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Articles tagged "HLA antibodies"

  • 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…
  • 2016 American Transplant Congress

    DSA After Transplant Increases Risk of Renal Allograft Failure Independent of Concurrent Biopsy Results: The DEKAF Study Data.

    J. Cecka,1 J. Grande,2 F. Cosio,2 R. Leduc,3 The DeKAF Study Group.

    1UCLA Immunogenetics Center Department of Pathology, University of California-Los Angeles, Los Angeles, CA; 2Department of Lab Medicine & Pathology, Mayo Clinic College of Medicine, Rochester, MN; 3Department of Biostatistiscs, University of Minnesota School of Public Health, Minneapolis, MN.

    Donor-specific HLA antibodies (DSA) are a major cause of renal allograft dysfunction and loss following transplant. The presence of DSA, with or without C4d deposition,…
  • 2016 American Transplant Congress

    Kidney Graft Homing of De Novo Donor Specific HLA Antibodies Is an Early Step within the Antibody-Mediated Graft Damage Process.

    A. Nocera,1 M. Cioni,2 A. Tagliamacco,1 A. Innocente,3 I. Fontana,4 A. Magnasco,2 A. Nocco,3 A. Sementa,2 G. Garibotto,1 G. Ghiggeri,2 M. Cardillo,3 P. Comoli,5 F. Ginevri.2

    1Transplant Immunology and Nephrology, University of Genova, Genova, Italy; 2Nephrology and Pathology, G. Gaslini Institute, Genova, Italy; 3Transplantation Immunology, Fondazione Cà Granda Ospedale Maggiore Policlinico, Milano, Italy; 4Kidney Transplant Surgery, IRCCS S.Martino-IST, Genova, Italy; 5Pediatric Hematology/Oncology, IRCCS Fondazione Policlinico S. Matteo, Pavia, Italy.

    In this study, by a parallel analysis on sera and graft biopsies we have analyzed, in a pediatric cohort of unsensitized recipients of a first…
  • 2016 American Transplant Congress

    Enhanced Natural Killer Responsiveness Is a Potent Cytotoxic Mechanism Associating to Kidney Allograft Dysfunction and Pathogenic Effects of Donor-Specific Antibodies (DSA).

    P. Paul,1,2 T. Legris,3 C. Picard,4 D. Todorova,1,2 L. Lyonnet,1 L. Daniel,5 B. Dussol,3,6 V. Moal,3 H. Vacher Coponat,3 Y. Berland,3 F. Dignat-George,1,2 S. Burtey.2,3

    1Hematology, Assistance Publique Hopitaux Marseille, Marseille, France; 2UMR-1076, VRCM, Aix Marseille University, INSERM, Marseille, France; 3Nephrology Dialysis Renal Transplantation Center, Assistance Publique Hopitaux Marseille, Marseille, France; 4Immunogenetics, Etablissement Français du Sang, Marseille, France; 5Anatomy, Pathology, Neuropathology, Assistance Publique Hopitaux Marseille, Marseille, France; 6Center for Clinical Investigation, Assistance Publique Hopitaux Marseille, Marseille, France.

    While antibody mediated rejection (ABMR) is a major cause of kidney transplant loss, the role of Natural Killer cells (NK) as immune effectors of complement-independent…
  • 2016 American Transplant Congress

    Factors Predicting Risk for Antibody-Mediated Rejection in Highly Sensitized Pediatric Renal Transplants.

    I. Kim,1 J. Choi,1 A. Vo,1 S. Louie,1 J. Mirocha,2 S. Jordan,1 E. Kamil,1 D. Puliyanda.1

    1Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles, CA; 2Biostatistics Core, Cedars-Sinai Medical Center, Los Angeles, CA.

    Introduction: Antibody-mediated rejection (ABMR) is a concern in highly sensitized (HS) patients (pts) receiving renal transplant (tx). We have previously published that a donor specific…
  • 2016 American Transplant Congress

    Analysis of Intra-Graft Anti-HLA Antibodies Suggests That HLA Sensitization Occurs Long After an Allograft Nephrectomy and Is Not Due to a Release of Anti-HLA Antibodies from the Failed Kidney.

    D. Milongo,1 N. Congy-Jolivet,2 A. Del Bello,1 F. Sallusto,3 L. Esposito,1 L. Rostaing,1 N. Kamar.1

    1Department of Nephrology and Organ Transplantation, CHU Rangueil, Toulouse, France; 2Department of Immunology, CHU Rangueil, Toulouse, France; 3Department of Urology and Kidney Transplantation, CHU Rangueil, Toulouse, France.

    Background: The mechanism leading to the appearance of anti-HLA antibodies and donor-specific antibodies (DSAs) after an allograft nephrectomy (NTx) is not fully understood. Two mechanisms…
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