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肾移植排斥反应。HLA错配的短暂免疫优势。

Renal transplant rejection. Transient immunodominance of HLA mismatches.

作者信息

Gilks W R, Gore S M, Bradley B A

机构信息

Biostatistics Unit, Medical Research Council, Cambridge, England.

出版信息

Transplantation. 1990 Jul;50(1):141-6.

PMID:2368134
Abstract

Many studies have shown long-term benefits of HLA matching in kidney transplantation. By examining rates of graft loss within consecutive posttransplant intervals, using data from the UK Transplant Service, we show that the long-term benefits of HLA matching are due to reduction of the graft failure rate within five months of transplantation. After 5-months, HLA-A,B,DR matching appears to have little impact on graft loss. We suggest that graft losses after 5 months may be attributable to non-HLA targets.

摘要

许多研究表明,HLA配型在肾移植中具有长期益处。通过利用英国移植服务机构的数据,检查连续移植后各时间段内的移植物丢失率,我们发现HLA配型的长期益处源于移植后五个月内移植失败率的降低。五个月后,HLA - A、B、DR配型似乎对移植物丢失影响不大。我们认为,五个月后的移植物丢失可能归因于非HLA靶点。

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