Linking donor-specific antibody generation with natural killer cells in antibody-mediated kidney graft rejection.

Perkins, Griffith B; Fairchild, Robert L · Kidney Int · 2023

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Abstract

Natural killer (NK) cell infiltration of kidney allografts is a distinguishing feature of antibody-mediated rejection. Bailly et al. identify a distinct population of cytotoxic CD160<sup>+</sup> interleukin-21 receptor<sup>+</sup> CD56<sup>dim</sup>CD16<sup>bright</sup> NK cells that are uniquely found in the peripheral blood of donor-specific antibody-positive kidney transplant recipients and are present in kidney allografts with active antibody-mediated rejection. This population is implicated in a T follicular helper/interleukin-21/NK cell axis that links donor-specific antibody generation with graft-infiltrating NK cells in antibody-mediated rejection.

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