%0 Journal Article %T Evaluation of serum tumor necrosis factor ¦Á and its correlation with histology in chronic kidney disease, stable renal transplant and rejection cases %A Sonkar Gyanendra %A Usha %A Singh R %J Saudi Journal of Kidney Diseases and Transplantation %D 2009 %I Medknow Publications %X Tumor necrosis factor alpha (TNF ¦Á) is a cytokine secreted by macrophages, helper T cells, Natural Killer cells, B lymphocytes and non lymphoid cells e.g. endothelial cells, fibroblast and tumor cell lines. Aim of the study was to find the utility of TNF ¦Á in diagnosing renal transplant rejection among the renal transplant cases (n=29), and comparison with the levels in patients on maintenance hemodialysis (n=21) and healthy controls (n=20). TNF ¦Á in healthy controls varied from 2 to 15 pg/mL. In chronic renal failure and renal transplant rejection cases TNF ¦Á was above 45 pg/mL. In stable renal transplant patients it was higher than normal (16 to 30 pg/mL). In both acute and chronic transplant rejection TNF ¦Á increase correlated well with histology. Thus our study suggests that TNF ¦Á level more than 45 pg/mL can be taken as an immunological marker of renal transplant rejection. %U http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=6;spage=1000;epage=1004;aulast=Sonkar