De novo leukocyte chemotactic factor 2 amyloidosis in a pediatric renal allograft, 15 years post-transplant

Pediatr Transplant. 2019 May;23(3):e13371. doi: 10.1111/petr.13371. Epub 2019 Feb 3.

Abstract

Leukocyte chemotactic factor 2 amyloidosis (ALECT2) is a recently described form of systemic amyloidosis, which most commonly affects the kidney and liver. The LECT2 protein is produced during inflammatory processes, but its precise function in renal diseases in unclear. ALECT2, however, is known to be a relatively common form of renal amyloidosis, after amyloid light chain and serum amyloid A types and is most often seen in patients of Hispanic ethnicity. ALECT2 can occur de novo or as recurrent disease in kidney transplants. We present the first case, to our knowledge, of de novo ALECT2 in a pediatric kidney transplant patient, 15 years post-transplant.

Keywords: ALECT2; amyloid; leukocyte chemotactic factor 2; pediatric kidney transplantation.

Publication types

  • Case Reports

MeSH terms

  • Allografts
  • Amyloidosis / complications
  • Amyloidosis / metabolism
  • Amyloidosis / surgery*
  • Biopsy
  • Child
  • Comorbidity
  • Creatinine / blood
  • Follow-Up Studies
  • Humans
  • Inflammation
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation*
  • Male
  • Postoperative Complications
  • Recurrence
  • Young Adult

Substances

  • Intercellular Signaling Peptides and Proteins
  • LECT2 protein, human
  • Creatinine