AIM To analyze the clinical impact of preformed antiH LA-Cw vs antiH LA-A and/or-B donor-specific antibodies(DSA) in kidney transplantation.METHODS Retrospective study, comparing 12 patients transplanted with DSA excl...AIM To analyze the clinical impact of preformed antiH LA-Cw vs antiH LA-A and/or-B donor-specific antibodies(DSA) in kidney transplantation.METHODS Retrospective study, comparing 12 patients transplanted with DSA exclusively antiH LA-Cw with 23 patients with preformed DSA antiH LA-A and/or B.RESULTS One year after transplantation there were no differencesin terms of acute rejection between the two groups(3 and 6 cases, respectively in the DSA-Cw and the DSA-A-B groups; P = 1). At one year, eG FR was not significantly different between groups(median 59 mL /min in DSA-Cw group, compared to median 51 mL /min in DSA-A-B group, P = 0.192). Moreover, kidney graft survival was similar between groups at 5-years(100% in DSA-Cw group vs 91% in DSA-A-B group, P = 0.528). The sole independent predictor of antibody mediated rejection(AMR) incidence was DSA strength(HR = 1.07 per 1000 increase in MFI, P = 0.034). AMR was associated with shortened graft survival at 5-years, with 75% and 100% grafts surviving in patients with or without AMR, respectively(Log-rank P = 0.005).CONCLUSION Our data indicate that DSA-Cw are associated with an identical risk of AMR and impact on graft function in comparison with "classical" class I DSA.展开更多
Objective:To compare the genotype frequencies of HLA class-ⅡDRB1 alleles in Giardia(G.)lamblia-infected children.Methods:A total of 490 Egyptian children aged 2-16 years were subjected to microscopic stool examinatio...Objective:To compare the genotype frequencies of HLA class-ⅡDRB1 alleles in Giardia(G.)lamblia-infected children.Methods:A total of 490 Egyptian children aged 2-16 years were subjected to microscopic stool examination to detect G.lamblia infection,and to exclude other intestinal pathogens.On the basis of their microscopic findings,a group of 80 children were chosen as giardiasis cases,another 80 children were confirmed as Giardia free control group by immunochromatographic test,and the remaining children were excluded.Both giardiasis and control groups were then subjected to blood examination to identify their genetic type of HLA-DRB1 alleles.Results:HLA class-ⅡDRB1*03:01 and DRB1*13:01 alleles were significantly associated with G.lamblia infection(P<0.001 for each variable).On the other hand,HLA class-ⅡDRB1*04:02,DRB1*10:01,DRB1*14:01 and DRB1*15:01 alleles were significantly demonstrated in Giardia free children.However,other HLA-DRB1 alleles did not show any significant association with giardiasis.Conclusions:HLA class-ⅡDRB1*03,DRB1*13,DRB1*04,DRB1*10,DRB1*14 and DRB1*15 alleles may be involved in the establishment of host immune response to G.lamblia infection.展开更多
To investigate the function of HLA-class Ⅱ genes in the autoimmune response of insulin dependent diabetes mellitus(DDM),the HLA-class Ⅱ gene of IDDM patients was introd uced into Ltk^-cells with pSV2-neo plas-mid,us...To investigate the function of HLA-class Ⅱ genes in the autoimmune response of insulin dependent diabetes mellitus(DDM),the HLA-class Ⅱ gene of IDDM patients was introd uced into Ltk^-cells with pSV2-neo plas-mid,using the calcium phosphate precipitation technique.We obtained a stable cell line expressing the HLA-class Ⅱ gene from lymphocytes of IDDM patients.Expression was identified by direct ox erythocyte-CrCl3-HLA DR monoclonal antibody rosetting.展开更多
目的:探讨胃癌细胞系MKN中HLA-Ⅰ类抗原表达水平异常的分子机制。方法:以胃癌细胞系BGC823、MGC803和SGC7901为对照,利用流式细胞仪检测细胞表面HLA-Ⅰ类复合物的表达情况,W estern b lot检测HLA-Ⅰ类分子重链及轻链表达情况,半定量RT-...目的:探讨胃癌细胞系MKN中HLA-Ⅰ类抗原表达水平异常的分子机制。方法:以胃癌细胞系BGC823、MGC803和SGC7901为对照,利用流式细胞仪检测细胞表面HLA-Ⅰ类复合物的表达情况,W estern b lot检测HLA-Ⅰ类分子重链及轻链表达情况,半定量RT-PCR检测HLA-Ⅰ类分子重链、轻链和抗原加工分子mRNA水平的表达情况,并利用HLA基因区域的微卫星序列检测MKN细胞HLA基因在DNA水平的完整性。结果:胃癌细胞系MKN表面HLA-Ⅰ类复合物表达降低,重链A及B/C位点蛋白无表达而轻链表达无异常。在mRNA水平,胃癌细胞系MKN存在重链A、B、C各位点和抗原加工分子TAP1、LMP2、Tapasin、PA28β的表达缺失。微卫星DNA扩增结果初步显示,MKN细胞无HLA基因区域DNA的大片段丢失。结论:胃癌细胞系MKN HLA-Ⅰ类分子复合物表达降低可能是由HLA-Ⅰ类分子重链及其加工分子在转录水平改变而引起的。展开更多
文摘AIM To analyze the clinical impact of preformed antiH LA-Cw vs antiH LA-A and/or-B donor-specific antibodies(DSA) in kidney transplantation.METHODS Retrospective study, comparing 12 patients transplanted with DSA exclusively antiH LA-Cw with 23 patients with preformed DSA antiH LA-A and/or B.RESULTS One year after transplantation there were no differencesin terms of acute rejection between the two groups(3 and 6 cases, respectively in the DSA-Cw and the DSA-A-B groups; P = 1). At one year, eG FR was not significantly different between groups(median 59 mL /min in DSA-Cw group, compared to median 51 mL /min in DSA-A-B group, P = 0.192). Moreover, kidney graft survival was similar between groups at 5-years(100% in DSA-Cw group vs 91% in DSA-A-B group, P = 0.528). The sole independent predictor of antibody mediated rejection(AMR) incidence was DSA strength(HR = 1.07 per 1000 increase in MFI, P = 0.034). AMR was associated with shortened graft survival at 5-years, with 75% and 100% grafts surviving in patients with or without AMR, respectively(Log-rank P = 0.005).CONCLUSION Our data indicate that DSA-Cw are associated with an identical risk of AMR and impact on graft function in comparison with "classical" class I DSA.
文摘Objective:To compare the genotype frequencies of HLA class-ⅡDRB1 alleles in Giardia(G.)lamblia-infected children.Methods:A total of 490 Egyptian children aged 2-16 years were subjected to microscopic stool examination to detect G.lamblia infection,and to exclude other intestinal pathogens.On the basis of their microscopic findings,a group of 80 children were chosen as giardiasis cases,another 80 children were confirmed as Giardia free control group by immunochromatographic test,and the remaining children were excluded.Both giardiasis and control groups were then subjected to blood examination to identify their genetic type of HLA-DRB1 alleles.Results:HLA class-ⅡDRB1*03:01 and DRB1*13:01 alleles were significantly associated with G.lamblia infection(P<0.001 for each variable).On the other hand,HLA class-ⅡDRB1*04:02,DRB1*10:01,DRB1*14:01 and DRB1*15:01 alleles were significantly demonstrated in Giardia free children.However,other HLA-DRB1 alleles did not show any significant association with giardiasis.Conclusions:HLA class-ⅡDRB1*03,DRB1*13,DRB1*04,DRB1*10,DRB1*14 and DRB1*15 alleles may be involved in the establishment of host immune response to G.lamblia infection.
文摘To investigate the function of HLA-class Ⅱ genes in the autoimmune response of insulin dependent diabetes mellitus(DDM),the HLA-class Ⅱ gene of IDDM patients was introd uced into Ltk^-cells with pSV2-neo plas-mid,using the calcium phosphate precipitation technique.We obtained a stable cell line expressing the HLA-class Ⅱ gene from lymphocytes of IDDM patients.Expression was identified by direct ox erythocyte-CrCl3-HLA DR monoclonal antibody rosetting.
文摘目的:探讨胃癌细胞系MKN中HLA-Ⅰ类抗原表达水平异常的分子机制。方法:以胃癌细胞系BGC823、MGC803和SGC7901为对照,利用流式细胞仪检测细胞表面HLA-Ⅰ类复合物的表达情况,W estern b lot检测HLA-Ⅰ类分子重链及轻链表达情况,半定量RT-PCR检测HLA-Ⅰ类分子重链、轻链和抗原加工分子mRNA水平的表达情况,并利用HLA基因区域的微卫星序列检测MKN细胞HLA基因在DNA水平的完整性。结果:胃癌细胞系MKN表面HLA-Ⅰ类复合物表达降低,重链A及B/C位点蛋白无表达而轻链表达无异常。在mRNA水平,胃癌细胞系MKN存在重链A、B、C各位点和抗原加工分子TAP1、LMP2、Tapasin、PA28β的表达缺失。微卫星DNA扩增结果初步显示,MKN细胞无HLA基因区域DNA的大片段丢失。结论:胃癌细胞系MKN HLA-Ⅰ类分子复合物表达降低可能是由HLA-Ⅰ类分子重链及其加工分子在转录水平改变而引起的。