJ, Boehler A, Burke MM, Glanville A, Gould FK, Magro C, Marboe CC, et al. Revision of the 1996 working formulation for the standardization of nomenclature in the diagnosis of lung rejection. J Heart Lung Transplant. 2007;26:1229–42.PubMedCrossRef
10.
go back to reference Kukafka DS, O’Brien GM, Furukawa S, Criner GJ. Surveillance bronchoscopy in lung transplant recipients. Chest. 1997;111:377–81.PubMedCrossRef Kukafka DS, O’Brien GM, Furukawa S, Criner GJ. Surveillance bronchoscopy in lung transplant recipients. Chest. 1997;111:377–81.PubMedCrossRef
11.
go back to reference Diette GB, Wiener CM, White Jr P. The higher risk of bleeding in lung transplant recipients from bronchoscopy is independent of traditional bleeding risks: results of a prospective cohort study. Chest. 1999;115:397–402.PubMedCrossRef Diette GB, Wiener CM, White Jr P. The higher risk of bleeding in lung transplant recipients from bronchoscopy is independent of traditional bleeding risks: results of a prospective cohort study. Chest. 1999;115:397–402.PubMedCrossRef
12.
go back to reference Bhorade SM, Husain AN, Liao C, Li LC, Ahya VN, Baz MA, Valentine VG, Love RB, Seethamraju H, Alex CG, et al. Interobserver variability in grading transbronchial lung biopsy specimens after lung transplantation. Chest. 2013;143:1717–24.PubMedCrossRef Bhorade SM, Husain AN, Liao C, Li LC, Ahya VN, Baz MA, Valentine VG, Love RB, Seethamraju H, Alex CG, et al. Interobserver variability in grading transbronchial lung biopsy specimens after lung transplantation. Chest. 2013;143:1717–24.PubMedCrossRef
13.
go back to reference Arcasoy SM, Berry G, Marboe CC, Tazelaar HD, Zamora MR, Wolters HJ, Fang KC, Keshavjee S. Pathologic interpretation of transbronchial biopsy for acute rejection of lung allograft is highly variable. Am J Transplant. 2011;11:320–8.PubMedCrossRef Arcasoy SM, Berry G, Marboe CC, Tazelaar HD, Zamora MR, Wolters HJ, Fang KC, Keshavjee S. Pathologic interpretation of transbronchial biopsy for acute rejection of lung allograft is highly variable. Am J Transplant. 2011;11:320–8.PubMedCrossRef
14.
go back to reference De Hoyos A, Chamberlain D, Schvartzman R, Ramirez J, Kesten S, Winton TL, Maurer J. Prospective assessment of a standardized pathologic grading system for acute rejection in lung transplantation. Chest. 1993;103:1813–8.PubMedCrossRef De Hoyos A, Chamberlain D, Schvartzman R, Ramirez J, Kesten S, Winton TL, Maurer J. Prospective assessment of a standardized pathologic grading system for acute rejection in lung transplantation. Chest. 1993;103:1813–8.PubMedCrossRef
15.
go back to reference Penketh AR, Higenbottam TW, Hutter J, Coutts C, Stewart S, Wallwork J. Clinical experience in the management of pulmonary opportunist infection and rejection in recipients of heart-lung transplants. Thorax. 1988;43:762–9.PubMedPubMedCentralCrossRef Penketh AR, Higenbottam TW, Hutter J, Coutts C, Stewart S, Wallwork J. Clinical experience in the management of pulmonary opportunist infection and rejection in recipients of heart-lung transplants. Thorax. 1988;43:762–9.PubMedPubMedCentralCrossRef
16.
go back to reference Bewig B, Stewart S, Bottcher H, Bastian A, Tiroke A, Hirt S, Haverich A. Eosinophilic alveolitis in BAL after lung transplantation. Transpl Int. 1999;12:266–72.PubMedCrossRef Bewig B, Stewart S, Bottcher H, Bastian A, Tiroke A, Hirt S, Haverich A. Eosinophilic alveolitis in BAL after lung transplantation. Transpl Int. 1999;12:266–72.PubMedCrossRef
17.
go back to reference Tiroke AH, Bewig B, Haverich A. Bronchoalveolar lavage in lung transplantation. State of the art. Clin Transplant. 1999;13:131–57.PubMedCrossRef Tiroke AH, Bewig B, Haverich A. Bronchoalveolar lavage in lung transplantation. State of the art. Clin Transplant. 1999;13:131–57.PubMedCrossRef
18.
go back to reference Berastegui C, Roman J, Monforte V, Bravo C, Lopez-Meseguer M, Montero MA, Culebras M, Gomez-Olles S, Roman A. Biomarkers of pulmonary rejection. Transplant Proc. 2013;45:3163–9.PubMedCrossRef Berastegui C, Roman J, Monforte V, Bravo C, Lopez-Meseguer M, Montero MA, Culebras M, Gomez-Olles S, Roman A. Biomarkers of pulmonary rejection. Transplant Proc. 2013;45:3163–9.PubMedCrossRef
20.
go back to reference Ascher NL, Hoffman R, Hanto DW, Simmons RL. Cellular events within the rejecting allograft. Transplantation. 1983;35:193–7.PubMedCrossRef Ascher NL, Hoffman R, Hanto DW, Simmons RL. Cellular events within the rejecting allograft. Transplantation. 1983;35:193–7.PubMedCrossRef
21.
go back to reference Hunninghake GW, Gadek JE, Kawanami O, Ferrans VJ, Crystal RG. Inflammatory and immune processes in the human lung in health and disease: evaluation by bronchoalveolar lavage. Am J Pathol. 1979;97:149–206.PubMedPubMedCentral Hunninghake GW, Gadek JE, Kawanami O, Ferrans VJ, Crystal RG. Inflammatory and immune processes in the human lung in health and disease: evaluation by bronchoalveolar lavage. Am J Pathol. 1979;97:149–206.PubMedPubMedCentral
22.
go back to reference Abramson MJ, Stone CA, Holmes PW, Tai EH. The role of bronchoalveolar lavage in the diagnosis of suspected opportunistic pneumonia. Aust N Z J Med. 1987;17:407–12.PubMedCrossRef Abramson MJ, Stone CA, Holmes PW, Tai EH. The role of bronchoalveolar lavage in the diagnosis of suspected opportunistic pneumonia. Aust N Z J Med. 1987;17:407–12.PubMedCrossRef
23.
go back to reference Achterrath U, Blumcke S, Koerner SK, Yipintsoi T, Siegelman SS, Chandler P, Hagstrom JW, Torres M, Cobbah JE, Fujii P, Veith FJ. Alveolar lavage cytology in transplanted lungs. I. Staining methods and findings in dogs with autografts and allografts without immunosuppression. J Thorac Cardiovasc Surg. 1975;69:510–20.PubMed Achterrath U, Blumcke S, Koerner SK, Yipintsoi T, Siegelman SS, Chandler P, Hagstrom JW, Torres M, Cobbah JE, Fujii P, Veith FJ. Alveolar lavage cytology in transplanted lungs. I. Staining methods and findings in dogs with autografts and allografts without immunosuppression. J Thorac Cardiovasc Surg. 1975;69:510–20.PubMed
24.
go back to reference Verleden SE, Ruttens D, Vandermeulen E, van Raemdonck DE, Vanaudenaerde BM, Verleden GM, Vos R. Elevated bronchoalveolar lavage eosinophilia correlates with poor outcome after lung transplantation. Transplantation. 2014;97:83–9.PubMedCrossRef Verleden SE, Ruttens D, Vandermeulen E, van Raemdonck DE, Vanaudenaerde BM, Verleden GM, Vos R. Elevated bronchoalveolar lavage eosinophilia correlates with poor outcome after lung transplantation. Transplantation. 2014;97:83–9.PubMedCrossRef
25.
go back to reference Greenland JR, Jewell NP, Gottschall M, Trivedi NN, Kukreja J, Hays SR, Singer JP, Golden JA, Caughey GH. Bronchoalveolar lavage cell immunophenotyping facilitates diagnosis of lung allograft rejection. Am J Transplant. 2014;14:831–40.PubMedPubMedCentralCrossRef Greenland JR, Jewell NP, Gottschall M, Trivedi NN, Kukreja J, Hays SR, Singer JP, Golden JA, Caughey GH. Bronchoalveolar lavage cell immunophenotyping facilitates diagnosis of lung allograft rejection. Am J Transplant. 2014;14:831–40.PubMedPubMedCentralCrossRef
26.
go back to reference Stephens SEE, Chatterjee AB, Bellinger CM. The “right” way to perform bronchoalveolar lavage. Clin Pulm Med. 2015;22:3.CrossRef Stephens SEE, Chatterjee AB, Bellinger CM. The “right” way to perform bronchoalveolar lavage. Clin Pulm Med. 2015;22:3.CrossRef
27.
go back to reference Reynaud-Gaubert M, Thomas P, Gregoire R, Badier M, Cau P, Sampol J, Giudicelli R, Fuentes P. Clinical utility of bronchoalveolar lavage cell phenotype analyses in the postoperative monitoring of lung transplant recipients. Eur J Cardiothorac Surg. 2002;21:60–6.PubMedCrossRef Reynaud-Gaubert M, Thomas P, Gregoire R, Badier M, Cau P, Sampol J, Giudicelli R, Fuentes P. Clinical utility of bronchoalveolar lavage cell phenotype analyses in the postoperative monitoring of lung transplant recipients. Eur J Cardiothorac Surg. 2002;21:60–6.PubMedCrossRef
28.
go back to reference Zeglen S, Laszewska A, Wojarski J, Wozniak-Grygiel E, Zakliczynski M, Ochman M, Wilczek P, Karolak W, Nozynski J, Zembala M. Lymphocyte subtypes CD3+, CD19+, CD16 + CD56+, CD4+, CD8+, and CD3 + HLA-DR+ in peripheral blood obtained from patients after thoracic organ transplantation. In: ransplant Proc. United States: Elsevier Inc; 2011. p. 3055–7. Zeglen S, Laszewska A, Wojarski J, Wozniak-Grygiel E, Zakliczynski M, Ochman M, Wilczek P, Karolak W, Nozynski J, Zembala M. Lymphocyte subtypes CD3+, CD19+, CD16 + CD56+, CD4+, CD8+, and CD3 + HLA-DR+ in peripheral blood obtained from patients after thoracic organ transplantation. In: ransplant Proc. United States: Elsevier Inc; 2011. p. 3055–7.
29.
go back to reference Greenland JR, Wong CM, Ahuja R, Gottschall M, Trivedi NN, Kukreja J, Hays SR, Singer JP, Golden JA, Tang Q, Caughey GH. CD25+ regulatory T cells in bronchoalveolar lavage fluid are associated with lung allograft rejection. J Heart Lung Transplant. 2014;33:S300.CrossRef Greenland JR, Wong CM, Ahuja R, Gottschall M, Trivedi NN, Kukreja J, Hays SR, Singer JP, Golden JA, Tang Q, Caughey GH. CD25+ regulatory T cells in bronchoalveolar lavage fluid are associated with lung allograft rejection. J Heart Lung Transplant. 2014;33:S300.CrossRef
30.
go back to reference Neujahr DC, Cardona AC, Ulukpo O, Rigby M, Pelaez A, Ramirez A, Gal AA, Force SD, Lawrence EC, Kirk AD, Larsen CP. Dynamics of human regulatory T cells in lung lavages of lung transplant recipients. Transplantation. 2009;88:521–7. United States.PubMedPubMedCentralCrossRef Neujahr DC, Cardona AC, Ulukpo O, Rigby M, Pelaez A, Ramirez A, Gal AA, Force SD, Lawrence EC, Kirk AD, Larsen CP. Dynamics of human regulatory T cells in lung lavages of lung transplant recipients. Transplantation. 2009;88:521–7. United States.PubMedPubMedCentralCrossRef
31.
go back to reference Nauseef WM. How human neutrophils kill and degrade microbes: an integrated view. Immunol Rev. 2007;219:88–102.PubMedCrossRef Nauseef WM. How human neutrophils kill and degrade microbes: an integrated view. Immunol Rev. 2007;219:88–102.PubMedCrossRef
32.
go back to reference Vanaudenaerde BM, Dupont LJ, Wuyts WA, Verbeken EK, Meyts I, Bullens DM, Dilissen E, Luyts L, Van Raemdonck DE, Verleden GM. The role of interleukin-17 during acute rejection after lung transplantation. Eur Respir J. 2006;27:779–87.PubMedCrossRef Vanaudenaerde BM, Dupont LJ, Wuyts WA, Verbeken EK, Meyts I, Bullens DM, Dilissen E, Luyts L, Van Raemdonck DE, Verleden GM. The role of interleukin-17 during acute rejection after lung transplantation. Eur Respir J. 2006;27:779–87.PubMedCrossRef
33.
go back to reference Narasaraju T, Yang E, Samy RP, Ng HH, Poh WP, Liew AA, Phoon MC, van Rooijen N, Chow VT. Excessive neutrophils and neutrophil extracellular traps contribute to acute lung injury of influenza pneumonitis. Am J Pathol. 2011;179:199–210.PubMedPubMedCentralCrossRef Narasaraju T, Yang E, Samy RP, Ng HH, Poh WP, Liew AA, Phoon MC, van Rooijen N, Chow VT. Excessive neutrophils and neutrophil extracellular traps contribute to acute lung injury of influenza pneumonitis. Am J Pathol. 2011;179:199–210.PubMedPubMedCentralCrossRef
34.
go back to reference Lukens MV, van de Pol AC, Coenjaerts FE, Jansen NJ, Kamp VM, Kimpen JL, Rossen JW, Ulfman LH, Tacke CE, Viveen MC, et al. A systemic neutrophil response precedes robust CD8(+) T-cell activation during natural respiratory syncytial virus infection in infants. J Virol. 2010;84:2374–83.PubMedCrossRef Lukens MV, van de Pol AC, Coenjaerts FE, Jansen NJ, Kamp VM, Kimpen JL, Rossen JW, Ulfman LH, Tacke CE, Viveen MC, et al. A systemic neutrophil response precedes robust CD8(+) T-cell activation during natural respiratory syncytial virus infection in infants. J Virol. 2010;84:2374–83.PubMedCrossRef
35.
go back to reference Verleden SE, Vandermeulen E, Ruttens D, Vos R, Vaneylen A, Dupont LJ, Van Raemdonck DE, Vanaudenaerde BM, Verleden GM. Neutrophilic reversible allograft dysfunction (NRAD) and restrictive allograft syndrome (RAS). Semin Respir Crit Care Med. 2013;34:352–60.PubMedCrossRef Verleden SE, Vandermeulen E, Ruttens D, Vos R, Vaneylen A, Dupont LJ, Van Raemdonck DE, Vanaudenaerde BM, Verleden GM. Neutrophilic reversible allograft dysfunction (NRAD) and restrictive allograft syndrome (RAS). Semin Respir Crit Care Med. 2013;34:352–60.PubMedCrossRef
36.
go back to reference Corris PA, Ryan VA, Small T, Lordan J, Fisher AJ, Meachery G, Johnson G, Ward C. A randomised controlled trial of azithromycin therapy in bronchiolitis obliterans syndrome (BOS) post lung transplantation. Thorax. 2015;70:442–50.PubMedPubMedCentralCrossRef Corris PA, Ryan VA, Small T, Lordan J, Fisher AJ, Meachery G, Johnson G, Ward C. A randomised controlled trial of azithromycin therapy in bronchiolitis obliterans syndrome (BOS) post lung transplantation. Thorax. 2015;70:442–50.PubMedPubMedCentralCrossRef
37.
go back to reference Tikkanen J, Lemstrom K, Halme M, Pakkala S, Taskinen E, Koskinen P. Cytological monitoring of peripheral blood, bronchoalveolar lavage fluid, and transbronchial biopsy specimens during acute rejection and cytomegalovirus infection in lung and heart--lung allograft recipients. Clin Transplant. 2001;15:77–88.PubMedCrossRef Tikkanen J, Lemstrom K, Halme M, Pakkala S, Taskinen E, Koskinen P. Cytological monitoring of peripheral blood, bronchoalveolar lavage fluid, and transbronchial biopsy specimens during acute rejection and cytomegalovirus infection in lung and heart--lung allograft recipients. Clin Transplant. 2001;15:77–88.PubMedCrossRef
38.
go back to reference Tikkanen J, Lemstrom K, Halme M, Pakkala S, Taskinen E, Koskinen P. Detailed analysis of cell profiles in peripheral blood, bronchoalveolar lavage fluid, and transbronchial biopsy specimens during acute rejection and CMV infection in lung and heart-lung allograft recipients. Transplant Proc. 1999;31:163–4.PubMedCrossRef Tikkanen J, Lemstrom K, Halme M, Pakkala S, Taskinen E, Koskinen P. Detailed analysis of cell profiles in peripheral blood, bronchoalveolar lavage fluid, and transbronchial biopsy specimens during acute rejection and CMV infection in lung and heart-lung allograft recipients. Transplant Proc. 1999;31:163–4.PubMedCrossRef
39.
go back to reference Zeevi A, Rabinowich H, Paradis I, Gryzan S, Dauber JH, Hardesty RL, Kormos B, Griffith B, Duquesnoy RJ. Lymphocyte activation in bronchoalveolar lavages from heart-lung transplant recipients. Transplant Proc. 1988;20:189–92.PubMed Zeevi A, Rabinowich H, Paradis I, Gryzan S, Dauber JH, Hardesty RL, Kormos B, Griffith B, Duquesnoy RJ. Lymphocyte activation in bronchoalveolar lavages from heart-lung transplant recipients. Transplant Proc. 1988;20:189–92.PubMed
40.
go back to reference Shennib H, Lee AGL, Serrick C, Giaid A. Altered nonspecific lymphocyte cytotoxicity in bronchoalveolar lavage of lung transplant recipients - Can it be useful in monitoring rejection or infection? Transplantation. 1996;62:1262–7.PubMedCrossRef Shennib H, Lee AGL, Serrick C, Giaid A. Altered nonspecific lymphocyte cytotoxicity in bronchoalveolar lavage of lung transplant recipients - Can it be useful in monitoring rejection or infection? Transplantation. 1996;62:1262–7.PubMedCrossRef
41.
go back to reference Vos R, Vanaudenaerde BM, Verleden SE, De Vleeschauwer SI, Willems-Widyastuti A, Van Raemdonck DE, Dupont LJ, Nawrot TS, Verbeken EK, Verleden GM . Bronchoalveolar lavage neutrophilia in acute lung allograft rejection and lymphocytic bronchiolitis. J Heart Lung Transplant. 2010;29:1259–69.PubMedCrossRef Vos R, Vanaudenaerde BM, Verleden SE, De Vleeschauwer SI, Willems-Widyastuti A, Van Raemdonck DE, Dupont LJ, Nawrot TS, Verbeken EK, Verleden GM . Bronchoalveolar lavage neutrophilia in acute lung allograft rejection and lymphocytic bronchiolitis. J Heart Lung Transplant. 2010;29:1259–69.PubMedCrossRef
42.
go back to reference Laan M, Linden A, Riise GC. IL-16 in the airways of lung allograft recipients with acute rejection or obliterative bronchiolitis. Clin Exp Immunol. 2003;133:290–6.PubMedPubMedCentralCrossRef Laan M, Linden A, Riise GC. IL-16 in the airways of lung allograft recipients with acute rejection or obliterative bronchiolitis. Clin Exp Immunol. 2003;133:290–6.PubMedPubMedCentralCrossRef
43.
go back to reference Riise GC, Schersten H, Nilsson F, Ryd W, Andersson BA. Activation of eosinophils and fibroblasts assessed by eosinophil cationic protein and hyaluronan in BAL. Association with acute rejection in lung transplant recipients. Chest. 1996;110:89–96.PubMedCrossRef Riise GC, Schersten H, Nilsson F, Ryd W, Andersson BA. Activation of eosinophils and fibroblasts assessed by eosinophil cationic protein and hyaluronan in BAL. Association with acute rejection in lung transplant recipients. Chest. 1996;110:89–96.PubMedCrossRef
44.
go back to reference Patil J, Lande JD, Li N, Berryman TR, King RA, Hertz MI. Bronchoalveolar lavage cell gene expression in acute lung rejection: development of a diagnostic classifier. Transplantation. 2008;85:224–31.PubMedCrossRef Patil J, Lande JD, Li N, Berryman TR, King RA, Hertz MI. Bronchoalveolar lavage cell gene expression in acute lung rejection: development of a diagnostic classifier. Transplantation. 2008;85:224–31.PubMedCrossRef
45.
go back to reference Trull A, Steel L, Cornelissen J, Smith T, Sharples L, Cary N, Stewart S, Large S, Wallwork J. Association between blood eosinophil counts and acute cardiac and pulmonary allograft rejection. J Heart Lung Transplant. 1998;17:517–24.PubMed Trull A, Steel L, Cornelissen J, Smith T, Sharples L, Cary N, Stewart S, Large S, Wallwork J. Association between blood eosinophil counts and acute cardiac and pulmonary allograft rejection. J Heart Lung Transplant. 1998;17:517–24.PubMed
46.
go back to reference King-Biggs MB. Acute pulmonary allograft rejection. Mechanisms, diagnosis, and management. Clin Chest Med. 1997;18:301–10.PubMedCrossRef King-Biggs MB. Acute pulmonary allograft rejection. Mechanisms, diagnosis, and management. Clin Chest Med. 1997;18:301–10.PubMedCrossRef
47.
go back to reference Yagyu K, Steinhoff G, Schafers HJ, Dammenhayn L, Haverich A, Borst HG. Comparison of mononuclear cell subpopulations in bronchoalveolar lavage fluid in acute rejection after lung transplantation and mycoplasma infection in rats. J Heart Transplant. 1990;9:516–24. discussion 524–515.PubMed Yagyu K, Steinhoff G, Schafers HJ, Dammenhayn L, Haverich A, Borst HG. Comparison of mononuclear cell subpopulations in bronchoalveolar lavage fluid in acute rejection after lung transplantation and mycoplasma infection in rats. J Heart Transplant. 1990;9:516–24. discussion 524–515.PubMed
48.
go back to reference Prop J, Wagenaar-Hilbers JP, Petersen AH, Wildevuur CR. Characteristics of cells lavaged from rejecting lung allografts in rats. Transplant Proc. 1988;20:217–8.PubMed Prop J, Wagenaar-Hilbers JP, Petersen AH, Wildevuur CR. Characteristics of cells lavaged from rejecting lung allografts in rats. Transplant Proc. 1988;20:217–8.PubMed
49.
go back to reference Nguyen DM, Mulder DS, Shennib H. Lectin-dependent cell-mediated cytotoxicity and natural killer function in rejecting and infected lung allografts. Transplantation. 1993;55:1250–6.PubMedCrossRef Nguyen DM, Mulder DS, Shennib H. Lectin-dependent cell-mediated cytotoxicity and natural killer function in rejecting and infected lung allografts. Transplantation. 1993;55:1250–6.PubMedCrossRef
50.
go back to reference Clelland C, Higenbottam T, Stewart S, Otulana B, Wreghitt T, Gray J, Scott J, Wallwork J. Bronchoalveolar lavage and transbronchial lung biopsy during acute rejection and infection in heart-lung transplant patients. Studies of cell counts, lymphocyte phenotypes, and expression of HLA-DR and interleukin-2 receptor. Am Rev Respir Dis. 1993;147:1386–92.PubMedCrossRef Clelland C, Higenbottam T, Stewart S, Otulana B, Wreghitt T, Gray J, Scott J, Wallwork J. Bronchoalveolar lavage and transbronchial lung biopsy during acute rejection and infection in heart-lung transplant patients. Studies of cell counts, lymphocyte phenotypes, and expression of HLA-DR and interleukin-2 receptor. Am Rev Respir Dis. 1993;147:1386–92.PubMedCrossRef
51.
go back to reference Slebos DJ, Postma DS, Koeter GH, Van Der Bij W, Boezen M, Kauffman HF. Bronchoalveolar lavage fluid characteristics in acute and chronic lung transplant rejection. J Heart Lung Transplant. 2004;23:532–40.PubMedCrossRef Slebos DJ, Postma DS, Koeter GH, Van Der Bij W, Boezen M, Kauffman HF. Bronchoalveolar lavage fluid characteristics in acute and chronic lung transplant rejection. J Heart Lung Transplant. 2004;23:532–40.PubMedCrossRef
53.
go back to reference Allen JN, Davis WB, Pacht ER. Diagnostic significance of increased bronchoalveolar lavage fluid eosinophils. Am Rev Respir Dis. 1990;142:642–7.PubMedCrossRef Allen JN, Davis WB, Pacht ER. Diagnostic significance of increased bronchoalveolar lavage fluid eosinophils. Am Rev Respir Dis. 1990;142:642–7.PubMedCrossRef
54.
go back to reference Fick Jr RB, Richerson HB, Zavala DC, Hunninghake GW. Bronchoalveolar lavage in allergic asthmatics. Am Rev Respir Dis. 1987;135:1204–9.PubMed Fick Jr RB, Richerson HB, Zavala DC, Hunninghake GW. Bronchoalveolar lavage in allergic asthmatics. Am Rev Respir Dis. 1987;135:1204–9.PubMed
55.
go back to reference Peterson MW, Monick M, Hunninghake GW. Prognostic role of eosinophils in pulmonary fibrosis. Chest. 1987;92:51–6.PubMedCrossRef Peterson MW, Monick M, Hunninghake GW. Prognostic role of eosinophils in pulmonary fibrosis. Chest. 1987;92:51–6.PubMedCrossRef
56.
go back to reference Churg J, Strauss L. Allergic granulomatosis, allergic angiitis, and periarteritis nodosa. Am J Pathol. 1951;27:277–301.PubMedPubMedCentral Churg J, Strauss L. Allergic granulomatosis, allergic angiitis, and periarteritis nodosa. Am J Pathol. 1951;27:277–301.PubMedPubMedCentral
57.
go back to reference Venge P, Dahl R, Fredens K, Peterson CG. Epithelial injury by human eosinophils. Am Rev Respir Dis. 1988;138:S54–57.PubMedCrossRef Venge P, Dahl R, Fredens K, Peterson CG. Epithelial injury by human eosinophils. Am Rev Respir Dis. 1988;138:S54–57.PubMedCrossRef
58.
go back to reference Bousquet J, Chanez P, Lacoste JY, Barneon G, Ghavanian N, Enander I, Venge P, Ahlstedt S, Simony-Lafontaine J, Godard P, et al. Eosinophilic inflammation in asthma. N Engl J Med. 1990;323:1033–9.PubMedCrossRef Bousquet J, Chanez P, Lacoste JY, Barneon G, Ghavanian N, Enander I, Venge P, Ahlstedt S, Simony-Lafontaine J, Godard P, et al. Eosinophilic inflammation in asthma. N Engl J Med. 1990;323:1033–9.PubMedCrossRef
59.
go back to reference Kondo T, Wu GD, Saito R, Marchevsky AM, Prehn J, Matloff JM, Waters PF, Jordan SC. Immunocytologic analysis of cells obtained from bronchoalveolar lavage in a model of rat lung allograft rejection. J Surg Res. 1993;55:351–6.PubMedCrossRef Kondo T, Wu GD, Saito R, Marchevsky AM, Prehn J, Matloff JM, Waters PF, Jordan SC. Immunocytologic analysis of cells obtained from bronchoalveolar lavage in a model of rat lung allograft rejection. J Surg Res. 1993;55:351–6.PubMedCrossRef
60.
go back to reference Lautenschlager I, Vonwillebrand E, Hayry P. Blood eosinophilia, steroids, and rejection. Transplantation. 1985;40:354–7.PubMedCrossRef Lautenschlager I, Vonwillebrand E, Hayry P. Blood eosinophilia, steroids, and rejection. Transplantation. 1985;40:354–7.PubMedCrossRef
61.
go back to reference Almirall J, Campistol JM, Sole M, Andreu J, Revert L. Blood and graft eosinophilia as a rejection index in kidney transplant. Nephron. 1993;65:304–9.PubMedCrossRef Almirall J, Campistol JM, Sole M, Andreu J, Revert L. Blood and graft eosinophilia as a rejection index in kidney transplant. Nephron. 1993;65:304–9.PubMedCrossRef
62.
go back to reference de Groen PC, Kephart GM, Gleich GJ, Ludwig J. The eosinophil as an effector cell of the immune-response during hepatic allograft-rejection. Hepatology. 1994;20:654–62.PubMedCrossRef de Groen PC, Kephart GM, Gleich GJ, Ludwig J. The eosinophil as an effector cell of the immune-response during hepatic allograft-rejection. Hepatology. 1994;20:654–62.PubMedCrossRef
63.
go back to reference Endoh M, Kawauchi M, Oka T, Nakajima J, Takeda M, Ono M, Ming-Chung L, Takamoto S. Significance of eosinophil infiltration in cardiac rejection. Transplant Proc. 1998;30:3350–0.PubMedCrossRef Endoh M, Kawauchi M, Oka T, Nakajima J, Takeda M, Ono M, Ming-Chung L, Takamoto S. Significance of eosinophil infiltration in cardiac rejection. Transplant Proc. 1998;30:3350–0.PubMedCrossRef
64.
go back to reference Slebos DJ, Scholma J, Boezen HM, Koeter GH, van der Bij W, Postma DS, Kauffman HF. Longitudinal profile of bronchoalveolar lavage cell characteristics in patients with a good outcome after lung transplantation. Am J Respir Crit Care Med. 2002;165:501–7.PubMedCrossRef Slebos DJ, Scholma J, Boezen HM, Koeter GH, van der Bij W, Postma DS, Kauffman HF. Longitudinal profile of bronchoalveolar lavage cell characteristics in patients with a good outcome after lung transplantation. Am J Respir Crit Care Med. 2002;165:501–7.PubMedCrossRef
65.
go back to reference Dosanjh AK, Elashoff D, Kawalek A, Moss RB, Esrig S. Activation of eosinophils in the airways of lung transplantation patients. Chest. 1997;112:1180–3.PubMedCrossRef Dosanjh AK, Elashoff D, Kawalek A, Moss RB, Esrig S. Activation of eosinophils in the airways of lung transplantation patients. Chest. 1997;112:1180–3.PubMedCrossRef
66.
go back to reference Riise GC, Kjellstrom C, Ryd W, Schersten H, Nilsson F, Martensson G, Andersson BA. Inflammatory cells and activation markers in BAL during acute rejection and infection in lung transplant recipients: a prospective, longitudinal study. Eur Respir J. 1997;10:1742–6.PubMedCrossRef Riise GC, Kjellstrom C, Ryd W, Schersten H, Nilsson F, Martensson G, Andersson BA. Inflammatory cells and activation markers in BAL during acute rejection and infection in lung transplant recipients: a prospective, longitudinal study. Eur Respir J. 1997;10:1742–6.PubMedCrossRef
68.
go back to reference Mogayzel PJ, Yang SC, Wise BV, Colombani PM. Eosinophilic infiltrates in a pulmonary allograft: a case and review of the literature. J Heart Lung Transplant. 2001;20:692–5.PubMedCrossRef Mogayzel PJ, Yang SC, Wise BV, Colombani PM. Eosinophilic infiltrates in a pulmonary allograft: a case and review of the literature. J Heart Lung Transplant. 2001;20:692–5.PubMedCrossRef
69.
go back to reference Riise GC, Williams A, Kjellstrom C, Schersten H, Andersson BA, Kelly FJ. Bronchiolitis obliterans syndrome in lung transplant recipients is associated with increased neutrophil activity and decreased antioxidant status in the lung. Eur Respir J. 1998;12:82–8.PubMedCrossRef Riise GC, Williams A, Kjellstrom C, Schersten H, Andersson BA, Kelly FJ. Bronchiolitis obliterans syndrome in lung transplant recipients is associated with increased neutrophil activity and decreased antioxidant status in the lung. Eur Respir J. 1998;12:82–8.PubMedCrossRef
70.
go back to reference Hohlfeld JM, Tiryaki E, Hamm H, Hoymann HG, Krug N, Haverich A, Fabel H. Pulmonary surfactant activity is impaired in lung transplant recipients. Am J Respir Crit Care Med. 1998;158:706–12.PubMedCrossRef Hohlfeld JM, Tiryaki E, Hamm H, Hoymann HG, Krug N, Haverich A, Fabel H. Pulmonary surfactant activity is impaired in lung transplant recipients. Am J Respir Crit Care Med. 1998;158:706–12.PubMedCrossRef
71.
go back to reference Thomson PD, Meyers KE. Eosinophilia as an early predictor of acute cellular rejection in pediatric renal transplants. Transplant Proc. 1994;26:69–71.PubMed Thomson PD, Meyers KE. Eosinophilia as an early predictor of acute cellular rejection in pediatric renal transplants. Transplant Proc. 1994;26:69–71.PubMed
72.
go back to reference Wang JM, Rambaldi A, Biondi A, Chen ZG, Sanderson CJ, Mantovani A. Recombinant human interleukin-5 is a selective activator of human eosinophil function. Eur J Immunol. 1989;19:701–705.PubMedCrossRef Wang JM, Rambaldi A, Biondi A, Chen ZG, Sanderson CJ, Mantovani A. Recombinant human interleukin-5 is a selective activator of human eosinophil function. Eur J Immunol. 1989;19:701–705.PubMedCrossRef
73.
go back to reference Clelland CA, Higenbottam TW, Stewart S, Scott JP, Wallwork J. The histological changes in transbronchial biopsy after treatment of acute lung rejection in heart-lung transplants. J Pathol. 1990;161:105–12.PubMedCrossRef Clelland CA, Higenbottam TW, Stewart S, Scott JP, Wallwork J. The histological changes in transbronchial biopsy after treatment of acute lung rejection in heart-lung transplants. J Pathol. 1990;161:105–12.PubMedCrossRef
74.
go back to reference Borriello F, Granata F, Marone G. Basophils and skin disorders. J Invest Dermatol. 2014;134:1202–10.PubMedCrossRef Borriello F, Granata F, Marone G. Basophils and skin disorders. J Invest Dermatol. 2014;134:1202–10.PubMedCrossRef
76.
go back to reference Marone G, Borriello F, Varricchi G, Genovese A, Granata F. Basophils: historical reflections and perspectives. Chem Immunol Allergy. 2014;100:172–92.PubMedCrossRef Marone G, Borriello F, Varricchi G, Genovese A, Granata F. Basophils: historical reflections and perspectives. Chem Immunol Allergy. 2014;100:172–92.PubMedCrossRef
77.
go back to reference Neujahr DC. Assessing the cells in the lung lavage: An untapped resource in lung transplant monitoring. Am J Transplant. 2014;14:748–9.PubMedCrossRef Neujahr DC. Assessing the cells in the lung lavage: An untapped resource in lung transplant monitoring. Am J Transplant. 2014;14:748–9.PubMedCrossRef
78.
go back to reference Speich R. Bronchoalveoläre Lavage. Manuale pneumologicum. 1998;2:28. Speich R. Bronchoalveoläre Lavage. Manuale pneumologicum. 1998;2:28.
79.
go back to reference Vivier E, Raulet DH, Moretta A, Caligiuri MA, Zitvogel L, Lanier LL, Yokoyama WM, Ugolini S. Innate or adaptive immunity? The example of natural killer cells. Science. 2011;331:44–9.PubMedPubMedCentralCrossRef Vivier E, Raulet DH, Moretta A, Caligiuri MA, Zitvogel L, Lanier LL, Yokoyama WM, Ugolini S. Innate or adaptive immunity? The example of natural killer cells. Science. 2011;331:44–9.PubMedPubMedCentralCrossRef
80.
go back to reference Moretta A. Natural killer cells and dendritic cells: rendezvous in abused tissues. Nat Rev Immunol. 2002;2:957–64.PubMedCrossRef Moretta A. Natural killer cells and dendritic cells: rendezvous in abused tissues. Nat Rev Immunol. 2002;2:957–64.PubMedCrossRef
81.
go back to reference Shi FD, Van Kaer L. Reciprocal regulation between natural killer cells and autoreactive T cells. Nat Rev Immunol. 2006;6:751–60.PubMedCrossRef Shi FD, Van Kaer L. Reciprocal regulation between natural killer cells and autoreactive T cells. Nat Rev Immunol. 2006;6:751–60.PubMedCrossRef
82.
go back to reference Degli-Esposti MA, Smyth MJ. Close encounters of different kinds: dendritic cells and NK cells take centre stage. Nat Rev Immunol. 2005;5:112–24.PubMedCrossRef Degli-Esposti MA, Smyth MJ. Close encounters of different kinds: dendritic cells and NK cells take centre stage. Nat Rev Immunol. 2005;5:112–24.PubMedCrossRef
83.
go back to reference Jungraithmayr W, Codarri L, Bouchaud G, Krieg C, Boyman O, Gyulveszi G, Becher B, Weder W, Munz C. Cytokine complex-expanded natural killer cells improve allogeneic lung transplant function via depletion of donor dendritic cells. Am J Respir Crit Care Med. 2013;187:1349–59.PubMedPubMedCentralCrossRef Jungraithmayr W, Codarri L, Bouchaud G, Krieg C, Boyman O, Gyulveszi G, Becher B, Weder W, Munz C. Cytokine complex-expanded natural killer cells improve allogeneic lung transplant function via depletion of donor dendritic cells. Am J Respir Crit Care Med. 2013;187:1349–59.PubMedPubMedCentralCrossRef
84.
go back to reference Strowig T, Brilot F, Munz C. Noncytotoxic functions of NK cells: direct pathogen restriction and assistance to adaptive immunity. J Immunol. 2008;180:7785–91.PubMedPubMedCentralCrossRef Strowig T, Brilot F, Munz C. Noncytotoxic functions of NK cells: direct pathogen restriction and assistance to adaptive immunity. J Immunol. 2008;180:7785–91.PubMedPubMedCentralCrossRef
85.
go back to reference Gregson AL, Hoji A, Saggar R, Ross DJ, Kubak BM, Jamieson BD, Weigt SS, Lynch JP, 3rd, Ardehali A, Belperio JA, Yang OO. Bronchoalveolar immunologic profile of acute human lung transplant allograft rejection. Transplantation. 2008;85:1056–9.PubMedPubMedCentralCrossRef Gregson AL, Hoji A, Saggar R, Ross DJ, Kubak BM, Jamieson BD, Weigt SS, Lynch JP, 3rd, Ardehali A, Belperio JA, Yang OO. Bronchoalveolar immunologic profile of acute human lung transplant allograft rejection. Transplantation. 2008;85:1056–9.PubMedPubMedCentralCrossRef
86.
go back to reference Meehan AC, Sullivan LC, Mifsud NA, Brooks AG, Snell GI, Kotsimbos TC, Westall GP. Natural killer cell activation in the lung allograft early posttransplantation. Transplantation. 2010;89:756–63.PubMedCrossRef Meehan AC, Sullivan LC, Mifsud NA, Brooks AG, Snell GI, Kotsimbos TC, Westall GP. Natural killer cell activation in the lung allograft early posttransplantation. Transplantation. 2010;89:756–63.PubMedCrossRef
87.
go back to reference Kunert K, Seiler M, Mashreghi MF, Klippert K, Schonemann C, Neumann K, Pratschke J, Reinke P, Volk HD, Kotsch K. KIR/HLA ligand incompatibility in kidney transplantation. Transplantation. 2007;84:1527–33.PubMedCrossRef Kunert K, Seiler M, Mashreghi MF, Klippert K, Schonemann C, Neumann K, Pratschke J, Reinke P, Volk HD, Kotsch K. KIR/HLA ligand incompatibility in kidney transplantation. Transplantation. 2007;84:1527–33.PubMedCrossRef
88.
go back to reference Vampa ML, Norman PJ, Burnapp L, Vaughan RW, Sacks SH, Wong W. Natural killer-cell activity after human renal transplantation in relation to killer immunoglobulin-like receptors and human leukocyte antigen mismatch. Transplantation. 2003;76:1220–8.PubMedCrossRef Vampa ML, Norman PJ, Burnapp L, Vaughan RW, Sacks SH, Wong W. Natural killer-cell activity after human renal transplantation in relation to killer immunoglobulin-like receptors and human leukocyte antigen mismatch. Transplantation. 2003;76:1220–8.PubMedCrossRef
89.
go back to reference Yu G, Xu X, Vu MD, Kilpatrick ED, Li XC. NK cells promote transplant tolerance by killing donor antigen-presenting cells. J Exp Med. 2006;203:1851–8.PubMedPubMedCentralCrossRef Yu G, Xu X, Vu MD, Kilpatrick ED, Li XC. NK cells promote transplant tolerance by killing donor antigen-presenting cells. J Exp Med. 2006;203:1851–8.PubMedPubMedCentralCrossRef
90.
go back to reference Beilke JN, Kuhl NR, Van Kaer L, Gill RG. NK cells promote islet allograft tolerance via a perforin-dependent mechanism. Nat Med. 2005;11:1059–65.PubMedCrossRef Beilke JN, Kuhl NR, Van Kaer L, Gill RG. NK cells promote islet allograft tolerance via a perforin-dependent mechanism. Nat Med. 2005;11:1059–65.PubMedCrossRef
91.
go back to reference Ward C, Whitford H, Snell G, Bao H, Zheng L, Reid D, Williams TJ, Walters EH. Bronchoalveolar lavage macrophage and lymphocyte phenotypes in lung transplant recipients. In J Heart Lung Transplant. 2001;20:1064–74. United States.CrossRef Ward C, Whitford H, Snell G, Bao H, Zheng L, Reid D, Williams TJ, Walters EH. Bronchoalveolar lavage macrophage and lymphocyte phenotypes in lung transplant recipients. In J Heart Lung Transplant. 2001;20:1064–74. United States.CrossRef
92.
go back to reference Clatworthy MR. B-cell regulation and its application to transplantation. Transpl Int. 2014;27:117–28.PubMedCrossRef Clatworthy MR. B-cell regulation and its application to transplantation. Transpl Int. 2014;27:117–28.PubMedCrossRef
93.
go back to reference Janeway Jr CA, Ron J, Katz ME. The B cell is the initiating antigen-presenting cell in peripheral lymph nodes. J Immunol. 1987;138:1051–5.PubMed Janeway Jr CA, Ron J, Katz ME. The B cell is the initiating antigen-presenting cell in peripheral lymph nodes. J Immunol. 1987;138:1051–5.PubMed
94.
go back to reference Golovkina TV, Shlomchik M, Hannum L, Chervonsky A. Organogenic role of B lymphocytes in mucosal immunity. Science. 1999;286:1965–8.PubMedCrossRef Golovkina TV, Shlomchik M, Hannum L, Chervonsky A. Organogenic role of B lymphocytes in mucosal immunity. Science. 1999;286:1965–8.PubMedCrossRef
96.
go back to reference Stegall MD, Raghavaiah S, Gloor JM. The (re)emergence of B cells in organ transplantation. Curr Opin Organ Transplant. 2010;15:451–5.PubMedCrossRef Stegall MD, Raghavaiah S, Gloor JM. The (re)emergence of B cells in organ transplantation. Curr Opin Organ Transplant. 2010;15:451–5.PubMedCrossRef
97.
go back to reference Dunn TB, Noreen H, Gillingham K, Maurer D, Ozturk OG, Pruett TL, Bray RA, Gebel HM, Matas AJ. Revisiting traditional risk factors for rejection and graft loss after kidney transplantation. Am J Transplant. 2011;11:2132–43.PubMedPubMedCentralCrossRef Dunn TB, Noreen H, Gillingham K, Maurer D, Ozturk OG, Pruett TL, Bray RA, Gebel HM, Matas AJ. Revisiting traditional risk factors for rejection and graft loss after kidney transplantation. Am J Transplant. 2011;11:2132–43.PubMedPubMedCentralCrossRef
98.
go back to reference Hippen BE, DeMattos A, Cook WJ, Kew 2nd CE, Gaston RS. Association of CD20+ infiltrates with poorer clinical outcomes in acute cellular rejection of renal allografts. Am J Transplant. 2005;5:2248–52.PubMedCrossRef Hippen BE, DeMattos A, Cook WJ, Kew 2nd CE, Gaston RS. Association of CD20+ infiltrates with poorer clinical outcomes in acute cellular rejection of renal allografts. Am J Transplant. 2005;5:2248–52.PubMedCrossRef
99.
go back to reference Westall GP, Paraskeva MA, Snell GI. Antibody-mediated rejection. Curr Opin Organ Transplant. 2015;20:492–7.PubMedCrossRef Westall GP, Paraskeva MA, Snell GI. Antibody-mediated rejection. Curr Opin Organ Transplant. 2015;20:492–7.PubMedCrossRef
100.
go back to reference Wilkes DS, Egan TM, Reynolds HY. Lung transplantation: opportunities for research and clinical advancement. Am J Respir Crit Care Med. 2005;172:944–55.PubMedPubMedCentralCrossRef Wilkes DS, Egan TM, Reynolds HY. Lung transplantation: opportunities for research and clinical advancement. Am J Respir Crit Care Med. 2005;172:944–55.PubMedPubMedCentralCrossRef
101.
go back to reference Reynolds HY. Bronchoalveolar lavage and other methods to define the human respiratory tract milieu in health and disease. Lung. 2011;189:87–99.PubMedCrossRef Reynolds HY. Bronchoalveolar lavage and other methods to define the human respiratory tract milieu in health and disease. Lung. 2011;189:87–99.PubMedCrossRef
102.
go back to reference The BAL Cooperative Group Steering Committee. Bronchoalveolar lavage constituents in healthy individuals, idiopathic pulmonary fibrosis, and selected comparison groups. Am Rev Respir Dis. 1990;141:169–202.CrossRef The BAL Cooperative Group Steering Committee. Bronchoalveolar lavage constituents in healthy individuals, idiopathic pulmonary fibrosis, and selected comparison groups. Am Rev Respir Dis. 1990;141:169–202.CrossRef
Metadata
Title
Diagnostic value of plasma and bronchoalveolar lavage samples in acute lung allograft rejection: differential cytology
Authors
Nicole E. Speck
Macé M. Schuurmans
Christian Murer
Christian Benden
Lars C. Huber
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2016
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/s12931-016-0391-y

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