Volume 59, Issue 4, Pages (April 2001)

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Volume 59, Issue 4, Pages 1374-1381 (April 2001) Mast cell chymase expression and mast cell phenotypes in human rejected kidneys  Mayumi Yamada, Makiko Ueda, Takahiko Naruko, Shigeru Tanabe, Young-Sin Han, Yoshihiro Ikura, Masayuki Ogami, Shinji Takai, Mizuo Miyazaki  Kidney International  Volume 59, Issue 4, Pages 1374-1381 (April 2001) DOI: 10.1046/j.1523-1755.2001.0590041374.x Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 1 Sections showing mast cell (MC) chymase expression in human rejected kidneys. (A) Staining for chymase (red), nephrectomy specimen of the Chy(+) group. (B) Staining for chymase (red), biopsy specimen of the Chy(+) group. Both nephrectomy and biopsy specimens show increased numbers of chymase-positive MCs. Original magnification ×150 (A and B). Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 2 Chymase activity in normal and rejected kidneys. Vertical whisker bars represent SEM. N indicates the number of analyzed specimens. *P < 0.01. Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 3 Sections showing three mast cell (MC) phenotypes: MC containing tryptase (MCT), MC containing tryptase and chymase (MCTC), and chymase-positive and tryptase-negative MC (MCC). (A) Immunodouble staining (tryptase, red/chymase, blue). A cell (long arrow) shows double staining (purple), indicating that this is a MC of MCTC phenotype. A cell (short arrow) with positivity for only tryptase (red) represents a MC of MCT phenotype. (B) Immunodouble staining (tryptase, red/chymase, blue), case N-12. Most cells (arrowheads) show staining positivity for only chymase (blue), indicating that these cells represent MCs of the MCC phenotype. A cell (short arrow) with positivity for only tryptase (red) reveals a MC of the MCT phenotype. Original magnification ×630 (A and B). Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 4 Sections showing c-kit expression and chymase positivity in the interstitium. (A) Immunodouble staining (c-kit, red/chymase, blue). Most cells (arrows) show double staining (purple); chymase-positive MCs are positive for c-kit. (B) Immunodouble staining (endothelial cell, red/chymase, blue). (C) Immunodouble staining (macrophage, red/chymase, blue). (D) Immunodouble staining (T lymphocyte, red/chymase, blue). Endothelial cells, macrophages, and T lymphocytes do not show double staining (purple), indicating no chymase positivity in these endothelial cells, macrophages, and T lymphocytes. Original magnification ×720 (A) and ×450 (B–D). Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 5 Sections showing the degree of interstitial fibrosis. (A) Chy(-) group. Azan Mallory stain shows mild fibrosis of the interstitium. (B) Chy(+) group. Azan Mallory stain reveals marked fibrosis of the interstitium with the disappearance of tubules. Original magnification ×160 (A and B). Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 6 Quantitation of the fibrotic interstitium in the cortex of rejected kidneys. Vertical whisker bars represent SEM. N indicates the number of nephrectomy specimens analyzed. *P < 0.01. Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions

Figure 7 Section showing interleukin-4 (IL-4) expression. Immunodouble staining (IL-4, red/chymase, blue). IL-4 positivity is detected in a chymase-positive MC (arrow, purple) and some T lymphocytes (red). Original magnification ×620. Kidney International 2001 59, 1374-1381DOI: (10.1046/j.1523-1755.2001.0590041374.x) Copyright © 2001 International Society of Nephrology Terms and Conditions