URINE i-TXB2 IN RENAL ALLOGRAFT REJECTION

  • M. L. Foegh
  • , M. Zmudka
  • , C. Cooley
  • , J. F. Winchester
  • , G. B. Helfrich
  • , P. W. Ramwell
  • , G. E. Schreiner

Research output: Contribution to journalArticlepeer-review

88 Scopus citations

Abstract

Immunoreactive thromboxane B2 (i-TXB2) was measured in daily urine samples from twelve patients after renal transplantation. In 21 of 30 rejection episodes, the increase in i-TXB2 preceded both the increase in serum β2-microglobulin (β2-MG) and the clinical diagnosis of rejection. In 26 of 30 rejection episodes, the increase in urine i-TXB2 preceded the increase in serum creatinine. The degree of change in i-TXB2 is greater than that of either serum β2-MG or creatinine. Urinary i-TXB2 was very high in one patient with deep venous thrombosis, but it did not rise in patients with urinary tract infection, pneumonia, or acute tubular necrosis. Thus, urinary i-TXB2 seems to be an early indicator of clinical renal allograft rejection.

Original languageEnglish
Pages (from-to)431-434
Number of pages4
JournalThe Lancet
Volume318
Issue number8244
DOIs
StatePublished - 29 Aug 1981
Externally publishedYes

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