Clinical relevance of preformed IgG and IgM antibodies against donor endothelial progenitor cells in recipients of living donor kidney grafts

Background Literature reports suggest that non-HLA-antibodies against human endothelial progenitor cells (EPC) can be detected in pre-transplant recipient serum and that EPC antibodies can have a deleterious influence on the graft. Methods We investigated 71 renal transplant recipients from living d...

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Hauptverfasser: Daniel, Volker (VerfasserIn) , Sadeghi, Mahmoud (VerfasserIn) , Süsal, Caner (VerfasserIn) , Scherer, Sabine (VerfasserIn) , Tran, Hien Nicole (VerfasserIn) , Gombos, Petra (VerfasserIn) , Trojan, Karina (VerfasserIn) , Morath, Christian (VerfasserIn) , Opelz, Gerhard (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2016
In: Clinical transplantation
Year: 2015, Jahrgang: 30, Heft: 2, Pages: 124-130
ISSN:1399-0012
DOI:10.1111/ctr.12665
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/ctr.12665
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/ctr.12665
Volltext
Verfasserangaben:Volker Daniel, Mahmoud Sadeghi, Caner Suesal, Sabine Scherer, Hien Tran, Petra Gombos, Karina Trojan, Christian Morath, Gerhard Opelz

MARC

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520 |a Background Literature reports suggest that non-HLA-antibodies against human endothelial progenitor cells (EPC) can be detected in pre-transplant recipient serum and that EPC antibodies can have a deleterious influence on the graft. Methods We investigated 71 renal transplant recipients from living donors for a possible influence of pre-transplant donor-specific IgG and/or IgM recipient antibodies against EPC of the donor using the flow cytometric XM-ONE cross-match. Results Eight of the 71 patients developed acute biopsy-proven rejection. Two of these patients showed IgM antibodies against EPC prior to transplantation while the other six patients had neither IgG nor IgM EPC antibodies. Conversely, pre-transplant IgG or IgM antibodies against EPC were detected in 19 patients without acute rejection (3 × both IgG and IgM, 1 × IgG and 15 × IgM). The remaining 44 patients had neither EPC antibodies nor experienced rejection. Comparing serum creatinine levels at one month and one yr post-transplant within and among the three patient groups revealed that serum creatinine levels were similar in patients with or without EPC antibodies (p > 0.05). Conclusion In this series of 71 recipients with living donor kidneys, pre-transplant EPC antibodies detected with the XM-ONE test kit were neither associated with acute rejection nor with graft function at one month or one yr. 
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650 4 |a graft dysfunction 
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650 4 |a preformed EPC antibodies 
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