Post-transplant soluble MICA and MICA antibodies predict subsequent heart graft outcome

The objective of this retrospective study was to evaluate the role of MICA in heart graft acceptance. Pre- and post-transplant sera from 31 patients were evaluated for MICA antibodies by cytotoxicity on recombinant cell lines and soluble MICA (sMICA) concentrations by ELISA. The results demonstrated...

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Veröffentlicht in:Transplant Immunology 2006-12, Vol.17 (1), p.43-46
Hauptverfasser: Suárez-Álvarez, Beatriz, López-Vázquez, Antonio, Díaz-Peña, Roberto, Díaz-Molina, Beatriz, Blanco-García, Rosa M., Álvarez-López, M. Rocío, López-Larrea, Carlos
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container_end_page 46
container_issue 1
container_start_page 43
container_title Transplant Immunology
container_volume 17
creator Suárez-Álvarez, Beatriz
López-Vázquez, Antonio
Díaz-Peña, Roberto
Díaz-Molina, Beatriz
Blanco-García, Rosa M.
Álvarez-López, M. Rocío
López-Larrea, Carlos
description The objective of this retrospective study was to evaluate the role of MICA in heart graft acceptance. Pre- and post-transplant sera from 31 patients were evaluated for MICA antibodies by cytotoxicity on recombinant cell lines and soluble MICA (sMICA) concentrations by ELISA. The results demonstrated that the patients with post-transplant anti-MICA antibodies were at a high risk for the development of severe acute rejection (AR) ( p < 0.03; OR = 8.5). However, the presence of post-transplant sMICA was found to be associated with functioning grafts without AR episodes ( p < 0.03, OR = 7.9). In this preliminary survey, the negative association of sMICA with AR was found to be in the absence of MICA antibodies. Further research is needed to clarify the role of sMICA in allograft acceptance. Post-transplant evaluation of humoral immune response to MICA and the measure of sMICA in patient's sera may provide a good predictor of AR.
doi_str_mv 10.1016/j.trim.2006.09.014
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subjects Acute Disease
Adult
Base Sequence
Cell Line
Cytotoxicity, Immunologic
DNA, Complementary - genetics
Enzyme-Linked Immunosorbent Assay
Female
Graft Rejection - etiology
Graft Rejection - immunology
Heart transplantation
Heart Transplantation - adverse effects
Heart Transplantation - immunology
Histocompatibility Antigens Class I - blood
Histocompatibility Antigens Class I - genetics
Humans
Isoantibodies - blood
Male
MICA antibodies
Middle Aged
Recombinant Proteins - genetics
Recombinant Proteins - immunology
Rejection
Retrospective Studies
Solubility
Soluble MICA
Treatment Outcome
title Post-transplant soluble MICA and MICA antibodies predict subsequent heart graft outcome
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