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Articles tagged "HLA antibodies"

  • 2017 American Transplant Congress

    C3d-Binding Anti-DQ DSA Is Associated with a High Risk for Late ABMR and Graft Failure in Stable Kidney Transplant Recipients.

    D. Lee,1 B. Kim,2 J. Kim,3 I. Kim,4 M. Chun.5

    1Medicine, Maryknoll Medical Center, Busan, Republic of Korea; 2Laboratyory Medicine, Maryknoll Medical Center, Busan, Republic of Korea; 3Surgery, Maryknoll Medical Center, Busan, Republic of Korea; 4Urology, Maryknoll Medical Center, Busan, Republic of Korea; 5Pathology, Maryknoll Medical Center, Busan, Republic of Korea

    Introduction:Donor specific anti-HLA antibodies (DSA) are a major cause of antibody-mediated rejection (ABMR) and poor graft outcome in kidney transplant recipients (KTR). Critical issue is…
  • 2017 American Transplant Congress

    Tocilizmab (Anti-IL-6R) Treatment (TCZ-Rx) Reduced Total IgG Levels Including Anti-HLA IgG: Analysis of IgG Subclasses (IgG1-IgG4) and Anti-HLA IgG Subclasses Show Similar Reductions in All Subclasses from Patients with DSA+ Chronic Antibody-Mediated Rejection (CABMR).

    B.-H. Shin,1 M. Everly,2 J. Choi,1 S. Ge,1 A. Petrosyan,1 A. Vo,1 S. Jordan,1 M. Toyoda.1

    1Transplant Immunology Laboratory and Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA; 2Terasaki Foundation Laboratory, Los Angeles

    Background: DSA+ CABMR constitutes the major cause for renal allograft loss in the U.S. Currently there are no approved therapies. We have reported TCZ use…
  • 2017 American Transplant Congress

    Refinement of an Old Faithful: A Standardized Flow Cytometry Approach to Measure Donor-Recipient Alloreactivity (a Pilot Study).

    A. Halpin,1 M. Sosniuk,1 S. Urschel,1 P. Campbell,2 I. Larsen,1 L. West.1

    1Pediatrics, Alberta Transplant Institute, Canadian National Transplant Reseach Program, University of Alberta, Edmonton, Canada; 2Lab Medicine and Pathology, University of Alberta, Edmonton, Canada

    Purpose: Donor-specific antibody (DSA) and antibody (Ab)-mediated rejection are challenges in long-term outcomes and limit re-transplantation. Sensitizing events such as homografts in surgical procedures, assist…
  • 2017 American Transplant Congress

    Lower Mean Tacrolimus Troughs Increase Risk of De Novo Donor-Specific Antibodies in the First Year of Kidney Transplant.

    S. Davis, J. Gralla, P. Klem, A. Wiseman, J. Cooper.

    University of Colorado, Aurora, CO

    Development of de novo donor-specific antibodies (dnDSA) is the first step in the evolution of antibody-mediated rejection, which constitutes the leading cause of death-censored graft…
  • 2017 American Transplant Congress

    Complement Activating Anti-HLA Antibodies: Identification of Specific Histo-Mmolecular Phenotype of Rejection for Complement-Targeting Therapy.

    C. Lefaucheur,1 B. Sis,2 D. Viglietti,1 L. Hidalgo,2 O. Aubert,1 D. Glotz,1 C. Legendre,1 A. Zeevi,3 P. Halloran,2 A. Loupy.1

    1Paris Translational Research Center for Organ Transplantation, Paris, France; 2University of Alberta, Edmonton, Canada; 3University of Pittsburgh Medical Center, Pittsburgh

    Addressing the heterogeneity of antibody-mediated allograft rejection by identifying phenotypes based on pathophysiology is critical for improving outcomes in transplantation. We investigated whether complement-binding anti-HLA…
  • 2017 American Transplant Congress

    Blood Transfusion Before Organ Transplant: Patient Sensitization and Outcomes.

    I. Cich, K. Rudser, R. Brown, H. Ibrahim, R. Thorson, J. Patil, G. Loor, M. Hertz, C. Cohn.

    Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, MN

    BackgroundBlood transfusions (Btf) can cause alloimmunization to HLA antigens. Antibodies to HLA (HLAb) can increase patients' calculated panel reactive assay (cPRA) and make it more…
  • 2017 American Transplant Congress

    Association of Non-HLA Antibodies with Histological Changes of Antibody Mediated Injury in Kidney Transplantation.

    N. Leca,1 I. Gimferrer,2 P. Warner,2 K. Nelson,2 R. Bakthavatsalam,1 L. Sibulesy,1 B. Najafian,3 C. Robinson-Cohen,1 B. Kestenbaum.1

    1Division of Nephrology, University of Washington, Seattle; 2Bloodworks NW, Seattle

    Solid phase assays, particularly single-antigen beads, have substantially increased the sensitivity and accuracy of antibody detection in transplantation. However, donor specific antibodies(DSA) against human leukocyte…
  • 2017 American Transplant Congress

    Clinical Impact of Strength and Class of Pre transplant Donor Specific Antibody on Kidney Transplant Recipient Receiving Steroid Free Maintenance Immunosupression Regimen.

    O. Adebiyi, O. Simo, S. Hussain, D. Mishler, W. Goggins, T. Taber, A. Sharfuddin, M. Yaqub.

    Renal Transplant, Indiana University School of Medicine, Indianapolis, IN

    Background: The class and strength of pre- transplant DSA has been described as playing a role in determining future risk of acute rejection (AR) and…
  • 2017 American Transplant Congress

    Kidney Transplant Rejection Associated with DQ Eplet Mismatches.

    S. Chakola,1 P. Warner,2 N. Andeen,3 B. Najafian,3 N. Leca,1 C. Blosser.1

    1Medicine, University of Washington, Seattle, WA; 2Bloodworks Northwest, Seattle, WA; 3Pathology, University of Washington, Seattle, WA

    The presence of anti-HLA antibodies is associated with acute rejection, allograft dysfunction and earlier graft loss. HLA antibodies are recognized as being specific to these…
  • 2017 American Transplant Congress

    Safety and Activity of Anti-C1s Humanized Monoclonal Antibody TNT009 in Late Antibody-Mediated Kidney Allograft Rejection – Results of a First-in-Human Phase 1 Trial.

    F. Eskandary,1 B. Jilma,2 J. Muehlbacher,3 M. Wahrmann,1 H. Regele,4 N. Kozakowski,4 S. Panicker,5 J. Reeve,6 P. Halloran,6 J. Gilbert,5 G. Bohmig.1

    1Department of Medicine III, Medical University Vienna, Vienna, Austria; 2Department of Clinical Pharmacology, Medical University Vienna, Vienna, Austria; 3Department of Surgery, Medical University Vienna, Vienna, Austria; 4Department of Clinical Pathology, Medical University Vienna, Vienna, Austria; 5True North Therapeutics Inc., San Frnacisco; 6Alberta Transplant Applied Genomics Centre, University of Alberta, Edmonton, Canada

    Study purpose:The classical pathway (CP) of complement may significantly contribute to antibody-mediated rejection (ABMR). Blockade of CP key component C1 may be a promising strategy…
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