Patterns of leukocyte chemotaxis to bile after liver transplantation

D H Adams, D Burnett, R A Stockley, E Elias

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)


The role of chemotactic factors in the recruitment of leukocytes to human liver allografts was assessed by studying the effect of bile from transplant recipients on the chemotaxis of cells from normal subjects. Bile samples taken 2-3 days before clinical rejection were more chemotactic for lymphocytes than samples taken during rejection (p less than 0.01), during stable graft function (p less than 0.001), and from nontransplant patients (p less than 0.007). During clinical rejection there was an increase in bile chemotactic activity for both monocytes and neutrophils compared with samples from stable patients (monocytes: p less than 0.001; neutrophils: p less than 0.001) and nontransplant patients (monocytes: p less than 0.001; neutrophils: p less than 0.001). In serial studies chemotactic activity for lymphocytes reached a peak 1-3 days before the onset of clinical rejection, whereas maximum chemotactic activity for monocytes and neutrophils occurred at the time of rejection, when lymphocyte chemotaxis was decreasing. These results suggest that chemotaxis may be important in the recruitment of inflammatory cells to liver allografts and that chemotactic factors for lymphocytes, which appear in bile before clinical rejection, may be critical in the pathogenesis of rejection.
Original languageEnglish
Pages (from-to)433-8
Number of pages6
Issue number2
Publication statusPublished - Aug 1989


  • Bile
  • Chemotaxis, Leukocyte
  • Graft Rejection
  • Humans
  • Immunosuppressive Agents
  • Leukocytes, Mononuclear
  • Liver Transplantation
  • Lymphocytes
  • Neutrophils
  • Time Factors


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