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B细胞抗体与交叉配血

B cell antibodies and crossmatching.

作者信息

Ayoub G, Park M S, Terasaki P I, Iwaki Y, Opelz G

出版信息

Transplantation. 1980 Mar;29(3):227-9. doi: 10.1097/00007890-198003000-00013.

DOI:10.1097/00007890-198003000-00013
PMID:6987788
Abstract

Over 200 cadaver donor transplants were crossmatched against T and B lymphocytes at 5 and 37 C. Of 54 positive B cell crossmatches, one-half had cold antibodies and one-half had warm antibodies. The 1-year transplant survival was 58% for B-cold-positive crossmatches and 42% for B-warm-positive crossmatches. The B-warm-positive crossmatches, when subdivided into those with strong HLA-DR antibodies showed a 27% 1-year transplant survival rate. We conclude that B cell-positive crossmatches with HLA-DR antibodies are deleterious and that those with cold anti-IgM antibodies may enhance graft survival.

摘要

超过200例尸体供体移植器官与T淋巴细胞和B淋巴细胞在5℃和37℃下进行了交叉配型。在54例阳性B细胞交叉配型中,一半有冷抗体,一半有温抗体。B细胞冷抗体阳性交叉配型的1年移植存活率为58%,B细胞温抗体阳性交叉配型的为42%。B细胞温抗体阳性交叉配型再细分为具有强HLA - DR抗体的交叉配型,其1年移植存活率为27%。我们得出结论,具有HLA - DR抗体的B细胞阳性交叉配型是有害的,而具有冷抗IgM抗体的交叉配型可能提高移植物存活率。

相似文献

1
B cell antibodies and crossmatching.B细胞抗体与交叉配血
Transplantation. 1980 Mar;29(3):227-9. doi: 10.1097/00007890-198003000-00013.
2
Crossmatching with B and T cells and flow cytometry.与B细胞和T细胞进行交叉配型及流式细胞术检测。
Clin Transpl. 1986:277-84.
3
Donor-specific B and T lymphocyte antibodies and kidney graft survival.供体特异性B和T淋巴细胞抗体与肾移植存活
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Positive autologous crossmatches and a successful transplant with an HLA-identical, but not with an HLA-nonidentical, kidney.自身交叉配型阳性,且接受了 HLA 相同而非 HLA 不相同的肾脏移植并获得成功。
Transplantation. 1983 Dec;36(6):654-8. doi: 10.1097/00007890-198336060-00014.
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Immunoglobulin class and specificity of antibodies causing positive T cell crossmatches. Relationship to renal transplant outcome.引起阳性T细胞交叉配型的抗体的免疫球蛋白类别及特异性。与肾移植结果的关系。
Transplantation. 1986 Dec;42(6):608-13. doi: 10.1097/00007890-198612000-00007.
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Kidney transplantation across positive B and T cell crossmatches.B 细胞和 T 细胞交叉配型阳性情况下的肾移植
Transplantation. 1978 Aug;26(2):84-6. doi: 10.1097/00007890-197808000-00004.
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Reappraisal of HLA antibody analysis and crossmatching in kidney transplantation.肾移植中HLA抗体分析与交叉配型的重新评估
Clin Transpl. 2007:219-26.
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Renal allograft survival in patients with positive B cell crossmatch to their donor.对供体B细胞交叉配型呈阳性的患者的肾移植存活率。
Ann Surg. 1984 Jan;199(1):75-8. doi: 10.1097/00000658-198401000-00013.
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Flow cytometry crossmatching and primary cadaver kidney graft outcome: relevance of T and B cell targets, historic sera and autologous controls.流式细胞术交叉配型与尸体供肾初次移植结局:T 细胞和 B 细胞靶点、历史血清及自体对照的相关性
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引用本文的文献

1
Successful Renal Transplantation Across HLA Barrier: Report from India.跨越 HLA 屏障的成功肾移植:来自印度的报告。
Indian J Nephrol. 2017 May-Jun;27(3):210-214. doi: 10.4103/0971-4065.200518.
2
Sensitized renal transplant recipients: current protocols and future directions.致敏肾移植受者:当前方案和未来方向。
Nat Rev Nephrol. 2010 May;6(5):297-306. doi: 10.1038/nrneph.2010.34. Epub 2010 Mar 16.
3
Autoantibody against fibroblasts in renal transplant recipients: analysis by 51Cr-release assays.肾移植受者中成纤维细胞自身抗体:通过51铬释放试验进行分析。
Clin Exp Immunol. 1981 Dec;46(3):565-74.
4
Renal allograft survival in patients with positive B cell crossmatch to their donor.对供体B细胞交叉配型呈阳性的患者的肾移植存活率。
Ann Surg. 1984 Jan;199(1):75-8. doi: 10.1097/00000658-198401000-00013.