采用 MAIPA 改良方案检测肺移植患者 HLA-G 抗体的低发生率。

Low Prevalence of HLA-G Antibodies in Lung Transplant Patients Detected using MAIPA-Adapted Protocol.

机构信息

Immunogenetics Laboratory, Etablissement Français du Sang, 13005 Marseille, France.

ADES UMR 7268, Aix Marseille University, 13005 Marseille, France.

出版信息

Int J Mol Sci. 2023 Nov 18;24(22):16479. doi: 10.3390/ijms242216479.

Abstract

Lung transplantation is often complicated by acute and/or chronic rejection leading to graft-function loss. In addition to the HLA donor-specific antibodies (HLA-DSA), a few autoantibodies are correlated with the occurrence of these complications. Recently, antibodies directed against non-classical HLA molecules, HLA-G, -E, and -F have been detected in autoimmune diseases, like systemic lupus erythematosus. Non-classical HLA molecules are crucial in the immunological acceptance of the lung graft, and some of their isoforms, like HLA-G01:04 and -G01:06, are associated with a negative clinical outcome. The aim of this study is to determine the frequency of detection of HLA-G antibodies in lung transplant recipients (LTRs) and their impact on the occurrence of clinical complications. After incubating the cell lines SPI-801, with and without three different HLA-G isoform expression, with sera from 90 healthy blood donors and 35 LTRs (before and after transplantation), HLA-G reactivity was revealed using reagents from commercial monoclonal antibody immobilization of platelet antigen assay (MAIPA ApDIA). Only one serum from one blood donor had specific reactivity against the HLA-G transduced lines. Non-specific reactivity in many sera from LTRs was observed with transduced- and wild-type cell lines, which may suggest recognition of an autoantigen expressed by the SPI-801 cell line. In conclusion, this study allowed the development of a specific detection tool for non-denatured HLA-G antibodies. These antibodies seem uncommon, both in healthy subjects and in complicated LTRs. This study should be extended to patients suffering from autoimmune diseases as well as kidney and heart transplant recipients.

摘要

肺移植常因急性和/或慢性排斥反应导致移植物功能丧失而变得复杂。除了 HLA 供体特异性抗体(HLA-DSA)外,一些自身抗体与这些并发症的发生有关。最近,在自身免疫性疾病(如系统性红斑狼疮)中检测到针对非经典 HLA 分子 HLA-G、-E 和 -F 的抗体。非经典 HLA 分子在肺移植物的免疫接受中至关重要,其一些同种型,如 HLA-G01:04 和 -G01:06,与负面的临床结果相关。本研究旨在确定肺移植受者(LTR)中 HLA-G 抗体的检测频率及其对临床并发症发生的影响。在用来自 90 名健康献血者和 35 名 LTR(移植前后)的血清孵育 SPI-801 细胞系(带有和不带有三种不同的 HLA-G 同种型表达)后,使用来自商业单克隆抗体血小板抗原固定化测定(MAIPA ApDIA)的试剂揭示了 HLA-G 反应性。只有一份来自一名献血者的血清对转导的 HLA-G 系有特异性反应。许多 LTR 的血清中观察到与转导和野生型细胞系的非特异性反应,这可能表明识别 SPI-801 细胞系表达的自身抗原。总之,本研究开发了一种用于非变性 HLA-G 抗体的特异性检测工具。这些抗体在健康受试者和复杂的 LTR 中似乎都不常见。这项研究应该扩展到患有自身免疫性疾病以及肾和心脏移植受者的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a080/10671704/868b8a44e9ee/ijms-24-16479-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索