The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.
Identifieur interne : 000291 ( Main/Exploration ); précédent : 000290; suivant : 000292The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.
Auteurs : A. Loupy [France] ; M. Haas [États-Unis] ; K. Solez [Canada] ; L. Racusen [États-Unis] ; D. Glotz [France] ; D. Seron [Espagne] ; B J Nankivell [Australie] ; R B Colvin [États-Unis] ; M. Afrouzian [États-Unis] ; E. Akalin [États-Unis] ; N. Alachkar [États-Unis] ; S. Bagnasco [États-Unis] ; J U Becker [Allemagne] ; L. Cornell [États-Unis] ; C. Drachenberg [États-Unis] ; D. Dragun [Allemagne] ; H. De Kort [Pays-Bas] ; I W Gibson [Canada] ; E S Kraus [États-Unis] ; C. Lefaucheur [France] ; C. Legendre [France] ; H. Liapis [États-Unis] ; T. Muthukumar [États-Unis] ; V. Nickeleit [États-Unis] ; B. Orandi [États-Unis] ; W. Park [États-Unis] ; M. Rabant [France] ; P. Randhawa [États-Unis] ; E F Reed [États-Unis] ; C. Roufosse [Royaume-Uni] ; S V Seshan [États-Unis] ; B. Sis [Canada] ; H K Singh [États-Unis] ; C. Schinstock [États-Unis] ; A. Tambur [États-Unis] ; A. Zeevi [États-Unis] ; M. Mengel [Canada]Source :
- American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2017.
Abstract
The XIII Banff meeting, held in conjunction the Canadian Society of Transplantation in Vancouver, Canada, reviewed the clinical impact of updates of C4d-negative antibody-mediated rejection (ABMR) from the 2013 meeting, reports from active Banff Working Groups, the relationships of donor-specific antibody tests (anti-HLA and non-HLA) with transplant histopathology, and questions of molecular transplant diagnostics. The use of transcriptome gene sets, their resultant diagnostic classifiers, or common key genes to supplement the diagnosis and classification of rejection requires further consensus agreement and validation in biopsies. Newly introduced concepts include the i-IFTA score, comprising inflammation within areas of fibrosis and atrophy and acceptance of transplant arteriolopathy within the descriptions of chronic active T cell-mediated rejection (TCMR) or chronic ABMR. The pattern of mixed TCMR and ABMR was increasingly recognized. This report also includes improved definitions of TCMR and ABMR in pancreas transplants with specification of vascular lesions and prospects for defining a vascularized composite allograft rejection classification. The goal of the Banff process is ongoing integration of advances in histologic, serologic, and molecular diagnostic techniques to produce a consensus-based reporting system that offers precise composite scores, accurate routine diagnostics, and applicability to next-generation clinical trials.
DOI: 10.1111/ajt.14107
PubMed: 27862883
Affiliations:
- Allemagne, Australie, Canada, Espagne, France, Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Berlin, Californie, Caroline du Nord, Catalogne, Grand Londres, Hollande-Méridionale, Illinois, Manitoba, Maryland, Massachusetts, Minnesota, Missouri (État), Nouvelle-Galles du Sud, Pennsylvanie, Texas, État de New York, Île-de-France
- Barcelone, Berlin, Leyde, Londres, Paris, Sydney, Winnipeg
- Université du Manitoba
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Lefaucheur</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Legendre, C" sort="Legendre, C" uniqKey="Legendre C" first="C" last="Legendre">C. 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Liapis</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology & Immunology, Washington University, St. Louis, MO.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Department of Pathology & Immunology, Washington University, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Muthukumar, T" sort="Muthukumar, T" uniqKey="Muthukumar T" first="T" last="Muthukumar">T. Muthukumar</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York</wicri:cityArea></affiliation></author><author><name sortKey="Nickeleit, V" sort="Nickeleit, V" uniqKey="Nickeleit V" first="V" last="Nickeleit">V. Nickeleit</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Orandi, B" sort="Orandi, B" uniqKey="Orandi B" first="B" last="Orandi">B. 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Park</name><affiliation wicri:level="2"><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Rabant, M" sort="Rabant, M" uniqKey="Rabant M" first="M" last="Rabant">M. Rabant</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Randhawa, P" sort="Randhawa, P" uniqKey="Randhawa P" first="P" last="Randhawa">P. Randhawa</name><affiliation wicri:level="2"><nlm:affiliation>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Reed, E F" sort="Reed, E F" uniqKey="Reed E" first="E F" last="Reed">E F Reed</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Roufosse, C" sort="Roufosse, C" uniqKey="Roufosse C" first="C" last="Roufosse">C. Roufosse</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cellular Pathology, Hammersmith Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Cellular Pathology, Hammersmith Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Seshan, S V" sort="Seshan, S V" uniqKey="Seshan S" first="S V" last="Seshan">S V Seshan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Weill Cornell Medicine, New York, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Pathology, Weill Cornell Medicine, New York</wicri:cityArea></affiliation></author><author><name sortKey="Sis, B" sort="Sis, B" uniqKey="Sis B" first="B" last="Sis">B. Sis</name><affiliation wicri:level="1"><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Singh, H K" sort="Singh, H K" uniqKey="Singh H" first="H K" last="Singh">H K Singh</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Schinstock, C" sort="Schinstock, C" uniqKey="Schinstock C" first="C" last="Schinstock">C. Schinstock</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Mayo Clinic, Rochester, MN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Division of Nephrology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Tambur, A" sort="Tambur, A" uniqKey="Tambur A" first="A" last="Tambur">A. Tambur</name><affiliation wicri:level="2"><nlm:affiliation>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Zeevi, A" sort="Zeevi, A" uniqKey="Zeevi A" first="A" last="Zeevi">A. 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Mengel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27862883</idno><idno type="pmid">27862883</idno><idno type="doi">10.1111/ajt.14107</idno><idno type="wicri:Area/PubMed/Corpus">001352</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001352</idno><idno type="wicri:Area/PubMed/Curation">001330</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001330</idno><idno type="wicri:Area/PubMed/Checkpoint">001330</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001330</idno><idno type="wicri:Area/Ncbi/Merge">003E99</idno><idno type="wicri:Area/Ncbi/Curation">003E99</idno><idno type="wicri:Area/Ncbi/Checkpoint">003E99</idno><idno type="wicri:Area/Main/Merge">000286</idno><idno type="wicri:Area/Main/Curation">000291</idno><idno type="wicri:Area/Main/Exploration">000291</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.</title><author><name sortKey="Loupy, A" sort="Loupy, A" uniqKey="Loupy A" first="A" last="Loupy">A. Loupy</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Haas, M" sort="Haas, M" uniqKey="Haas M" first="M" last="Haas">M. Haas</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Solez, K" sort="Solez, K" uniqKey="Solez K" first="K" last="Solez">K. Solez</name><affiliation wicri:level="1"><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Racusen, L" sort="Racusen, L" uniqKey="Racusen L" first="L" last="Racusen">L. Racusen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Glotz, D" sort="Glotz, D" uniqKey="Glotz D" first="D" last="Glotz">D. Glotz</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Seron, D" sort="Seron, D" uniqKey="Seron D" first="D" last="Seron">D. Seron</name><affiliation wicri:level="3"><nlm:affiliation>Nephrology Department, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Nephrology Department, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Nankivell, B J" sort="Nankivell, B J" uniqKey="Nankivell B" first="B J" last="Nankivell">B J Nankivell</name><affiliation wicri:level="3"><nlm:affiliation>Department of Renal Medicine, Westmead Hospital, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Renal Medicine, Westmead Hospital, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Colvin, R B" sort="Colvin, R B" uniqKey="Colvin R" first="R B" last="Colvin">R B Colvin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Afrouzian, M" sort="Afrouzian, M" uniqKey="Afrouzian M" first="M" last="Afrouzian">M. Afrouzian</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Pathology & Internal Medicine, University of Texas Medical Branch, Galveston, TX.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Departments of Pathology & Internal Medicine, University of Texas Medical Branch, Galveston</wicri:cityArea></affiliation></author><author><name sortKey="Akalin, E" sort="Akalin, E" uniqKey="Akalin E" first="E" last="Akalin">E. Akalin</name><affiliation wicri:level="2"><nlm:affiliation>Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Montefiore Medical Center, Albert Einstein College of Medicine, Bronx</wicri:cityArea></affiliation></author><author><name sortKey="Alachkar, N" sort="Alachkar, N" uniqKey="Alachkar N" first="N" last="Alachkar">N. Alachkar</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Bagnasco, S" sort="Bagnasco, S" uniqKey="Bagnasco S" first="S" last="Bagnasco">S. Bagnasco</name><affiliation wicri:level="2"><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Becker, J U" sort="Becker, J U" uniqKey="Becker J" first="J U" last="Becker">J U Becker</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Pathology, University Hospital of Cologne, Cologne, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Pathology, University Hospital of Cologne, Cologne</wicri:regionArea><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion><wicri:noRegion>Cologne</wicri:noRegion></affiliation></author><author><name sortKey="Cornell, L" sort="Cornell, L" uniqKey="Cornell L" first="L" last="Cornell">L. Cornell</name><affiliation wicri:level="2"><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Drachenberg, C" sort="Drachenberg, C" uniqKey="Drachenberg C" first="C" last="Drachenberg">C. Drachenberg</name><affiliation wicri:level="2"><nlm:affiliation>University of Maryland School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>University of Maryland School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Dragun, D" sort="Dragun, D" uniqKey="Dragun D" first="D" last="Dragun">D. Dragun</name><affiliation wicri:level="3"><nlm:affiliation>Berlin Institute of Health and Department of Nephrology and Critical Care Medicine, Charité Universitätsmedizin, Berlin, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Berlin Institute of Health and Department of Nephrology and Critical Care Medicine, Charité Universitätsmedizin, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="De Kort, H" sort="De Kort, H" uniqKey="De Kort H" first="H" last="De Kort">H. De Kort</name><affiliation wicri:level="3"><nlm:affiliation>Department of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Nephrology, Leiden University Medical Center, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Gibson, I W" sort="Gibson, I W" uniqKey="Gibson I" first="I W" last="Gibson">I W Gibson</name><affiliation wicri:level="4"><nlm:affiliation>Department of Pathology, University of Manitoba, Winnipeg, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pathology, University of Manitoba, Winnipeg</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Kraus, E S" sort="Kraus, E S" uniqKey="Kraus E" first="E S" last="Kraus">E S Kraus</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Lefaucheur, C" sort="Lefaucheur, C" uniqKey="Lefaucheur C" first="C" last="Lefaucheur">C. Lefaucheur</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation & Department of Nephrology and Transplantation, Hopital Saint Louis, Université Paris VII and INSERM U 1160, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Legendre, C" sort="Legendre, C" uniqKey="Legendre C" first="C" last="Legendre">C. Legendre</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Liapis, H" sort="Liapis, H" uniqKey="Liapis H" first="H" last="Liapis">H. Liapis</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology & Immunology, Washington University, St. Louis, MO.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Department of Pathology & Immunology, Washington University, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Muthukumar, T" sort="Muthukumar, T" uniqKey="Muthukumar T" first="T" last="Muthukumar">T. Muthukumar</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York</wicri:cityArea></affiliation></author><author><name sortKey="Nickeleit, V" sort="Nickeleit, V" uniqKey="Nickeleit V" first="V" last="Nickeleit">V. Nickeleit</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Orandi, B" sort="Orandi, B" uniqKey="Orandi B" first="B" last="Orandi">B. Orandi</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Park, W" sort="Park, W" uniqKey="Park W" first="W" last="Park">W. Park</name><affiliation wicri:level="2"><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Rabant, M" sort="Rabant, M" uniqKey="Rabant M" first="M" last="Rabant">M. Rabant</name><affiliation wicri:level="3"><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Randhawa, P" sort="Randhawa, P" uniqKey="Randhawa P" first="P" last="Randhawa">P. Randhawa</name><affiliation wicri:level="2"><nlm:affiliation>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Reed, E F" sort="Reed, E F" uniqKey="Reed E" first="E F" last="Reed">E F Reed</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Roufosse, C" sort="Roufosse, C" uniqKey="Roufosse C" first="C" last="Roufosse">C. Roufosse</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cellular Pathology, Hammersmith Hospital, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Cellular Pathology, Hammersmith Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Seshan, S V" sort="Seshan, S V" uniqKey="Seshan S" first="S V" last="Seshan">S V Seshan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, Weill Cornell Medicine, New York, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Pathology, Weill Cornell Medicine, New York</wicri:cityArea></affiliation></author><author><name sortKey="Sis, B" sort="Sis, B" uniqKey="Sis B" first="B" last="Sis">B. Sis</name><affiliation wicri:level="1"><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author><author><name sortKey="Singh, H K" sort="Singh, H K" uniqKey="Singh H" first="H K" last="Singh">H K Singh</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill</wicri:cityArea></affiliation></author><author><name sortKey="Schinstock, C" sort="Schinstock, C" uniqKey="Schinstock C" first="C" last="Schinstock">C. Schinstock</name><affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Mayo Clinic, Rochester, MN.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Division of Nephrology, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Tambur, A" sort="Tambur, A" uniqKey="Tambur A" first="A" last="Tambur">A. Tambur</name><affiliation wicri:level="2"><nlm:affiliation>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Zeevi, A" sort="Zeevi, A" uniqKey="Zeevi A" first="A" last="Zeevi">A. Zeevi</name><affiliation wicri:level="2"><nlm:affiliation>University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>University of Pittsburgh Medical Center, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Mengel, M" sort="Mengel, M" uniqKey="Mengel M" first="M" last="Mengel">M. Mengel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton</wicri:regionArea><wicri:noRegion>Edmonton</wicri:noRegion></affiliation></author></analytic><series><title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title><idno type="eISSN">1600-6143</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The XIII Banff meeting, held in conjunction the Canadian Society of Transplantation in Vancouver, Canada, reviewed the clinical impact of updates of C4d-negative antibody-mediated rejection (ABMR) from the 2013 meeting, reports from active Banff Working Groups, the relationships of donor-specific antibody tests (anti-HLA and non-HLA) with transplant histopathology, and questions of molecular transplant diagnostics. The use of transcriptome gene sets, their resultant diagnostic classifiers, or common key genes to supplement the diagnosis and classification of rejection requires further consensus agreement and validation in biopsies. Newly introduced concepts include the i-IFTA score, comprising inflammation within areas of fibrosis and atrophy and acceptance of transplant arteriolopathy within the descriptions of chronic active T cell-mediated rejection (TCMR) or chronic ABMR. The pattern of mixed TCMR and ABMR was increasingly recognized. This report also includes improved definitions of TCMR and ABMR in pancreas transplants with specification of vascular lesions and prospects for defining a vascularized composite allograft rejection classification. The goal of the Banff process is ongoing integration of advances in histologic, serologic, and molecular diagnostic techniques to produce a consensus-based reporting system that offers precise composite scores, accurate routine diagnostics, and applicability to next-generation clinical trials.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Espagne</li><li>France</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Berlin</li><li>Californie</li><li>Caroline du Nord</li><li>Catalogne</li><li>Grand Londres</li><li>Hollande-Méridionale</li><li>Illinois</li><li>Manitoba</li><li>Maryland</li><li>Massachusetts</li><li>Minnesota</li><li>Missouri (État)</li><li>Nouvelle-Galles du Sud</li><li>Pennsylvanie</li><li>Texas</li><li>État de New York</li><li>Île-de-France</li></region><settlement><li>Barcelone</li><li>Berlin</li><li>Leyde</li><li>Londres</li><li>Paris</li><li>Sydney</li><li>Winnipeg</li></settlement><orgName><li>Université du Manitoba</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Loupy, A" sort="Loupy, A" uniqKey="Loupy A" first="A" last="Loupy">A. Loupy</name></region><name sortKey="Glotz, D" sort="Glotz, D" uniqKey="Glotz D" first="D" last="Glotz">D. Glotz</name><name sortKey="Lefaucheur, C" sort="Lefaucheur, C" uniqKey="Lefaucheur C" first="C" last="Lefaucheur">C. Lefaucheur</name><name sortKey="Legendre, C" sort="Legendre, C" uniqKey="Legendre C" first="C" last="Legendre">C. Legendre</name><name sortKey="Rabant, M" sort="Rabant, M" uniqKey="Rabant M" first="M" last="Rabant">M. Rabant</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Haas, M" sort="Haas, M" uniqKey="Haas M" first="M" last="Haas">M. Haas</name></region><name sortKey="Afrouzian, M" sort="Afrouzian, M" uniqKey="Afrouzian M" first="M" last="Afrouzian">M. Afrouzian</name><name sortKey="Akalin, E" sort="Akalin, E" uniqKey="Akalin E" first="E" last="Akalin">E. Akalin</name><name sortKey="Alachkar, N" sort="Alachkar, N" uniqKey="Alachkar N" first="N" last="Alachkar">N. Alachkar</name><name sortKey="Bagnasco, S" sort="Bagnasco, S" uniqKey="Bagnasco S" first="S" last="Bagnasco">S. Bagnasco</name><name sortKey="Colvin, R B" sort="Colvin, R B" uniqKey="Colvin R" first="R B" last="Colvin">R B Colvin</name><name sortKey="Cornell, L" sort="Cornell, L" uniqKey="Cornell L" first="L" last="Cornell">L. Cornell</name><name sortKey="Drachenberg, C" sort="Drachenberg, C" uniqKey="Drachenberg C" first="C" last="Drachenberg">C. Drachenberg</name><name sortKey="Kraus, E S" sort="Kraus, E S" uniqKey="Kraus E" first="E S" last="Kraus">E S Kraus</name><name sortKey="Liapis, H" sort="Liapis, H" uniqKey="Liapis H" first="H" last="Liapis">H. Liapis</name><name sortKey="Muthukumar, T" sort="Muthukumar, T" uniqKey="Muthukumar T" first="T" last="Muthukumar">T. Muthukumar</name><name sortKey="Nickeleit, V" sort="Nickeleit, V" uniqKey="Nickeleit V" first="V" last="Nickeleit">V. 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Tambur</name><name sortKey="Zeevi, A" sort="Zeevi, A" uniqKey="Zeevi A" first="A" last="Zeevi">A. Zeevi</name></country><country name="Canada"><noRegion><name sortKey="Solez, K" sort="Solez, K" uniqKey="Solez K" first="K" last="Solez">K. Solez</name></noRegion><name sortKey="Gibson, I W" sort="Gibson, I W" uniqKey="Gibson I" first="I W" last="Gibson">I W Gibson</name><name sortKey="Mengel, M" sort="Mengel, M" uniqKey="Mengel M" first="M" last="Mengel">M. Mengel</name><name sortKey="Sis, B" sort="Sis, B" uniqKey="Sis B" first="B" last="Sis">B. Sis</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Seron, D" sort="Seron, D" uniqKey="Seron D" first="D" last="Seron">D. Seron</name></region></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Nankivell, B J" sort="Nankivell, B J" uniqKey="Nankivell B" first="B J" last="Nankivell">B J Nankivell</name></region></country><country name="Allemagne"><noRegion><name sortKey="Becker, J U" sort="Becker, J U" uniqKey="Becker J" first="J U" last="Becker">J U Becker</name></noRegion><name sortKey="Dragun, D" sort="Dragun, D" uniqKey="Dragun D" first="D" last="Dragun">D. Dragun</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="De Kort, H" sort="De Kort, H" uniqKey="De Kort H" first="H" last="De Kort">H. De Kort</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Roufosse, C" sort="Roufosse, C" uniqKey="Roufosse C" first="C" last="Roufosse">C. Roufosse</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.
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