ATC Abstracts

American Transplant Congress abstracts

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Articles tagged "Histocompatibility"

  • 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…
  • 2018 American Transplant Congress

    Can We Expect the “Unexpected”?

    D. Pinelli, A. Tambur.

    Northwestern University, Chicago.

    A known, seemingly paradoxical, phenomenon of the HLA system is the high overall degree of homology among different HLA alleles, despite vast polymorphism in the…
  • 2018 American Transplant Congress

    Temporal Variability of IgG Subclasses

    D. Pinelli, M. Gopalakrishnan, A. Joong, P. Thrush, A. Tambur.

    Northwestern University, Chicago; Lurie Children's Hospital, Chicago.

    The temporal model of IgG subclass switching supports sequential IgG conversion; however, the diversity of previously stimulated B cells is known to shape responses in…
  • 2018 American Transplant Congress

    Delayed Graft Function in Live Donor HLA-Incompatible Kidney Transplant Recipients: A Multicenter Study

    J. Motter,1 A. Massie,1 J. Garonzik Wang,1 K. Jackson,1 X. Luo,1 A. Muzaale,1 B. Orandi,2 D. Segev.1

    1JHU, Baltimore; 2UCSF, San Francisco.

    Background: Many patients with a willing, but incompatible live donor choose to undergo incompatible live donor kidney transplantation (ILDKT) facilitated by desensitization procedures to eliminate…
  • 2018 American Transplant Congress

    A Novel Endothelial Cell Based Complement Dependent Cytotoxicity Test in Kidney Transplantation

    R. Lammerts,1 J. van den Born,1 W. Dam,1 M. Seelen,1 B. Hepkema,2 B. Kroesen,2 M. Daha,1 R. Pol,3 S. Berger,1 On behalf of the COMBAT Consortium.1

    1Department of Nephrology, University Medical Centre Groningen, Groningen, Netherlands; 2Department of Immunology, University Medical Centre Groningen, Groningen, Netherlands; 3Department of Surgery, University Medical Centre Groningen, Groningen, Netherlands.

    Introduction:Relevant alloantibodies in kidney transplantation comprise anti-HLA antibodies, blood group antibodies (ABO incompatible) and anti-endothelial cell antibodies (AECA) and can initiate antibody-mediated rejection (ABMR). ABMR…
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