Vincenti F, Amend W, Feduska N, Duca R, Salvatierra O
Proc Eur Dial Transplant Assoc. 1979;16:419-25.
In a study of 687 primary cadaver transplants, we found no correlation between the degree of presensitisation and graft survival. Graft survival was adversely affected in non-transfused recipients and was significantly improved in trnasfused recipients, independent of the level of presensitisation (63%, 61%, 67% at one year for patients with 0-10%, 11-50%, and 51-100% preformed cytotoxic antibodies, respectively). Humoral presensitisation to HLA antigens does not reflect the immunoresponsiveness of the host to the renal allograft, but it may prolong the wait for a compatible donor kidney.
在一项对687例尸体原位移植的研究中,我们发现预致敏程度与移植物存活之间无相关性。未输血受者的移植物存活受到不利影响,而输血受者的移植物存活则显著改善,与预致敏水平无关(分别有0 - 10%、11 - 50%和51 - 100%预先形成细胞毒性抗体的患者,术后一年移植物存活率分别为63%、61%和67%)。对HLA抗原的体液预致敏并不反映宿主对肾移植的免疫反应性,但可能会延长等待合适供体肾的时间。