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Articles tagged "Epitopes"

  • 2020 American Transplant Congress

    HLA Diversity Affects Epitope Mismatch Cutoffs Utilized to Predict De Novo DSA Development and Graft Rejection in Renal Transplant Patients

    A. Ram1, S. Dhingra2, H. Quach1, P. T. Jindra1

    1Immune Evaluation Laboratory-Surgery, Baylor College of Medicine, Houston, TX, 2Pathology, Baylor College of Medicine, Houston, TX

    *Purpose: Recent studies have investigated epitope matching in order to determine its predictive power in determining renal transplant outcomes, both in terms of de novo…
  • 2020 American Transplant Congress

    Is the Epitope Mismatch Load Enough to Identify HLA-DQ Mismatches with a Low Risk for De Novo DSA Development?

    V. Jucaud1, M. Stegall2, C. Schinstock2, R. Heilman3, L. Rebellato4, M. Samaniego-Picota5, D. Leeser4, M. Gandhi2, J. Beaumont1, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2Mayo Clinic, Rochester, MN, 3Mayo Clinic, Phoenix, AZ, 4East Carolina University, Greenville, NC, 5Henry Ford Transplant Institute, Detroit, MI

    *Purpose: The development of de novo donor-specific anti-HLA antibodies (dnDSA) remains a major risk factor for poor long-term kidney allograft outcomes. In particular, anti-HLA-DQ dnDSAs,…
  • 2020 American Transplant Congress

    HLA Mismatch Immunogenicity: Are We Predicating Mismatches That Induce De Novo DSA Development or That Do Not?

    V. Jucaud1, L. Rebellato2, K. Briley2, C. Haisch2, S. Kendrick3, H. Jones3, K. Mclawhorn3, D. Leeser2, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2East Carolina University, Greenville, NC, 3Eastern Nephrology Associates, Greenville, NC

    *Purpose: Although the development of de novo donor-specific anti-HLA antibodies (dnDSA) remains a major risk factor for poor long-term kidney allograft outcomes, the prediction of…
  • 2020 American Transplant Congress

    Extended HLA Typing of Kidney Transplant Pairs is Necessary to Assign Presence of Donor-Specific Anti-HLA Antibodies

    A. Senev1, V. Van Sandt2, M. Naesens1, M. Emonds1

    1Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium, 2HILA, Rode Kruis Vlaanderen, Leuven, Belgium

    *Purpose: The need for extended high-resolution (HR) HLA genotyping in solid organ transplantation is currently widely debated due to higher costs and questioned clinical importance.…
  • 2020 American Transplant Congress

    The Eplet-Mismatch Landscape in Kidney Patients and Deceased Donors in British Columbia

    J. Tran1, O. Gunther2, J. Lan1, M. Kadatz1, R. Sapir-Pichhadze3, P. A. Keown1

    1University of British Columbia, Vancouver, BC, Canada, 2Gunther Analytics, Vancouver, BC, Canada, 3McGill University, Montreal, QC, Canada

    *Purpose: Minimizing quantitative donor/recipient mismatch at the HLA epitope level may optimize graft outcomes in renal transplantation, but the degree to which optimal matching can…
  • 2020 American Transplant Congress

    Identification of Eplet Mismatches Associated with De Novo Donor Specific HLA Antibody in a Pediatric Kidney Transplant Cohort

    O. Charnaya, J. Jones, P. Chiang, M. C. Philogene, J. Garonzik-Wang

    Johns Hopkins University, Baltimore, MD

    *Purpose: While optimizing immunological matching will decrease the risk of de novo donor specific HLA antibody (dnDSA) formation and improve long-term graft function in pediatric…
  • 2020 American Transplant Congress

    Can HLA-DQ Molecular Mismatch Analysis Be Used to Predict Generation of De Novo Donor-Specific Antibody at an Individual Patient Level?

    D. Pinelli1, M. Casillas Abundis1, R. Hod Dvorai2, H. McDowell1, A. R. Tambur1

    1Northwestern University, Chicago, IL, 2SUNY Upstate Medical University, Syracuse, NY

    *Purpose: De novo donor-specific antibodies (dnDSA), especially to HLA-DQ, are one of the leading causes of late kidney graft failure. Many investigators have attempted to…
  • 2020 American Transplant Congress

    The Impact of Epitope Mismatch Load and Shared Targeting Epitopes between De Novo Donor Specific Antibody (DSA) and Non-DSA Third Party HLA Antibody on Lung Transplantation Outcomes

    A. Zhang1, D. Good1, D. Thomas1, J. Allen1, K. McCurry2, M. Budev2

    1Allogen Laboratories, Cleveland Clinic, Cleveland, OH, 2Cleveland Clinic, Cleveland, OH

    *Purpose: Rapid advancements in HLA typing and antibody identification technologies allow for enhanced HLA compatibility assessment at the epitope level to aid in the reduction…
  • 2020 American Transplant Congress

    Immune-Mediated Injury and Eplet Mismatches – Profiling Population-Level Interactions

    H. Mohammadhassanzadeh1, W. Zhang2, W. Klement3, H. Gebel4, P. Keown5, K. Oualkacha6, R. Sapir-Pichhadze1

    1Medicine, McGill University, Montreal, QC, Canada, 2McGill University, Montreal, QC, Canada, 3Organ Donation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada, 4Emory University Hospital, Atlanta, GA, 5Medicine, University of British Columbia, Vancouver, BC, Canada, 6Université du Québec À Montréal, Montreal, QC, Canada

    *Purpose: HLA genes are in linkage disequilibrium with each other. Sequence defined HLA targets (eplets) are associated with alleles and may be shared within and…
  • 2020 American Transplant Congress

    Molecular Features of HLA Mismatches as Predictors of De Novo DSA Development: A Single Center Experience

    V. Jucaud1, L. Rebellato2, K. Briley2, C. Haisch2, S. Kendrick3, H. Jones3, K. Mclawhorn3, D. Leeser2, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2East Carolina University, Greenville, NC, 3Eastern Nephrology Associates, Greenville, NC

    *Purpose: Several molecular features (MoFs) of HLA mismatches (MMs) are currently used to predict the development of de novo donor-specific anti-HLA antibodies (dnDSA). The purpose…
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