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Updated: Aug 17, 2026

Non-invasive Imaging of Acute Allograft Rejection after Rat Renal Transplantation Using 18F-FDG PET
Published on: April 28, 2013
Up-regulation of cyclooxygenase-2 during acute human renal allograft rejection
Erika B Rangel1, Luiz A Moura, Marcello F Franco
1Division of Nephrology, Hopsital do Rim e Hipertensão and Universidade Federal de São Paulo, Brazil.
Background:
Cyclooxygenases-1 and -2 (COX-1 and COX-2) are important in renal physiology and in many abnormal states. However, there is poor information about them during renal allograft rejection. The purpose of this study was to analyze cyclooxygenases expression in renal tissue allograft during acute rejection.
Methods:
COX-1 and COX-2 transcripts and proteins were analyzed by semi-quantitative RT-PCR and immunohistochemistry in samples from human renal allografts obtained from nephrectomy because of irreversible acute rejection.
Results:
In samples with acute rejection, we detected higher expression of COX-2 mRNA in comparison with COX-1 (p < 0.001) being COX-2 expression not different from COX-1 in samples from renal allografts without acute rejection. COX-1 and COX-2 localization was in accordance with data described in literature, however COX-2 protein was higher in interstitial cells in the group with rejection than in the group without rejection (p = 0.04). In addition, in samples with acute rejection COX-2 immunoreactivity was more prominent in podocytes (p < 0.001), in proximal tubules (p < 0.001), in collecting duct cells (p = 0.003) and in interstitial cells (p < 0.001) when compared with COX-1.
Conclusions:
Our data show that there is an increased production of COX-2 during acute renal rejection.
Insights
Acute renal allograft rejection shows increased cyclooxygenase-2 (COX-2) production compared to cyclooxygenase-1 (COX-1). This finding highlights COX-2
Area of Science:
- Nephrology
- Immunology
- Molecular Biology
Background:
- Cyclooxygenases-1 and -2 (COX-1 and COX-2) play roles in kidney function and disease.
- Limited information exists on COX expression during renal allograft rejection.
Purpose of the Study:
- To analyze cyclooxygenase expression in human renal allografts during acute rejection.
Main Methods:
- Semi-quantitative RT-PCR and immunohistochemistry were used.
- Samples were from human renal allografts undergoing nephrectomy due to irreversible acute rejection.
Main Results:
- COX-2 mRNA expression was significantly higher than COX-1 in acute rejection samples (p < 0.001).
- COX-2 protein levels were elevated in interstitial cells of rejected allografts (p = 0.04).
- COX-2 immunoreactivity was more prominent in podocytes, proximal tubules, collecting duct cells, and interstitial cells during rejection.
Conclusions:
- Acute renal allograft rejection is associated with increased COX-2 production.
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