ATC Abstracts

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Articles tagged "HLA antibodies"

  • 2016 American Transplant Congress

    Is C3d-fixing Donor Specific HLA Antibody Detection Really Necessary?

    P. Malvezzi,1 M. Villemaire,1 A. Bourdin,2 T. Jouve,1 R. Tetaz,1 B. Janbon,1 N. Terrier,3 D. Masson.2

    1Service de Néphrologie, Grenoble University Hospital, Grenoble, France; 2Laboratoire d'Histocompatibilité, EFS, Grenoble, France; 3Service d'Urologie, Grenoble University Hospital, Grenoble, France.

    Introduction: Chronic antibody–mediated rejection is the main cause of late kidney graft loss. The identification of donor-specific antibodies (DSA) in the serum is one of…
  • 2016 American Transplant Congress

    Prospective Single Antigen Bead Epitope-Based Clustering for Early Detection of Antibody Mediated Rejection.

    A. Lichvar, S. Tremblay, P. Brailey, A. Girnita, R. Alloway, E. Woodle.

    U of Cincinnati, Cincinnati.

    Purpose:Epitope-based groups of HLA single antigen beads (SAB) often demonstrate clustering in patients with donor specific antibodies (DSA). Coordinated Mean Florescent Intensity (MFI) increases of…
  • 2016 American Transplant Congress

    The Combined Effect of Acute Rejection and De Novo Donor-Specific Antibodies on Kidney Allograft Survival.

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

    Division of Renal Diseases and Hypertension, University of Colorado, Aurora, CO.

    While dnDSA is associated with graft loss in multiple studies, the clinical context in which dnDSA develops and contributes to graft loss is less well…
  • 2016 American Transplant Congress

    Should HLA DR and DQ Eplet Mismatching Replace Traditional DR and DQ Mismatching for Deceased Donor Offers in Pediatric Renal Transplantation?

    C. Bryan, V. Chadha, B. Warady.

    Midwest Transplant Network, Kansas City, KS; Nephrology, Childrens Mercy Hospital, Kansas City, MO; Nephrology, Childrens Mercy Hospital, Kansas City, MO.

    Introduction. It is now appreciated that greater HLA DR mismatching of the first pediatric kidney transplantation is associated with higher degrees of sensitization, lower rates…
  • 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…
  • 2016 American Transplant Congress

    Antibody Mediated Rejection and Mixed Acute Rejection: Long Term Results and Predictive Factors for Graft Loss Following Proteasome Inhibitor Therapy.

    A. Lichvar,1 A. Leino,1 S. Tremblay,1 B. Abu-Jawdeh,1 A. Govil,1 G. Mogilishetty,1 M. Cardi,2 J. Kremer,2 M. Cuffy,1,2 F. Paterno,1 A. Shields,1,2 D. Witte,1 R. Alloway,1 E. Woodle.1

    1U of Cincinnati, Cincinnati; 2The Christ Hospital, Cincinnati.

    Purpose: Proteasome inhibitor (PI) therapy has been increasingly used to treated antibody mediated rejection (AMR) and mixed acute rejection (MAR). The purpose of this study…
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