High-affinity cytotoxic T lymphocytes after non-HLA-sharing blood transfusion : the other side of the coin

Previously, we have shown that pretransplantation blood transfusion modulates the T cell repertoire to a great extent. Patients receiving a BT from a donor sharing one HLA haplotype with the patient (HLA-sharing BT) develop CTL nonresponsiveness against cells of the BT donor and show a selective dec...

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Veröffentlicht in:Transplantation 1994-04, Vol.57 (8), p.1246-1251
Hauptverfasser: VAN TWUYVER, E, MOOIJAART, R. J. D, TEN BERGE, I. J. M, VAN DER HORST, A. R, WILMINK, J. M, CLAAS, F. H. J, DE WAAL, L. P
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container_end_page 1251
container_issue 8
container_start_page 1246
container_title Transplantation
container_volume 57
creator VAN TWUYVER, E
MOOIJAART, R. J. D
TEN BERGE, I. J. M
VAN DER HORST, A. R
WILMINK, J. M
CLAAS, F. H. J
DE WAAL, L. P
description Previously, we have shown that pretransplantation blood transfusion modulates the T cell repertoire to a great extent. Patients receiving a BT from a donor sharing one HLA haplotype with the patient (HLA-sharing BT) develop CTL nonresponsiveness against cells of the BT donor and show a selective decrease in the usage of T cell receptor V beta families. The present study has focused on the analysis of the T cell repertoire in patients receiving an HLA mismatched (non-HLA-sharing) BT. CTL precursor frequencies were measured against single class I-mismatched antigens in split-well analysis. In addition, blocking studies of CTL-target cell interaction were performed with anti-CD8 monoclonal antibodies. The results demonstrate that non-HLA-sharing BT immunizes and induces the generation of CD8 independent, high-affinity CTL against immunogenic class I-mismatched antigens. Such HLA class I antigens might become nonacceptable mismatches in subsequent organ transplantation.
doi_str_mv 10.1097/00007890-199404270-00018
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subjects Alleles
Antibodies, Monoclonal - immunology
Biological and medical sciences
Blood Group Incompatibility - etiology
CD8 Antigens - immunology
Down-Regulation
HLA Antigens - analysis
HLA Antigens - genetics
Humans
Kidney Transplantation - immunology
Medical sciences
Receptors, Antigen, T-Cell, alpha-beta - immunology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
T-Lymphocytes, Cytotoxic - cytology
T-Lymphocytes, Cytotoxic - physiology
Transfusion Reaction
title High-affinity cytotoxic T lymphocytes after non-HLA-sharing blood transfusion : the other side of the coin
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