Long-term survival of the transplanted kidney and the clinical relevance of donor-specific antibodies

The aim of our study was to evaluate the relevance of donor-specific antibodies (DSA) as defined by solid-phase single-antigen (SA) assays for predicting long-term graft survival after kidney transplantation. Sera from 132 kidney transplant recipients were retrospectively tested before, 3, 6 and 12...

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Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001122408/Details
Matična publikacija: Molecular and experimental biology in medicine
3 (2020), 1 ; str. 17-22
Glavni autori: Svobodova, Eva (Author), Slavcev, Antonij, Slatinska, Janka, Valhova, Sarka, Honsova, Eva, Skibova, Jelena, Striz, Ilja, Viklicky, Ondrej
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.33602/mebm.3.1.3
Molecular and experimental biology in medicine
Hrčak
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044 |a ci  |c hr 
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100 1 |a Svobodova, Eva  |4 aut  |9 HR-ZaNSK 
245 1 0 |a Long-term survival of the transplanted kidney and the clinical relevance of donor-specific antibodies  |h [Elektronička građa] /  |c Eva Svobodova, Antonij Slavcev, Janka Slatinska, Sarka Valhova, Eva Honsova, Jelena Skibova, Ilja Striz, Ondrej Viklicky. 
300 |b Graf. prikazi. 
504 |a Bibliografija: 23 jed. 
504 |a Abstract. 
520 |a The aim of our study was to evaluate the relevance of donor-specific antibodies (DSA) as defined by solid-phase single-antigen (SA) assays for predicting long-term graft survival after kidney transplantation. Sera from 132 kidney transplant recipients were retrospectively tested before, 3, 6 and 12 months after transplantation. The incidence of rejection and graft survival was followed up for 7 years. We found 29 episodes of acute cellular rejection (CR), 21 cases of antibody-mediated rejection (AMR) and 18 graft failures due to immunological reasons. Pre-transplant DSA and DSA three months after transplantation correlated with an increased rate of AMR and impaired graft function. After the fourth year, recipients with persistent DSA were at a higher risk of graft failure (p = 0.0317). Antibody specificity was prevailingly to HLA class I antigens (66.6% DSA, 75% non-DSA). During the first year after transplantation, the number of patients with non-DSA decreased (30.3% to 10.7%), while, due to de novo production of antibodies, the number of DSA positive patients remained constant. Conclusion: Detection of antibodies to HLA antigens using solid-phase assays, especially single-antigen bead technology before and three months after transplantation is predictive for increased incidence of antibody-mediated rejection and impaired long-term kidney graft survival. 
653 0 |a Transplantacija bubrega  |a Donor specifična antitijela  |a Odbacivanje presatka  |a HLA-antigeni 
700 1 |a Slavcev, Antonij  |4 aut  |9 HR-ZaNSK 
700 1 |a Slatinska, Janka  |4 aut  |9 HR-ZaNSK 
700 1 |a Valhova, Sarka  |4 aut  |9 HR-ZaNSK 
700 1 |a Honsova, Eva  |4 aut  |9 HR-ZaNSK 
700 1 |a Skibova, Jelena  |4 aut  |9 HR-ZaNSK 
700 1 |a Striz, Ilja  |4 aut  |9 HR-ZaNSK 
700 1 |a Viklicky, Ondrej  |4 aut  |9 HR-ZaNSK 
773 0 |t Molecular and experimental biology in medicine  |x 2584-671X  |g 3 (2020), 1 ; str. 17-22  |w nsk.(HR-ZaNSK)000985906 
981 |b Be2020  |b B04/20 
998 |b tino2202 
856 4 0 |u https://doi.org/10.33602/mebm.3.1.3 
856 4 0 |u http://www.mebm.eu/index.php/journal/article/view/69  |y Molecular and experimental biology in medicine 
856 4 0 |u https://hrcak.srce.hr/238477  |y Hrčak 
856 4 1 |y Digitalna.nsk.hr