INFLUENCE OF HL-A INCOMPATIBILITY ON CADAVERIC RENAL TRANSPLANTATION
The effect of graft incompatibility with respect to antigens of the HL-A system was analysed in 52 cases of cadaveric renal transplantation followed for a period of between 3 months and 2 years after transplantation. The total number of graft incompatibilities was significantly correlated with the s...
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Veröffentlicht in: | The Lancet (British edition) 1969-01, Vol.293 (7599), p.790-793 |
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description | The effect of graft incompatibility with respect to antigens of the HL-A system was analysed in 52 cases of cadaveric renal transplantation followed for a period of between 3 months and 2 years after transplantation. The total number of graft incompatibilities was significantly correlated with the subsequent clinical status of the patients. When incompatibility was limited to one antigen or less, 75% of the patients have had good or moderately good transplant function to the present time. As the number of incompatibilities increased, the proportion of patients whose transplants functioned satisfactorily diminished. Death of the patient or graft failure occurred in all 8 cases in which there were five or more detectable incompatibilities. It is concluded that prospective HL-A-antigen typing of donors and recipients should be carried out whenever possible, so that multiple incompatibilities can be avoided. |
doi_str_mv | 10.1016/S0140-6736(69)92062-5 |
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The total number of graft incompatibilities was significantly correlated with the subsequent clinical status of the patients. When incompatibility was limited to one antigen or less, 75% of the patients have had good or moderately good transplant function to the present time. As the number of incompatibilities increased, the proportion of patients whose transplants functioned satisfactorily diminished. Death of the patient or graft failure occurred in all 8 cases in which there were five or more detectable incompatibilities. 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The total number of graft incompatibilities was significantly correlated with the subsequent clinical status of the patients. When incompatibility was limited to one antigen or less, 75% of the patients have had good or moderately good transplant function to the present time. As the number of incompatibilities increased, the proportion of patients whose transplants functioned satisfactorily diminished. Death of the patient or graft failure occurred in all 8 cases in which there were five or more detectable incompatibilities. It is concluded that prospective HL-A-antigen typing of donors and recipients should be carried out whenever possible, so that multiple incompatibilities can be avoided.</description><subject>Antigens</subject><subject>Blood Group Antigens</subject><subject>Cadaver</subject><subject>Follow-Up Studies</subject><subject>Histocompatibility</subject><subject>Histocompatibility Testing</subject><subject>Humans</subject><subject>Kidney Function Tests</subject><subject>Kidney Transplantation</subject><subject>Transplantation Immunology</subject><subject>Transplantation, Homologous</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1969</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9Pg0AQxTdGU2v1IzThZPSA7i7LAiezUmpJcGlaavS0gWVIMK1UtjXx20v_pFcvM4f33rzMD6EhwQ8EE_44x4Rhm3sOv-PBfUAxp7Z7hvqEecx2mfd-jvonyyW6MuYTY8w4dnuox4iPuYf7aBTLcbKIZBhZ6diaJLawYhmmr1ORxc9xEmcfViqtUIzEWzSLQ2sWSZFY2UzI-TQRMutsqbxGF1W-NHBz3AO0GEdZOLGT9CUORWJrh-ONHbgcPB5QynbdDqFeDoVDizL3XSgL4hWlExC_wh6UeUEpBgh8h1EGRFe40s4A3R7urtvmewtmo1a10bBc5l_QbI3yGXHobgyQezDqtjGmhUqt23qVt7-KYLWjp_b01A6N4oHa01NulxseC7bFCspT6oir058OOnRf_tTQKqNr-NJQ1i3ojSqb-p-GP3wPd6Y</recordid><startdate>19690101</startdate><enddate>19690101</enddate><creator>Batchelor, J.R.</creator><creator>Joysey, ValerieC</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19690101</creationdate><title>INFLUENCE OF HL-A INCOMPATIBILITY ON CADAVERIC RENAL TRANSPLANTATION</title><author>Batchelor, J.R. ; Joysey, ValerieC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-956e76922406703127aeb32bda85edb17bd3918f07edab220ee983424e1cf0fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1969</creationdate><topic>Antigens</topic><topic>Blood Group Antigens</topic><topic>Cadaver</topic><topic>Follow-Up Studies</topic><topic>Histocompatibility</topic><topic>Histocompatibility Testing</topic><topic>Humans</topic><topic>Kidney Function Tests</topic><topic>Kidney Transplantation</topic><topic>Transplantation Immunology</topic><topic>Transplantation, Homologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Batchelor, J.R.</creatorcontrib><creatorcontrib>Joysey, ValerieC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Batchelor, J.R.</au><au>Joysey, ValerieC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>INFLUENCE OF HL-A INCOMPATIBILITY ON CADAVERIC RENAL TRANSPLANTATION</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>1969-01-01</date><risdate>1969</risdate><volume>293</volume><issue>7599</issue><spage>790</spage><epage>793</epage><pages>790-793</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><abstract>The effect of graft incompatibility with respect to antigens of the HL-A system was analysed in 52 cases of cadaveric renal transplantation followed for a period of between 3 months and 2 years after transplantation. The total number of graft incompatibilities was significantly correlated with the subsequent clinical status of the patients. When incompatibility was limited to one antigen or less, 75% of the patients have had good or moderately good transplant function to the present time. As the number of incompatibilities increased, the proportion of patients whose transplants functioned satisfactorily diminished. Death of the patient or graft failure occurred in all 8 cases in which there were five or more detectable incompatibilities. It is concluded that prospective HL-A-antigen typing of donors and recipients should be carried out whenever possible, so that multiple incompatibilities can be avoided.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>4180670</pmid><doi>10.1016/S0140-6736(69)92062-5</doi><tpages>4</tpages></addata></record> |
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subjects | Antigens Blood Group Antigens Cadaver Follow-Up Studies Histocompatibility Histocompatibility Testing Humans Kidney Function Tests Kidney Transplantation Transplantation Immunology Transplantation, Homologous |
title | INFLUENCE OF HL-A INCOMPATIBILITY ON CADAVERIC RENAL TRANSPLANTATION |
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