ANTIIDIOTYPIC ANTIBODIES SPECIFIC FOR HLA IN HEART AND KIDNEY ALLOGRAFT RECIPIENTS

被引:10
|
作者
REED, E
HO, E
COHEN, DJ
RAMEY, W
MARBOE, C
DAGATI, V
ROSE, EA
HARDY, M
SUCIUFOCA, N
机构
[1] COLUMBIA UNIV COLL PHYS & SURG, DEPT PATHOL, 630 W 168TH ST, NEW YORK, NY 10032 USA
[2] COLUMBIA UNIV COLL PHYS & SURG, DEPT MED, NEW YORK, NY 10032 USA
[3] COLUMBIA UNIV COLL PHYS & SURG, DEPT SURG, NEW YORK, NY 10032 USA
[4] UNIV COLUMBIA, ST LUKES ROOSEVELT HOSP, COLL PHYSICIANS & SURGEONS, DEPT SURG, NEW YORK, NY USA
关键词
ANTIIDIOTYPIC ANTIBODIES; ANTI-HLA ANTIBODIES; IR GENE CONTROL; HEART TRANSPLANTATION; KIDNEY TRANSPLANTATION;
D O I
10.1007/BF02918364
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Chronic rejection is the major threat to both heart and renal allograft survival. We have explored the possibility that some patients with anti-donor HLA antibodies (Ab1) develop specific anti-idiotypic antibodies (Ab2) which suppress the production of Ab1, and subsequently, the progression of chronic rejection. Analysis of Ab2 in sera obtained from Ab1 producers showed that 22% of heart and 18% of kidney recipients produced Ab2. The 4- and 5-year actuarial graft survivals in Ab2 producers were 100% and 83%, respectively, compared to 57% in patients who formed Ab1 but not Ab2 (p < 0.004). Patients carrying the DR2 alleles, DRB1 *1501, *1502 or *1601 were at a lower risk of producing anti-donor HLA antibodies.
引用
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页码:1 / 11
页数:11
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