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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.…
  • 2019 American Transplant Congress

    Epitope-Based Matching in Pediatric Kidney Transplantation

    C. Boussard1, M. Ould Rabah2, O. Boyer2, M. Macher1, J. Taupin3, J. Hogan4

    1Department of Pediatric Nephrology, Robert Debre hospital, APHP, Paris, France, 2Department of Pediatric Nephrology, Necker Enfants-Malades, APHP, Paris, France, 3Department of Immunology, Saint-Louis Hospital, APHP, Paris, France, 4Transplant Research Center, Department of Surgery, Emory University, ATLANTA, GA

    *Purpose: Following the allocation of a transplant by the allocation system, each pediatric transplant team reviews the proposal and decides based on various criteria whether…
  • 2019 American Transplant Congress

    Mismatched Antibody Epitopes and the Development of HLA-DQ De Novo DSA during Immunosuppression Withdrawal in Liver Transplant Recipients

    V. Jucaud1, A. Shaked2, M. DesMarais3, P. Sayre4, S. Feng4, J. Levitsky5, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2University of Pennsylvania, Philadelphia, PA, 3Immune Tolerance Network, San Francisco, CA, 4University of California San Francisco, San Francisco, CA, 5Northern Western University, Chicago, IL

    *Purpose: We recently described, in liver transplant (LT) recipients from the ITN030ST study, the development of de novo donor-specific HLA antibodies (dnDSA) and their impact…
  • 2019 American Transplant Congress

    Targeted Epitope Mutagenesis as a Strategy to Decrease Xenoantibody Binding

    J. Ladowski, G. Martens, Z. Wang, L. Reyes, M. Tector, J. Tector

    University of Alabama-Birmingham, Birmingham, AL

    *Purpose: Xenotransplantation, the use of genetically-modified pig organs for transplantation, has been limited by antibody-mediated rejection. The generation of a three-antigen knockout pig provided a…
  • 2019 American Transplant Congress

    Mismatched Epitope and De Novo DSA Development: An Analysis of the Benefit and Benefit-EXT Renal Transplant Cohorts

    V. Jucaud1, V. Burnett1, H. Gebel2, R. Bray2, M. Polinsky3, M. Everly1

    1Terasaki Research Institute, Los Angeles, CA, 2Emory University, Atlanta, GA, 3Bristol-Myers Squibb, Princeton, NJ

    *Purpose: De novo donor-specific HLA antibodies (dnDSA) target epitopes rather than whole antigens, and their development is associated with the mismatched HLA antibody epitope load…
  • 2019 American Transplant Congress

    Solving Target Recognition and Activation Mediated by Non-HLA Agonistic Antibodies Targeting ETAR

    A. Philippe1, R. Catar1, P. Scheerer2, M. Szczepek2, D. Dragun1

    1Nephrology and Medical Intensive Care, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Institute of Medical Physics and Biophysics, Charité Universitätsmedizin Berlin, Berlin, Germany

    *Purpose: Endothelin-1 type A receptor (ETAR) exhibits multiligand binding abilities and may signal upon natural ligand Endothelin-1 (ET-1) and non-HLA ETAR-agonistic IgG (ETAR-IgG)-mediated stimulation similar…
  • 2019 American Transplant Congress

    Can Imputation of HLA Allele Level Typing Be Used Clinically in a Multiethnic Population?

    R. M. Engen1, A. M. Jedraszko1, A. Tambur2

    1Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL, 2Northwestern University, Chicago, IL

    *Purpose: Assignment of eplets in transplantation for the purpose of matching or risk stratification requires high-resolution HLA typing, which is not readily available. Computer algorithms…
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