Detection of donor-specific-antibodies by solid phase assay and its relevance to complement-dependent-lymphocytotoxicity cross-matching in kidney transplantation

Abstract Presensitization against a broad array of HLA is associated with prolonged waiting times and inferior kidney allogaft survival. Although the use of solid phase assay (SPA) for the detection and characterization of anti-HLA antibodies provides greater sensitivity than complement-dependent ly...

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Veröffentlicht in:Human immunology 2014-06, Vol.75 (6), p.520-523
Hauptverfasser: Ho, Eric K, Vasilescu, Elena R, Vlad, George, Clynes, Raphael A, Ratner, Lloyd E, Suciu-Foca, Nicole
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container_end_page 523
container_issue 6
container_start_page 520
container_title Human immunology
container_volume 75
creator Ho, Eric K
Vasilescu, Elena R
Vlad, George
Clynes, Raphael A
Ratner, Lloyd E
Suciu-Foca, Nicole
description Abstract Presensitization against a broad array of HLA is associated with prolonged waiting times and inferior kidney allogaft survival. Although the use of solid phase assay (SPA) for the detection and characterization of anti-HLA antibodies provides greater sensitivity than complement-dependent lymphocytotoxicity (CDC) assay, it often detects donor specific antibodies (DSA) which turn out to be clinically irrelevant. Our data reinforce the concept that these two types of assays should be used in parallel for pre-and post-transplantation monitoring of anti-HLA antibodies in recipients of solid organ allografts.
doi_str_mv 10.1016/j.humimm.2014.03.002
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Aged
Allergy and Immunology
Antilymphocyte Serum - blood
B-Lymphocytes - cytology
B-Lymphocytes - immunology
Complement System Proteins - metabolism
Complement-dependent lymphocytotoxicity
Cross-matching
Donor-specific antibodies
Female
Gene Expression
Graft Rejection - prevention & control
Graft Survival
Histocompatibility Testing
HLA Antigens - genetics
HLA Antigens - immunology
Humans
Immunoassay - methods
Isoantibodies - blood
Kidney Transplantation
Male
Middle Aged
Solid phase assay
T-Lymphocytes - cytology
T-Lymphocytes - immunology
Tissue Donors
Transplantation, Homologous
title Detection of donor-specific-antibodies by solid phase assay and its relevance to complement-dependent-lymphocytotoxicity cross-matching in kidney transplantation
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