HLA in transplantation

RA Montgomery, VS Tatapudi, MS Leffell… - Nature reviews …, 2018 - nature.com
The human major histocompatibility complex is a family of genes that encodes HLAs, which
have a crucial role in defence against foreign pathogens and immune surveillance of …

Kidney paired donation: principles, protocols and programs

P Ferrari, W Weimar, RJ Johnson… - Nephrology Dialysis …, 2015 - academic.oup.com
Due to the ongoing shortage of deceased-donor organs, novel strategies to augment kidney
transplantation rates through expanded living donation strategies have become essential …

Desensitization: overcoming the immunologic barriers to transplantation

S Sethi, J Choi, M Toyoda, A Vo… - Journal of …, 2017 - Wiley Online Library
HLA (Human Leucocyte Antigen) sensitization is a significant barrier to successful kidney
transplantation. It often translates into difficult crossmatch before transplant and increased …

Allocating deceased donor kidneys to candidates with high panel–reactive antibodies

HM Gebel, BL Kasiske, SK Gustafson… - Clinical Journal of the …, 2016 - journals.lww.com
Results The simulation indicated that 2111 of 10,988 kidneys (19.2%) would have been
allocated to patients with cPRA 100% versus 74 of 10,988 (0.7%) that were actually …

[HTML][HTML] Renal transplantation with final allocation based on the virtual crossmatch

CP Johnson, JJ Schiller, YR Zhu, S Hariharan… - American journal of …, 2016 - Elsevier
Solid phase immunoassays (SPI) are now routinely used to detect HLA antibodies.
However, the flow cytometric crossmatch (FCXM) remains the established method for …

A virtual crossmatch-based strategy facilitates sharing of deceased donor kidneys for highly sensitized recipients

GR Roll, AB Webber, DH Gae, Z Laszik… - …, 2020 - journals.lww.com
Background. It is estimated that 19.2% of kidneys exported for candidates with> 98%
calculated panel reactive antibodies are transplanted into unintended recipients, most …

[HTML][HTML] Recomendaciones para el trasplante renal de donante vivo

MÁ Frutos, M Crespo, M de la Oliva Valentín… - nefrologia, 2022 - Elsevier
Esta guía de recomendaciones para el TR de donante vivo (TRDV) es un documento
elaborado con el patrocinio de la Sociedad Española de Nefrología, la Sociedad Española …

Clinically relevant interpretation of solid phase assays for HLA antibody

MP Bettinotti, AA Zachary, MS Leffell - Current opinion in organ …, 2016 - journals.lww.com
Detection and characterization of HLA antibodies with solid phase immunoassays has led to
increased understanding of the role of those antibodies in graft rejection, improved treatment …

Transplantation in highly sensitized patients: challenges and recommendations

S Heidt, FHJ Claas - Expert review of clinical immunology, 2018 - Taylor & Francis
Introduction: Highly sensitized patients awaiting a kidney transplant accrue on the transplant
waiting list. The breadth of HLA antibodies in this subpopulation of patients precludes …

Kidney paired exchange and desensitization: Strategies to transplant the difficult to match kidney patients with living donors

TA Pham, JI Lee, ML Melcher - Transplantation Reviews, 2017 - Elsevier
With organs in short supply, only a limited number of kidney transplants can be performed a
year. Live donor donation accounts for 1/3rd of all kidney transplants performed in the …