The characteristics of renal allografts before transplantationpresent a multifaceted puzzle that in large part predeterminesthe outcome of kidney transplantation. Compatibility at themajor-histocompatibility-complex (MHC) loci, the age of thedonor, cold-ischemia times, and nephron mass1,2 all contributeto long-term results through interacting effects involving initialdamage to parenchymal or vascular cells and possible hyperfiltration.Many factors are involved in chronic allograft dysfunction,in which immune-mediated lesions caused by chronic rejectionare only one component.3
In this issue of the Journal, Brown et al.4 report on a newlyidentified donor factor, an allotype of the C3 complement moleculethat . . . [Full Text of this Article]
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From the Centre Hospitalier Universitaire de Nantes and INSERM Unité 643 (J.-P.S., M.G.) and Université de Nantes (J.-P.S.) all in Nantes, France.
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