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Open AccessJournal ArticleDOI

The Banff 97 working classification of renal allograft pathology

TLDR
Major changes include the following: rejection with vasculitis is separated from tubulointerstitial rejection; severe rejection requires transmural changes in arteries; "borderline" rejection can only be interpreted in a clinical context; antibody-mediated rejection is further defined, and lesion scoring focuses on most severely involved structures.
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This article is published in Kidney International.The article was published on 1999-02-01 and is currently open access. It has received 2974 citations till now. The article focuses on the topics: Chronic allograft nephropathy & Transplantation.

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Citations
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Journal ArticleDOI

The natural history of chronic allograft nephropathy.

TL;DR: Chronic allograft nephropathy represents cumulative and incremental damage to nephrons from time-dependent immunologic and nonimmunologic causes, and was irreversible, resulting in declining renal function and graft failure.
Journal ArticleDOI

Calcineurin Inhibitor Nephrotoxicity

TL;DR: The authors critically review the current evidence relating systemic blood levels of cyclosporine and tacrolimus to calcineurin inhibitor nephrotoxicity, and summarize the data suggesting that local exposure to cycloporine or tacolimus could be more important than systemic exposure.
Journal ArticleDOI

Banff '05 Meeting Report: differential diagnosis of chronic allograft injury and elimination of chronic allograft nephropathy ('CAN').

TL;DR: The 8th Banff Conference on Allograft Pathology was held in Edmonton, Canada, 15–21 July 2005, and major outcomes included the elimination of the non‐specific term ‘chronic allograft nephropathy’ (CAN) and the recognition of the entity of chronic antibody‐mediated rejection.
References
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Journal ArticleDOI

Beneficial effects of treatment of early subclinical rejection: a randomized study.

TL;DR: It is suggested that early protocol biopsies and the treatment of subclinical rejection with corticosteroids may lead to better histologic and functional outcomes in renal transplant recipients.
Journal ArticleDOI

Quantitative detection of immune activation transcripts as a diagnostic tool in kidney transplantation

TL;DR: The combined analysis of Fas ligand, perforin, and granzyme B gene expression by quantitative RT-PCR provides a reliable tool for diagnosis and follow-up of acute renal allograft rejection and suggests its use in the clinical management of renal transplant patients.
Journal ArticleDOI

The significance of the anti-class I response. II. Clinical and pathologic features of renal transplants with anti-class I-like antibody.

TL;DR: It is concluded that patients with antibody against donor class I had more severe rejection, probably because anti-class I injuries the endothelium of small blood vessels of the graft, leading to rapid functional deterioration.
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Evaluation of pathologic criteria for acute renal allograft rejection: reproducibility, sensitivity, and clinical correlation.

TL;DR: Evaluated pathologic criteria used for acute renal allograft rejection that were developed by a panel of renal pathologists participating in the Cooperative Clinical Trials in Transplantation found to be simple, reproducible, and clinically relevant.
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