Research Article

Clinical Trial of Allogeneic Mesenchymal Stem Cell Therapy for Chronic Active Antibody-Mediated Rejection in Kidney Transplant Recipients Unresponsive to Rituximab and Intravenous Immunoglobulin

Table 1

Features of the patients.

Patient #1 (59/M)Patient #2 (30/F)

KT age4424
Primary renal diseaseHTNMPGN
Comorbid diseaseDMHTN
Time between KT and MSC Tx15 years 4 months5 years 4 months
Height (cm)/weight (kg)/BMI (kg/m2) at time of MSC Tx175.2/66.8/21.8166.7/77.5/27.9
KDPI scoreUnknown-9
Donor age2331
Donor sexMaleMale
Donor typeDeceasedLiving
DSAUnknown, but multiple strong DQsNon-DSA with strong MFI in DQ
Previous AMR Tx2 times3 times
Time after last AMR Tx4 months2 months
Banff lesion scores for CAMRG1 T0 I2 V0 AH3 PTC3 TI2 AAH3G3 T1 I1 V0 AH0 PTC3 TI2 AAH0
CG3 CT1 CI1 CV0 MM1 C4d3 i-IFTA1CG3 CT1 CI1 CV0 MM1 C4d2 i-IFTA1

KT: kidney transplantation; HTN: hypertension; MPGN: membranoproliferative glomerulonephritis; DM: diabetes mellitus; MSC: mesenchymal stem cell; Tx: treatment; KDPI: kidney donor profile index; DSA: donor-specific antibody; AMR: antibody-mediated rejection; CAMR: chronic active antibody-mediated rejection; G: glomerulitis; T: tubulitis; I: interstitial inflammation; V: intimal arteritis; AH: arteriolar hyalinosis; PTC: peritubular capillaritis; TI: total inflammation; AAH: hyaline arteriolar thickening; CG: glomerular basement membrane double contours; CT: tubular atrophy; CI: interstitial fibrosis; CV: vascular fibrous intimal thickening; MM: mesangial matrix expansion; i-IFTA: inflammation in area of interstitial fibrosis and tubular atrophy.