The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.
Identifieur interne : 001352 ( PubMed/Corpus ); précédent : 001351; suivant : 001353The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.
Auteurs : A. Loupy ; M. Haas ; K. Solez ; L. Racusen ; D. Glotz ; D. Seron ; B J Nankivell ; R B Colvin ; M. Afrouzian ; E. Akalin ; N. Alachkar ; S. Bagnasco ; J U Becker ; L. Cornell ; C. Drachenberg ; D. Dragun ; H. De Kort ; I W Gibson ; E S Kraus ; C. Lefaucheur ; C. Legendre ; H. Liapis ; T. Muthukumar ; V. Nickeleit ; B. Orandi ; W. Park ; M. Rabant ; P. Randhawa ; E F Reed ; C. Roufosse ; S V Seshan ; B. Sis ; H K Singh ; C. Schinstock ; A. Tambur ; A. Zeevi ; M. MengelSource :
- 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
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<record><TEI><teiHeader><fileDesc><titleStmt><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><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Haas, M" sort="Haas, M" uniqKey="Haas M" first="M" last="Haas">M. Haas</name><affiliation><nlm:affiliation>Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Solez, K" sort="Solez, K" uniqKey="Solez K" first="K" last="Solez">K. Solez</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Racusen, L" sort="Racusen, L" uniqKey="Racusen L" first="L" last="Racusen">L. Racusen</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Glotz, D" sort="Glotz, D" uniqKey="Glotz D" first="D" last="Glotz">D. Glotz</name><affiliation><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></affiliation></author><author><name sortKey="Seron, D" sort="Seron, D" uniqKey="Seron D" first="D" last="Seron">D. Seron</name><affiliation><nlm:affiliation>Nephrology Department, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.</nlm:affiliation></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><nlm:affiliation>Department of Renal Medicine, Westmead Hospital, Sydney, Australia.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation></affiliation></author><author><name sortKey="Afrouzian, M" sort="Afrouzian, M" uniqKey="Afrouzian M" first="M" last="Afrouzian">M. Afrouzian</name><affiliation><nlm:affiliation>Departments of Pathology & Internal Medicine, University of Texas Medical Branch, Galveston, TX.</nlm:affiliation></affiliation></author><author><name sortKey="Akalin, E" sort="Akalin, E" uniqKey="Akalin E" first="E" last="Akalin">E. Akalin</name><affiliation><nlm:affiliation>Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Alachkar, N" sort="Alachkar, N" uniqKey="Alachkar N" first="N" last="Alachkar">N. Alachkar</name><affiliation><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Bagnasco, S" sort="Bagnasco, S" uniqKey="Bagnasco S" first="S" last="Bagnasco">S. Bagnasco</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></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><nlm:affiliation>Institute of Pathology, University Hospital of Cologne, Cologne, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Cornell, L" sort="Cornell, L" uniqKey="Cornell L" first="L" last="Cornell">L. Cornell</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Drachenberg, C" sort="Drachenberg, C" uniqKey="Drachenberg C" first="C" last="Drachenberg">C. Drachenberg</name><affiliation><nlm:affiliation>University of Maryland School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Dragun, D" sort="Dragun, D" uniqKey="Dragun D" first="D" last="Dragun">D. Dragun</name><affiliation><nlm:affiliation>Berlin Institute of Health and Department of Nephrology and Critical Care Medicine, Charité Universitätsmedizin, Berlin, Germany.</nlm:affiliation></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><nlm:affiliation>Department of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, University of Manitoba, Winnipeg, Canada.</nlm:affiliation></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><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Lefaucheur, C" sort="Lefaucheur, C" uniqKey="Lefaucheur C" first="C" last="Lefaucheur">C. Lefaucheur</name><affiliation><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></affiliation></author><author><name sortKey="Legendre, C" sort="Legendre, C" uniqKey="Legendre C" first="C" last="Legendre">C. Legendre</name><affiliation><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Liapis, H" sort="Liapis, H" uniqKey="Liapis H" first="H" last="Liapis">H. Liapis</name><affiliation><nlm:affiliation>Department of Pathology & Immunology, Washington University, St. Louis, MO.</nlm:affiliation></affiliation></author><author><name sortKey="Muthukumar, T" sort="Muthukumar, T" uniqKey="Muthukumar T" first="T" last="Muthukumar">T. Muthukumar</name><affiliation><nlm:affiliation>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Nickeleit, V" sort="Nickeleit, V" uniqKey="Nickeleit V" first="V" last="Nickeleit">V. Nickeleit</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Orandi, B" sort="Orandi, B" uniqKey="Orandi B" first="B" last="Orandi">B. Orandi</name><affiliation><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Park, W" sort="Park, W" uniqKey="Park W" first="W" last="Park">W. Park</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Rabant, M" sort="Rabant, M" uniqKey="Rabant M" first="M" last="Rabant">M. Rabant</name><affiliation><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Randhawa, P" sort="Randhawa, P" uniqKey="Randhawa P" first="P" last="Randhawa">P. Randhawa</name><affiliation><nlm:affiliation>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.</nlm:affiliation></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><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Roufosse, C" sort="Roufosse, C" uniqKey="Roufosse C" first="C" last="Roufosse">C. Roufosse</name><affiliation><nlm:affiliation>Department of Cellular Pathology, Hammersmith Hospital, London, UK.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, Weill Cornell Medicine, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Sis, B" sort="Sis, B" uniqKey="Sis B" first="B" last="Sis">B. Sis</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></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><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Schinstock, C" sort="Schinstock, C" uniqKey="Schinstock C" first="C" last="Schinstock">C. Schinstock</name><affiliation><nlm:affiliation>Division of Nephrology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Tambur, A" sort="Tambur, A" uniqKey="Tambur A" first="A" last="Tambur">A. Tambur</name><affiliation><nlm:affiliation>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago, IL.</nlm:affiliation></affiliation></author><author><name sortKey="Zeevi, A" sort="Zeevi, A" uniqKey="Zeevi A" first="A" last="Zeevi">A. Zeevi</name><affiliation><nlm:affiliation>University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation></affiliation></author><author><name sortKey="Mengel, M" sort="Mengel, M" uniqKey="Mengel M" first="M" last="Mengel">M. Mengel</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></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></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><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Haas, M" sort="Haas, M" uniqKey="Haas M" first="M" last="Haas">M. Haas</name><affiliation><nlm:affiliation>Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Solez, K" sort="Solez, K" uniqKey="Solez K" first="K" last="Solez">K. Solez</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Racusen, L" sort="Racusen, L" uniqKey="Racusen L" first="L" last="Racusen">L. Racusen</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Glotz, D" sort="Glotz, D" uniqKey="Glotz D" first="D" last="Glotz">D. Glotz</name><affiliation><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></affiliation></author><author><name sortKey="Seron, D" sort="Seron, D" uniqKey="Seron D" first="D" last="Seron">D. Seron</name><affiliation><nlm:affiliation>Nephrology Department, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.</nlm:affiliation></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><nlm:affiliation>Department of Renal Medicine, Westmead Hospital, Sydney, Australia.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation></affiliation></author><author><name sortKey="Afrouzian, M" sort="Afrouzian, M" uniqKey="Afrouzian M" first="M" last="Afrouzian">M. Afrouzian</name><affiliation><nlm:affiliation>Departments of Pathology & Internal Medicine, University of Texas Medical Branch, Galveston, TX.</nlm:affiliation></affiliation></author><author><name sortKey="Akalin, E" sort="Akalin, E" uniqKey="Akalin E" first="E" last="Akalin">E. Akalin</name><affiliation><nlm:affiliation>Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Alachkar, N" sort="Alachkar, N" uniqKey="Alachkar N" first="N" last="Alachkar">N. Alachkar</name><affiliation><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Bagnasco, S" sort="Bagnasco, S" uniqKey="Bagnasco S" first="S" last="Bagnasco">S. Bagnasco</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></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><nlm:affiliation>Institute of Pathology, University Hospital of Cologne, Cologne, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Cornell, L" sort="Cornell, L" uniqKey="Cornell L" first="L" last="Cornell">L. Cornell</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Drachenberg, C" sort="Drachenberg, C" uniqKey="Drachenberg C" first="C" last="Drachenberg">C. Drachenberg</name><affiliation><nlm:affiliation>University of Maryland School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Dragun, D" sort="Dragun, D" uniqKey="Dragun D" first="D" last="Dragun">D. Dragun</name><affiliation><nlm:affiliation>Berlin Institute of Health and Department of Nephrology and Critical Care Medicine, Charité Universitätsmedizin, Berlin, Germany.</nlm:affiliation></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><nlm:affiliation>Department of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, University of Manitoba, Winnipeg, Canada.</nlm:affiliation></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><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Lefaucheur, C" sort="Lefaucheur, C" uniqKey="Lefaucheur C" first="C" last="Lefaucheur">C. Lefaucheur</name><affiliation><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></affiliation></author><author><name sortKey="Legendre, C" sort="Legendre, C" uniqKey="Legendre C" first="C" last="Legendre">C. Legendre</name><affiliation><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Liapis, H" sort="Liapis, H" uniqKey="Liapis H" first="H" last="Liapis">H. Liapis</name><affiliation><nlm:affiliation>Department of Pathology & Immunology, Washington University, St. Louis, MO.</nlm:affiliation></affiliation></author><author><name sortKey="Muthukumar, T" sort="Muthukumar, T" uniqKey="Muthukumar T" first="T" last="Muthukumar">T. Muthukumar</name><affiliation><nlm:affiliation>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Nickeleit, V" sort="Nickeleit, V" uniqKey="Nickeleit V" first="V" last="Nickeleit">V. Nickeleit</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Orandi, B" sort="Orandi, B" uniqKey="Orandi B" first="B" last="Orandi">B. Orandi</name><affiliation><nlm:affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</nlm:affiliation></affiliation></author><author><name sortKey="Park, W" sort="Park, W" uniqKey="Park W" first="W" last="Park">W. Park</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Rabant, M" sort="Rabant, M" uniqKey="Rabant M" first="M" last="Rabant">M. Rabant</name><affiliation><nlm:affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Randhawa, P" sort="Randhawa, P" uniqKey="Randhawa P" first="P" last="Randhawa">P. Randhawa</name><affiliation><nlm:affiliation>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.</nlm:affiliation></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><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Roufosse, C" sort="Roufosse, C" uniqKey="Roufosse C" first="C" last="Roufosse">C. Roufosse</name><affiliation><nlm:affiliation>Department of Cellular Pathology, Hammersmith Hospital, London, UK.</nlm:affiliation></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><nlm:affiliation>Department of Pathology, Weill Cornell Medicine, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Sis, B" sort="Sis, B" uniqKey="Sis B" first="B" last="Sis">B. Sis</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></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><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</nlm:affiliation></affiliation></author><author><name sortKey="Schinstock, C" sort="Schinstock, C" uniqKey="Schinstock C" first="C" last="Schinstock">C. Schinstock</name><affiliation><nlm:affiliation>Division of Nephrology, Mayo Clinic, Rochester, MN.</nlm:affiliation></affiliation></author><author><name sortKey="Tambur, A" sort="Tambur, A" uniqKey="Tambur A" first="A" last="Tambur">A. Tambur</name><affiliation><nlm:affiliation>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago, IL.</nlm:affiliation></affiliation></author><author><name sortKey="Zeevi, A" sort="Zeevi, A" uniqKey="Zeevi A" first="A" last="Zeevi">A. Zeevi</name><affiliation><nlm:affiliation>University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation></affiliation></author><author><name sortKey="Mengel, M" sort="Mengel, M" uniqKey="Mengel M" first="M" last="Mengel">M. Mengel</name><affiliation><nlm:affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</nlm:affiliation></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><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27862883</PMID><DateCreated><Year>2016</Year><Month>11</Month><Day>18</Day></DateCreated><DateRevised><Year>2017</Year><Month>04</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title><ISOAbbreviation>Am. J. Transplant.</ISOAbbreviation></Journal><ArticleTitle>The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.</ArticleTitle><Pagination><MedlinePgn>28-41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.14107</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>© 2016 The Authors. American Journal of Transplantation published by Wiley Periodicals, Inc. on behalf of American Society of Transplant Surgeons.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Loupy</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haas</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Solez</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Racusen</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Glotz</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seron</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Nephrology Department, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nankivell</LastName><ForeName>B J</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>Department of Renal Medicine, Westmead Hospital, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Colvin</LastName><ForeName>R B</ForeName><Initials>RB</Initials><AffiliationInfo><Affiliation>Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Afrouzian</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Departments of Pathology & Internal Medicine, University of Texas Medical Branch, Galveston, TX.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Akalin</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alachkar</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bagnasco</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Becker</LastName><ForeName>J U</ForeName><Initials>JU</Initials><AffiliationInfo><Affiliation>Institute of Pathology, University Hospital of Cologne, Cologne, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cornell</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Drachenberg</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>University of Maryland School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dragun</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Berlin Institute of Health and Department of Nephrology and Critical Care Medicine, Charité Universitätsmedizin, Berlin, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Kort</LastName><ForeName>H</ForeName><Initials>H</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-3601-532X</Identifier><AffiliationInfo><Affiliation>Department of Nephrology, Leiden University Medical Center, Leiden, the Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gibson</LastName><ForeName>I W</ForeName><Initials>IW</Initials><AffiliationInfo><Affiliation>Department of Pathology, University of Manitoba, Winnipeg, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kraus</LastName><ForeName>E S</ForeName><Initials>ES</Initials><AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lefaucheur</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Legendre</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liapis</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Pathology & Immunology, Washington University, St. Louis, MO.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muthukumar</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Division of Nephrology and Hypertension, Department of Medicine, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nickeleit</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Orandi</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>W</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rabant</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Paris Translational Research Center for Organ Transplantation INSERM U970 & Necker Hospital University Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Randhawa</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Transplantation Pathology, The Thomas E Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reed</LastName><ForeName>E F</ForeName><Initials>EF</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roufosse</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Cellular Pathology, Hammersmith Hospital, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seshan</LastName><ForeName>S V</ForeName><Initials>SV</Initials><AffiliationInfo><Affiliation>Department of Pathology, Weill Cornell Medicine, New York, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sis</LastName><ForeName>B</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>H K</ForeName><Initials>HK</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schinstock</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Nephrology, Mayo Clinic, Rochester, MN.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tambur</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Comprehensive Transplant Center, Transplant Immunology Laboratory, Northwestern University, Chicago, IL.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zeevi</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University of Pittsburgh Medical Center, Pittsburgh, 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subclinical</Keyword><Keyword MajorTopicYN="N">translational research/science</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>07</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>10</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>10</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>11</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27862883</ArticleId><ArticleId 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