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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1997-4-4
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pubmed:abstractText |
We report on a kidney transplant recipient experiencing an unexpected early acute vascular graft rejection. Retrospective analysis of patient serum samples, utilizing a new ELISA HLA screening technique, revealed that the rejection crisis and the subsequent graft loss were due to a pretransplant donor-specific pre-sensitization caused by a non-complement-fixing antibody of IgG2 class. The case illustrates the clinical significance of non-complement-fixing anti-HLA antibodies. In addition it is shown that ELISA methods are suitable for detecting potentially harmful donor pre-sensitization in waiting-list patients not detectable by standard lymphocytotoxicity techniques. Hence ELISA could be an alternative to flow cytometry for this purpose. It is concluded that screening and cross-matching techniques which detect non-complement-fixing anti-HLA antibodies could improve graft outcome, and should form part of the immunological monitoring of kidney transplant waiting-list patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Oct
|
pubmed:issn |
0960-7420
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pubmed:author |
pubmed-author:BonominiVV,
pubmed-author:BuscaroliAA,
pubmed-author:ButtazziRR,
pubmed-author:IannelliSS,
pubmed-author:Liviano D'ArcangeloGG,
pubmed-author:Nanni-CostaAA,
pubmed-author:ScolariM PMP,
pubmed-author:StefoniSS,
pubmed-author:TodeschiniPP,
pubmed-author:VangelistaAA,
pubmed-author:de SanctisL BLB
|
pubmed:issnType |
Print
|
pubmed:volume |
23
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
383-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8909945-Adult,
pubmed-meshheading:8909945-Complement Fixation Tests,
pubmed-meshheading:8909945-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:8909945-Graft Rejection,
pubmed-meshheading:8909945-HLA-B7 Antigen,
pubmed-meshheading:8909945-Humans,
pubmed-meshheading:8909945-Immunoglobulin G,
pubmed-meshheading:8909945-Kidney Transplantation,
pubmed-meshheading:8909945-Male,
pubmed-meshheading:8909945-Retrospective Studies
|
pubmed:year |
1996
|
pubmed:articleTitle |
ELISA anti-HLA antibody screening identifies non-complement-fixing antibodies responsible for acute graft rejection. A case report.
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pubmed:affiliation |
Institute of Nephrology, St. Orsola University Hospital, Italy.
|
pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
|