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治疗抵抗性肾移植排斥反应与移植后针对供体B淋巴细胞同种异体抗原的抗体出现之间的关联。

Association between treatment-resistant kidney-allograft rejection and post-transplant appearance of antibodies to donor B-lymphocyte alloantigens.

作者信息

Soulillou J P, Peyrat M A, Guenel J

出版信息

Lancet. 1978 Feb 18;1(8060):354-6. doi: 10.1016/s0140-6736(78)91081-4.

DOI:10.1016/s0140-6736(78)91081-4
PMID:75395
Abstract

In 18 kidney-allograft recipients the post-transplant appearance of antibodies to B-lymphocyte (DRw) alloantigens of the kidney donor was significantly associated with the rejection of the graft within 1 month of transplantation or the poor recovery of graft function, despite treatment for rejection. None of the 10 recipients whose grafts were accepted or whose renal function recovered well after treatment for rejection made antibodies to donor B-lymphocyte antigens after transplantation. DRw antigens are thus targets for the host's immune response to a graft and may be responsible for kidney rejection in patients who do not respond to rejection therapy.

摘要

在18例肾移植受者中,肾移植后出现针对供体肾B淋巴细胞(DRw)同种异体抗原的抗体,与移植后1个月内移植肾排斥反应或移植肾功能恢复不良显著相关,尽管已进行抗排斥治疗。在10例移植肾被接受或抗排斥治疗后肾功能恢复良好的受者中,无一例在移植后产生针对供体B淋巴细胞抗原的抗体。因此,DRw抗原是宿主对移植肾免疫反应的靶标,可能是对抗排斥治疗无反应患者肾排斥反应的原因。

相似文献

1
Association between treatment-resistant kidney-allograft rejection and post-transplant appearance of antibodies to donor B-lymphocyte alloantigens.治疗抵抗性肾移植排斥反应与移植后针对供体B淋巴细胞同种异体抗原的抗体出现之间的关联。
Lancet. 1978 Feb 18;1(8060):354-6. doi: 10.1016/s0140-6736(78)91081-4.
2
Acute Rejection, Kidney Allograft Function, and Graft Survival in Patients with Circulating Pre-Transplant IgG Antibodies Directed Against Donor HLA-A, -B, or -C Locus Determined Antigens.针对供体HLA - A、- B或 - C位点决定抗原的循环移植前IgG抗体患者的急性排斥反应、肾移植功能及移植物存活情况
Clin Transpl. 2016;32:83-91.
3
Development of donor-specific B lymphocyte antibodies after renal transplantation. No correlation with graft outcome.肾移植后供体特异性B淋巴细胞抗体的产生。与移植结果无相关性。
Transplantation. 1979 Jul;28(1):13-7. doi: 10.1097/00007890-197907000-00004.
4
Relationship of B cell alloantibodies to renal allograft survival.B细胞同种抗体与肾移植存活的关系。
Transplantation. 1979 Apr;27(4):273-8. doi: 10.1097/00007890-197904000-00014.
5
Role of anti-donor B lymphocyte antibodies in definitive allograft rejection.抗供体B淋巴细胞抗体在终末期同种异体移植排斥反应中的作用。
Transplant Proc. 1979 Mar;11(1):770-5.
6
Anti-HL-A antibodies: Failure to correlate with renal allograft rejection.
Surgery. 1974 Oct;76(4):573-80.
7
Anti-B lymphocytotoxins in renal-allograft rejection.肾移植排斥反应中的抗B淋巴细胞毒素
N Engl J Med. 1976 Aug 5;295(6):305-9. doi: 10.1056/NEJM197608052950603.
8
Influence of HLA disparity, immunosuppressive regimen used, and type of kidney allograft on production of anti-HLA class-I antibodies after transplant and occurrence of rejection.人类白细胞抗原(HLA)不相容性、所用免疫抑制方案以及肾移植类型对移植后抗HLA I类抗体产生及排斥反应发生的影响。
Immunopharmacol Immunotoxicol. 2009;31(1):83-7. doi: 10.1080/08923970802365123.
9
Does re-exposure to mismatched HLA antigens decrease renal re-transplant allograft survival?再次接触不匹配的人类白细胞抗原(HLA)抗原会降低肾再次移植同种异体移植物的存活率吗?
Clin Transplant. 1996 Apr;10(2):147-56.
10
[Immunological monitoring after renal transplantation from living donors].[活体供肾肾移植后的免疫监测]
Minerva Chir. 1980 May 31;35(10):751-60.

引用本文的文献

1
Expansion of highly differentiated cytotoxic terminally differentiated effector memory CD8+ T cells in a subset of clinically stable kidney transplant recipients: a potential marker for late graft dysfunction.临床稳定的肾移植受者亚群中高度分化的细胞毒性终末分化效应记忆CD8 + T细胞的扩增:晚期移植肾功能障碍的潜在标志物。
J Am Soc Nephrol. 2014 Aug;25(8):1856-68. doi: 10.1681/ASN.2013080848. Epub 2014 Mar 20.
2
The role of B cells in solid organ transplantation.B 细胞在实体器官移植中的作用。
Semin Immunol. 2012 Apr;24(2):96-108. doi: 10.1016/j.smim.2011.08.022. Epub 2011 Dec 1.
3
Deliberate donor-specific blood transfusions prior to living related renal transplantation. A new approach.
亲属活体肾移植前的特异性供体输血。一种新方法。
Ann Surg. 1980;192(4):543-52. doi: 10.1097/00000658-198010000-00012.
4
Failure to block lymphocyte Fc receptor with anti-B lymphocyte sera (anti-DRW) in man.在人体中无法用抗B淋巴细胞血清(抗DRW)阻断淋巴细胞Fc受体。
Immunology. 1979 Mar;36(3):519-25.