The molecular microscope diagnostic system: assessment of rejection and injury in heart transplant biopsies

PF Halloran, KS Madill-Thomsen - Transplantation, 2023 - journals.lww.com
This review describes the development of the Molecular Microscope Diagnostic System
(MMDx) for heart transplant endomyocardial biopsies (EMBs). MMDx-Heart uses …

The influence of immunosuppressive agents on the risk of de novo donor-specific HLA antibody production in solid organ transplant recipients

JG O'Leary, M Samaniego, MC Barrio, L Potena… - …, 2016 - journals.lww.com
Production of de novo donor-specific antibodies (dnDSA) is a major risk factor for acute and
chronic antibody-mediated rejection and graft loss after all solid organ transplantation. In this …

[HTML][HTML] Molecular diagnosis of ABMR with or without donor-specific antibody in kidney transplant biopsies: differences in timing and intensity but similar mechanisms …

PF Halloran, KS Madill-Thomsen, S Pon… - American Journal of …, 2022 - Elsevier
We studied the clinical, histologic, and molecular features distinguishing DSA-negative from
DSA-positive molecularly defined antibody-mediated rejection (mABMR). We analyzed …

Donor-derived cell-free DNA identifies antibody-mediated rejection in donor specific antibody positive kidney transplant recipients

SC Jordan, S Bunnapradist, JS Bromberg… - Transplantation …, 2018 - journals.lww.com
Background Elevated levels of donor-derived cell-free DNA (dd-cfDNA) in the plasma of
renal allograft recipients indicates organ injury and an increased probability of active …

Many heart transplant biopsies currently diagnosed as no rejection have mild molecular antibody-mediated rejection-related changes

PF Halloran, K Madill-Thomsen… - The Journal of Heart and …, 2022 - Elsevier
Background The Molecular Microscope (MMDx) system classifies heart transplant
endomyocardial biopsies as No-rejection (NR), Early-injury, T cell-mediated (TCMR) …

The clinical impact of donor-specific antibodies in heart transplantation

MJ Barten, U Schulz, A Beiras-Fernandez… - Transplantation …, 2018 - Elsevier
Donor-specific antibodies (DSA) are integral to the development of antibody-mediated
rejection (AMR). Chronic AMR is associated with high mortality and an increased risk for …

[HTML][HTML] Detecting donor-specific antibodies: the importance of sorting the wheat from the chaff

J McCaughan, Q Xu, K Tinckam - Hepatobiliary surgery and …, 2019 - ncbi.nlm.nih.gov
Human leukocyte antigen (HLA) compatibility is very important for successful transplantation
of solid organs. In this paper, we focused on the humoral arm of immunity in the clinical …

Interpreting anti-HLA antibody testing data: a practical guide for physicians

CA Schinstock, MJ Gandhi, MD Stegall - Transplantation, 2016 - journals.lww.com
The development of sensitive methods for alloantibody detection has been a significant
advance in clinical transplantation. However, the complexity of the data from solid phase …

Pre-transplant donor HLA-specific antibodies: characteristics causing detrimental effects on survival after lung transplantation

JD Smith, MW Ibrahim, H Newell, AJ Danskine… - The Journal of Heart and …, 2014 - Elsevier
Background The impact of Luminex-detected HLA antibodies on outcomes after lung
transplantation is unclear. Herein we have undertaken a retrospective study of pre …

Moving biomarkers toward clinical implementation in kidney transplantation

MC Menon, B Murphy, PS Heeger - Journal of the American …, 2017 - journals.lww.com
Long-term kidney transplant outcomes remain suboptimal, delineating an unmet medical
need. Although current immunosuppressive therapy in kidney transplant recipients is …