Background. In clinical transplantation, ''passenger'' dendritic cells
(DCs) in the allograft have been thought to induce allograft rejectio
n. However, the presence of DCs in the normal human kidney is controve
rsial. Most reports have relied on the examination of MHC class I and
II antigen expression in combination with DC morphology for identifica
tion of DCs. Methods. The distribution of the p55 antigen (fascin), wh
ich is selectively expressed by human blood and lymphoid DCs, was inve
stigated by immunohistochemistry. Results. Our study demonstrates that
p55-positive DCs are absent from the normal human kidney and CD1a- an
d S100-positive cells are absent or very rare. Furthermore, HLA-DR and
factor VIII-related antigen show almost complete colocalization in ca
pillaries. In contrast, all 16 kidney biopsies from patients with infl
ammatory processes demonstrated p55-positive DCs in the cellular infil
trates. Conclusions. These results suggest that DCs are not present or
are very rare in normal renal tissues but may migrate into the renal
interstitium with inflammatory changes.