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Articles tagged "Histocompatibility"

  • 2018 American Transplant Congress

    A New Reality: Virtual Crossmatch Can Be Used Successfully as Pre-Transplant Compatibility Testing for Most Deceased Donor Transplants at a High Volume Center

    R. Rajalingam,1 D. Gae,1 Z. Laszik,2 G. Roll,3 M. Tavakol,3 C. Freise,3 D. Adey,4 A. Webber,4 D. Dobi,2 K. Cunniffe,1 G. da Gente,1 N. Ascher,3 P. Stock,3 J. Roberts.3

    1Immunogenetics and Transplantation Laboratory, Dept. of Surgery, UCSF, San Francisco; 2Dept. of Pathology, UCSF, San Francisco; 3Dept. of Surgery, UCSF, San Francisco; 4Dept. of Medicine, UCSF, San Francisco.

    Aim: We developed a reliable virtual crossmatch (VXM) method for use as pre-transplant XM for deceased donor (DD) kidney transplantation (KTx). Here we report the…
  • 2018 American Transplant Congress

    Acute Antibody Mediated Rejection Treatment Impact on Class I and Class II Anti-HLA Antibodies in Pediatric Kidney Transplant Recipients

    E. Kincaide,1,2,3 K. Hitchman,1,3 R. Hall,1,2,3 I. Yamaguchi,3 B. Crowther.1,2,3

    1University Health System, San Antonio, TX; 2College of Pharmacy, Pharmacotherapy Division, The University of Texas at Austin, Austin, TX; 3UT Health San Antonio, San Antonio, TX.

    Purpose: Characterize class I and class II donor specific antibodies (DSA) response to acute antibody mediated rejection (AMR) treatment in pediatric kidney transplant recipients (KTR).Methods:…
  • 2018 American Transplant Congress

    Flow DSA-XM: Better Crossmatch or Just Different Problems?

    P. Kimball, F. McDougan.

    Surgery, VCUHealth Systems, Richmond, VA.

    Background. Despite the positive impact of flow crossmatching(FCXM) upon alloantibody detection, its inability to distinguish anti-Class I from Class II or non-HLA from HLA-antibodies remain…
  • 2018 American Transplant Congress

    Shortened Cold Ischemia Time and Reduced Incidence of Delayed Graft Function for Kidney Transplants through Enhanced Tissue Compatibility Testing

    I. Helanterä,1 T. Saarinen,2 J. Peräsaari,2 M. Lempinen,1 J. Lauronen.2

    1Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland; 2Histocompatibility Laboratory, Finnish Red Cross Blood Service, Helsinki, Finland.

    A. HLA-typing and prospective leukocyte cross-matching needed for deceased donor kidney transplantation (kTX) may delay the onset of surgery. We compared cold ischemia times (CIT)…
  • 2018 American Transplant Congress

    Selection and Stratification of Anti-HLA-A and HLA-B Sensitized Patients in Pig-to-Human Xenotransplantation

    G. Martens,1 J. Ladowski,1 J. Butler,2 L. Reyes,1 M. Tector,1 A. Tector.1

    1University of Alabama at Birmingham, Birmingham, AL; 2Indiana University School of Medicine, Indianapolis, IN.

    Introduction: Patients with anti-HLA-A and –B antibodies are difficult to match and represent a possible population for inclusion in pig-to-human xenotransplantation clinical trials. Donor specific…
  • 2018 American Transplant Congress

    Increasing the Donor Pool for Highly Sensitized Patients with Allele Specific Antibodies: Optimizing the Virtual Crossmatch (vXM)

    A. Zhang,1 Z. Zaky,2 J. Africa,3 D. Good,1 R. Bray,4 H. Gebel.4

    1Allogen Laboratories, Cleveland Clinic, Cleveland; 2Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland; 3Transplant Surgery, Charleston Area Medical Center, Charleston; 4Pathology & Laboratory Medicine, Emory University, Atlanta.

    Background:Since implementation of the current Kidney Allocation System, highly sensitized patients with 98-100% cPRA (HSPs) are receiving ~10% of deceased donor kidneys compared to <2%…
  • 2018 American Transplant Congress

    Rituximab Interference in B-Cell Crossmatch: A Problem Solved

    P. Malvezzi,1 O. Senoussi,2 T. Jouve,1 C. De Palma,2 L. Rostaing,1 B. Bardy,2 D. Masson.2

    1Service de Néphrologie, Dialyse, Aphérèses et Transplantation, CHU Grenoble Alpes, Grenoble, France; 2Laboratoire d'Histocompatibilité, EFS Rhone Alpes, Grenoble, France.

    Background: Rituximab is commonly prescribed in ABO- or HLA-incompatible kidney transplantation. When used before transplant it interferes with B lymphocyte complement-dependent crossmatch (CDC CM) or…
  • 2018 American Transplant Congress

    Whole-Transcriptome Sequencing to Identify Macaque Immune Gene Variants

    A. Haj,1 J. Karl,1 R. Wiseman,1 D. O'Connor.1,2

    1Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison, WI; 2Wisconsin National Primate Research Center, Madison, WI.

    Macaque monkeys are critical in transplantation studies, yet macaque genomics lags significantly behind human genomics. While reliable genotyping methods have been developed for some macaque…
  • 2018 American Transplant Congress

    False-Positive Flow-Cytometric T Cell Crossmatch Associated with Blood Type Antigen Expressed on Lymphocytes in ABO Incompatible Kidney Transplantation

    D. Iwami,1 M. Ito,2 K. Hotta,1 H. Higuchi,1 N. Shinohara.1

    1Renal and Genitourinary Surgery, Hokkaido University, Graduate School of Medicine, Sapporo, Japan; 2Division of Laboratory and Transfusion Medicine, Hokkaido University Hospital, Sapporo, Japan.

    Background: Flow-cytometric T cell crossmatch (FTXM) uses live donor lymphocytes to detect anti-donor-human leukocyte antigen (HLA) IgG antibodies. Therefore, the results can be affected by…
  • 2018 American Transplant Congress

    Serum Treatment with Fetal Bovine Serum Significantly Increases Luminex-Based HLA Antibody Assay Specificity by Reducing Heterophile Antibody Interference

    A. Jaramillo,1 J. House,1 L. Nelson,1 S. Stoll,1 R. Ridgley,1 H. Khamash.2

    1Department of Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, AZ; 2Department of Medicine, Mayo Clinic, Phoenix, AZ.

    Mean fluorescence intensity (MFI) values obtained from Luminex-based HLA antibody assays are used to determine the relative strength of HLA antibodies. However, MFI values can…
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