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Anti-HLA antibodies in heart transplantation

  • Elena R. Vasilescu
  • , Eric K. Ho
  • , Ludwika De La Torre
  • , Silviu Itescu
  • , Charles Marboe
  • , Raffaello Cortesini
  • , Nicole Suciu-Foca
  • , Donna Mancini

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

We have analyzed the relationship between the development of transplant-related coronary artery disease (TRCAD) and the following potential risk factors: (a) number of HLA mismatches between recipient and donor; (b) production of anti-HLA antibodies; (c) growth of lymphocytes infiltrating the graft; and (d) frequency of biopsy proven episodes of acute rejection. The study population consisted of 285 adult heart allograft recipients who were monitored over a period of two years or more. The results demonstrate a significant correlation between TRCAD, generation of anti-HLA class II antibodies and potential of lymphocytes infiltrating the graft to proliferate ex-vivo in medium containing IL-2. Humoral and cellular immune responses to HLA-DR antigens expressed by the graft seem to underlie the development of TRCAD.

Original languageEnglish
Pages (from-to)177-183
Number of pages7
JournalTransplant Immunology
Volume12
Issue number2
DOIs
StatePublished - Jan 2004
Externally publishedYes

Keywords

  • HLA antibodies
  • Heart transplantation
  • Transplant-related coronary artery disease

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