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Rapid-onset Antibody-mediated Renal Allograft Rejection Caused by HLA-Bw4.

作者信息

Bang Hae In, Park Kootae, Kim Yon Hee, Kwon Soon Hyo, Shin Jeong Won, Jin So Young, Jeon Jin Seok

机构信息

Department of Laboratory Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Division of Nephrology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.

出版信息

Ann Lab Med. 2025 Sep 1;45(5):552-554. doi: 10.3343/alm.2025.0161. Epub 2025 Aug 7.

DOI:10.3343/alm.2025.0161
PMID:40769762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12370809/
Abstract
摘要

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1
Rapid-onset Antibody-mediated Renal Allograft Rejection Caused by HLA-Bw4.由HLA-Bw4引起的快速发作抗体介导的肾移植排斥反应
Ann Lab Med. 2025 Sep 1;45(5):552-554. doi: 10.3343/alm.2025.0161. Epub 2025 Aug 7.
2
Effect of Bw4 and Bw6 epitope mismatches on antibody production, acute and chronic rejection, and graft survival in renal allografts.Bw4和Bw6表位错配对肾移植中抗体产生、急性和慢性排斥反应以及移植物存活的影响。
Transplantation. 2001 Aug 15;72(3):433-7. doi: 10.1097/00007890-200108150-00013.
3
Putative role of KIR3DL1/3DS1 alleles and HLA-Bw4 ligands with end stage renal disease and long term renal allograft survival.KIR3DL1/3DS1等位基因和HLA - Bw4配体在终末期肾病及长期肾移植存活中的假定作用
Gene. 2017 Dec 30;637:219-229. doi: 10.1016/j.gene.2017.09.033. Epub 2017 Sep 21.
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Decreased humoral antibody episodes of acute renal allograft rejection in recipients expressing the HLA-DQβ1*0202 allele.表达 HLA-DQβ1*0202 等位基因的急性肾移植排斥反应受者体液抗体发作减少。
Exp Mol Pathol. 2012 Oct;93(2):190-2. doi: 10.1016/j.yexmp.2012.05.005. Epub 2012 May 17.
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The humoral immune response against an HLA class I allodeterminant correlates with the HLA-DR phenotype of the responder.针对HLA I类同种异体决定簇的体液免疫反应与应答者的HLA-DR表型相关。
Transplantation. 1999 Jul 27;68(2):173-82. doi: 10.1097/00007890-199907270-00002.
6
The Bw4 public epitope of HLA-B molecules confers reactivity with natural killer cell clones that express NKB1, a putative HLA receptor.HLA - B分子的Bw4公共表位与表达NKB1（一种假定的HLA受体）的自然杀伤细胞克隆产生反应。
J Exp Med. 1995 Mar 1;181(3):1133-44. doi: 10.1084/jem.181.3.1133.
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Association of Bw4/Bw6 mismatch across class I HLA loci with renal graft outcomes in first time transplants.Bw4/Bw6 错配跨越 I 类 HLA 基因座与首次移植肾移植物结局的关联。
Hum Immunol. 2021 Oct;82(10):767-774. doi: 10.1016/j.humimm.2021.07.008. Epub 2021 Aug 3.
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KIR and their HLA Class I ligands: Two more pieces towards completing the puzzle of chronic rejection and graft loss in kidney transplantation.杀伤细胞免疫球蛋白样受体及其HLA I类配体：肾移植中慢性排斥反应和移植物丢失难题拼图的另外两块。
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Clinical Case: Patient with Mixed Graft Rejection Four Days after Kidney Transplantation Developed Specific Antibodies against Donor Bw4 Specificities.临床病例：肾移植术后四天出现混合性移植物排斥反应的患者产生了针对供体Bw4特异性的特异性抗体。
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本文引用的文献

1
Impact of Low-Level Donor-Specific Anti-HLA Antibody on Posttransplant Clinical Outcomes in Kidney Transplant Recipients.低水平供者特异性抗 HLA 抗体对肾移植受者移植后临床结局的影响。
Ann Lab Med. 2023 Jul 1;43(4):364-374. doi: 10.3343/alm.2023.43.4.364. Epub 2023 Feb 24.
2
Clinical Case: Patient with Mixed Graft Rejection Four Days after Kidney Transplantation Developed Specific Antibodies against Donor Bw4 Specificities.临床病例：肾移植术后四天出现混合性移植物排斥反应的患者产生了针对供体Bw4特异性的特异性抗体。
Antibodies (Basel). 2021 Jul 21;10(3):28. doi: 10.3390/antib10030028.
3
Association of Bw4/Bw6 mismatch across class I HLA loci with renal graft outcomes in first time transplants.
Bw4/Bw6 错配跨越 I 类 HLA 基因座与首次移植肾移植物结局的关联。
Hum Immunol. 2021 Oct;82(10):767-774. doi: 10.1016/j.humimm.2021.07.008. Epub 2021 Aug 3.
4
Thymoglobulin Versus Basiliximab Induction Therapy in Low-Risk Kidney Transplant Recipients: A Single-Center Experience.低风险肾移植受者中胸腺球蛋白与巴利昔单抗诱导治疗的单中心经验
Transplant Proc. 2018 Jun;50(5):1285-1288. doi: 10.1016/j.transproceed.2018.02.088.
5
Accelerated humoral renal allograft rejection due to HLA-C14 mediated allosensitization to HLA-Bw6.由于HLA - C14介导的对HLA - Bw6的同种致敏导致的加速性体液性肾移植排斥反应。
Hum Immunol. 2017 Nov;78(11-12):692-698. doi: 10.1016/j.humimm.2017.09.004. Epub 2017 Oct 9.
6
The Banff 2015 Kidney Meeting Report: Current Challenges in Rejection Classification and Prospects for Adopting Molecular Pathology.《2015年班夫肾脏会议报告：排斥反应分类的当前挑战及采用分子病理学的前景》
Am J Transplant. 2017 Jan;17(1):28-41. doi: 10.1111/ajt.14107.
7
Consensus guidelines on the testing and clinical management issues associated with HLA and non-HLA antibodies in transplantation.移植中与 HLA 和非 HLA 抗体相关的检测和临床管理问题的共识指南。
Transplantation. 2013 Jan 15;95(1):19-47. doi: 10.1097/TP.0b013e31827a19cc.
8
Effect of Bw4 and Bw6 epitope mismatches on antibody production, acute and chronic rejection, and graft survival in renal allografts.Bw4和Bw6表位错配对肾移植中抗体产生、急性和慢性排斥反应以及移植物存活的影响。
Transplantation. 2001 Aug 15;72(3):433-7. doi: 10.1097/00007890-200108150-00013.