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ResearchIn-Press PreviewImmunologyNephrologyVascular biology Open Access | 10.1172/JCI168962

Organ-specific features of human kidney lymphatics are disrupted in chronic transplant rejection

Daniyal J. Jafree,1 Benjamin J Stewart,2 Karen L. Price,1 Maria Kolatsi-Joannou,1 Camille Laroche,1 Barian Mohidin,1 Benjamin Davis,3 Hannah Mitchell,4 Lauren G. Russell,1 Lucía Marinas del Rey,5 Chun Jing Wang,6 William J. Mason,1 Byung Il Lee,7 Lauren Heptinstall,5 Ayshwarya Subramanian,8 Gideon Pomeranz,1 Dale Moulding,1 Laura Wilson,1 Tahmina Wickenden,1 Saif N. Malik,1 Natalie Holroyd,9 Claire L. Walsh,9 Jennifer C. Chandler,1 Kevin X. Cao,1 Paul J.D. Winyard,1 Adrian S. Woolf,10 Marc Aurel Busche,7 Simon Walker-Samuel,9 Lucy S.K. Walker,6 Tessa Crompton,11 Peter J. Scambler,1 Reza Motallebzadeh,5 Menna R. Clatworthy,2 and David A. Long1

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Jafree, D. in: PubMed | Google Scholar |

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Stewart, B. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Price, K. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Kolatsi-Joannou, M. in: PubMed | Google Scholar |

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Laroche, C. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Mohidin, B. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Davis, B. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Mitchell, H. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Russell, L. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Marinas del Rey, L. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Wang, C. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Mason, W. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Lee, B. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Subramanian, A. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Malik, S. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Holroyd, N. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

Find articles by Walsh, C. in: PubMed | Google Scholar

1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

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2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

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4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

11Infection, Immunity and Inflammation Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

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1Developmental Biology & Cancer Research & Teaching Department, UCL Great Ormond Street Institute of Child Health, UCL, London, United Kingdom

2Molecular Immunity Unit, University of Cambridge, Cambridge, United Kingdom

3Central Laser Facility, Science and Technologies Facilities Council, UK Research and Innovation, Didcot, United Kingdom

4Mathematical Sciences Research Centre, Queen's University Belfast, Belfast, United Kingdom

5UCL Centre for Kidney & Bladder Health, UCL, London, United Kingdom

6UCL Institute of Immunity and Transplantation, UCL, London, United Kingdom

7UK Dementia Research Institute at UCL, London, United Kingdom

8Department of Molecular Biology and Genetics, College of Arts and Science, Cornell University, Ithaca, United States of America

9UCL Centre for Advanced Biomedical Imaging, London, United Kingdom

10School of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom

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Published July 15, 2025 - More info

J Clin Invest. https://doi.org/10.1172/JCI168962.
Copyright © 2025, Jafree et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published July 15, 2025 - Version history
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Abstract

Lymphatic vessels maintain tissue fluid homeostasis and modulate inflammation, yet their spatial organisation and molecular identity in the healthy human kidney, and how these change during chronic transplant rejection, remain poorly defined. Here, we show that lymphatic capillaries initiate adjacent to cortical kidney tubules and lack smooth muscle coverage. These vessels exhibit an organ-specific molecular signature, enriched for CCL14, DNASE1L3, and MDK, with limited expression of canonical immune-trafficking markers found in other organ lymphatics, such as LYVE1 and CXCL8. In allografts with chronic mixed rejection, lymphatics become disorganised and infiltrate the medulla, with their endothelial junctions remodelling from a button-like to a continuous, zipper-like architecture. Lymphatics in rejecting kidneys localise around and interconnect tertiary lymphoid structures at different maturation stages, with altered intra- and peri-lymphatic CD4⁺ T cell distribution. The infiltrating T cells express IFNγ, which upregulates co-inhibitory ligands in lymphatic endothelial cells, including PVR and LGALS9. Simultaneously, lymphatics acquire HLA class II expression and exhibit C4d deposition, consistent with alloantibody binding and complement activation. Together, these findings define the spatial and molecular features of human kidney lymphatics, revealing tolerogenic reprogramming, accompanied by structural perturbations, during chronic transplant rejection.

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Copyright © 2025 American Society for Clinical Investigation
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