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为提升IPTR患者血小板输注后CCI值建立分级规避HLA抗体对应抗原方法及HLAMatchmaker的应用研究
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作者 高素青 徐筠娉 +4 位作者 罗畅如 李大成 彭龙 刘通 邹琼彩 《中国实验血液学杂志》 CSCD 北大核心 2024年第1期242-249,共8页
目的:建立分级规避HLA抗体MFI阈值对应抗原方法,联合应用HLAMatchmaker表位计算法,选择供患者表位最小错配评分值,评估两种方法为免疫性血小板输注无效(Immune platelet transfusion refractoriness,IPTR)患者选择HLA相容性血小板供者,... 目的:建立分级规避HLA抗体MFI阈值对应抗原方法,联合应用HLAMatchmaker表位计算法,选择供患者表位最小错配评分值,评估两种方法为免疫性血小板输注无效(Immune platelet transfusion refractoriness,IPTR)患者选择HLA相容性血小板供者,在提升血小板输注后校正增加值(CCI)的应用价值。方法:采用SPRCA法完成51例IPTR患者的7807次血小板交叉配型实验,判断其免疫反应阴/阳性结果。采用Luminex单抗原流式微珠法检测患者的HLA-I类抗体,获得不同特异性抗体对应HLA-I类抗原MFI值,并将其分组及分级,强阳性组(MFI>4000,1级)、中阳性组(1000中阳性组>弱阳性组)。强阳性和中阳性组与阴性对照组之间的SPRCA实验免疫反应阳性结果检出数存在统计学差异(P<0.001),弱阳性位组和阴性对照组之间的SPRCA实验免疫反应阳性结果检出数无统计学差异(P>0.05)。设置强阳性组为相应特异性HLA位点对应抗原1级规避阈值,中阳性组为2级规避阈值,弱阳性组为3级规避阈值,在供者血小板紧缺情况下,可以不需要规避弱阳性组。规避1和2级HLA-I类抗体对应供者抗原及选择HLAMatchmaker表位错配评分数≤7血小板供者策略,24 h内CCI值均>4.5×109/L,均可获得临床血小板输注有效。结论:在为IPTR患者选择HLA-I类相容性供者时,分级规避HLA-I类抗体对应供者抗原,综合选择供受者HLAMatchmaker表位错配评分数≤7,经血小板交叉配型实验确认为阴性结果的供者选择策略,对提升IPTR患者血小板计数具有一定实际应用价值。 展开更多
关键词 血小板 人类白细胞抗原 抗体 表位 hlaMATCHMAKER
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南京地区HPA、HLA已知基因型血小板供者资料库的建立与库容分析
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作者 刘太香 马玲 +2 位作者 梁文飚 蒋昵真 李玲 《中国输血杂志》 CAS 2024年第10期1126-1131,1141,共7页
目的建立南京地区人群HPA、HLA已知基因型血小板供者资料库,从群体资料分析本地人群血小板HPA-1~6w、-15和HLA-A、-B的等位基因多态性,推算患者基因配合的匹配概率与适宜本地的库容水平。方法分别采用PCR-SSP和PCR-SBT方法对HPA-1~6w、... 目的建立南京地区人群HPA、HLA已知基因型血小板供者资料库,从群体资料分析本地人群血小板HPA-1~6w、-15和HLA-A、-B的等位基因多态性,推算患者基因配合的匹配概率与适宜本地的库容水平。方法分别采用PCR-SSP和PCR-SBT方法对HPA-1~6w、-15和HLA-A、-B进行基因分型;应用SHEsis在线软件统计分析HPA-1~6w、-15和HLA-A、-B的等位基因频率与单倍型频率;依次推算找到HPA、HLA匹配供者的概率与适宜的库容大小。结果获得了南京地区HPA-1~6w、-15和HLA-A、-B群体多态性资料;根据统计结果评估,在不考虑ABO同型的情况下,当血小板供者库容为527人时,单倍型频率>0.001的患者有95%的概率在库中找到至少1例HPA-1~6w、-15相匹配的供者。建立1个库容为1875人的血小板供者库可满足单倍型>0.001的患者有95%的可能找到至少1例HLA-A、-B相合的供者。结论建立了本地区血小板献血者HPA、HLA基因资料库,为后续血小板库的扩建、维护与临床应用提供了重要的数据支持。 展开更多
关键词 血小板特异性抗原 人类白细胞抗原 基因多态性 血小板供者资料库 血小板输注无效 南京
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贵阳地区血小板捐献者HPA-1~6/10/15/21和HLA-A/B基因多态性研究
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作者 王军 侯仕芳 +4 位作者 王娇 雷雨 余娜杰 赵霞 朱思刚 《贵州医科大学学报》 CAS 2024年第5期686-690,共5页
目的研究贵阳地区机采血小板捐献者人类血小板抗原HPA-1~6/10/15/21及人类白细胞抗原HLA-A、B基因分布及多态性。方法采用实时荧光定量PCR法(qPCR)对287名贵阳地区机采血小板捐献者进行HPA-1~6/10/15/21和HLA-A、B基因分型,列举aa\ab\b... 目的研究贵阳地区机采血小板捐献者人类血小板抗原HPA-1~6/10/15/21及人类白细胞抗原HLA-A、B基因分布及多态性。方法采用实时荧光定量PCR法(qPCR)对287名贵阳地区机采血小板捐献者进行HPA-1~6/10/15/21和HLA-A、B基因分型,列举aa\ab\bb基因及HLA-A、B等位基因的分布情况、计算aa\ab\bb基因及HLA-A、B等位基因型频率。结果287名血小板捐献者HPA-1~6/10/15/21系统中,HPA-4和HPA-10的基因型均为aa型,不具有多态性;HPA-1,2,5,6和21主要以aa型为主;仅在HPA-3和HPA-15中检出bb型;杂合度最高的是HPA-15,HPA3杂合度居次;HLA-A位点检出14个等位基因,频率最高的3个是A*02(0.36)、A*11(0.33)和A*24(0.162;HLA-B位点检出23个等位基因,频率最高的4个是B*46(0.19)、B*15(0.149、B*40(0.14)和B*13(0.13)。结论贵阳地区机采血小板捐献者HPA-1~6/10/15/21和HLA-A、B基因存在多态性,需建立该地HPA/HLA基因分型血小板供者库服务于临床。 展开更多
关键词 血小板 人类血小板抗原 人类白细胞抗原 HPA/hla基因 多态性 基因频率
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血液病患者产生抗HLA抗体的危险因素分析 被引量:1
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作者 季开 王澜 +4 位作者 陈璐瑶 鲍晓晶 袁晓妮 吴小津 何军 《中国输血杂志》 CAS 2024年第2期165-173,共9页
目的在造血干细胞移植前的血液病患者中,探究抗人类白细胞抗原(human leucocyte antigen,HLA)抗体产生的危险因素。方法收集2016-2018年间本院1008名血液病患者在移植前采用Luminex技术平台进行抗HLA抗体检测的结果及临床数据,并对其进... 目的在造血干细胞移植前的血液病患者中,探究抗人类白细胞抗原(human leucocyte antigen,HLA)抗体产生的危险因素。方法收集2016-2018年间本院1008名血液病患者在移植前采用Luminex技术平台进行抗HLA抗体检测的结果及临床数据,并对其进行统计学分析。结果1008名患者的抗HLA抗体总体阳性率为24.08%。多因素分析显示,与抗HLA抗体产生相关的独立危险因素包括年龄≥30岁(P=0.046,OR 1.467,95%CI 1.007-2.136)、疾病确诊至抗体检测的时间≥41d(P=0.000,OR 1.830,95%CI 1.306-2.565)、初诊PLT计数<20×109/L(P=0.020,OR 1.543,95%CI 1.072-2.220)、有妊娠史(P=0.000,OR 5.187,95%CI 3.689-7.293)、入院前有输血史(P=0.001,OR 1.762,95%CI 1.257-2.470)和入院后PLT输注总量≥30U(P=0.000,OR 2.352,95%CI 1.638-3.376)。其中年龄≥30岁(P=0.023,OR=1.839,95%CI 1.088-3.108)、妊娠史(P=0.042,OR=5.258,95%CI 1.062-26.038)分别与抗HLA-Ⅰ类、Ⅱ类抗体的产生有关;疾病确诊至抗体检测时间≥41d(P=0.000,OR=2.873,95%CI 1.612-5.119)、初诊PLT计数<20×109/L(P=0.008,OR=2.164,95%CI 1.225-3.822)、妊娠史(P=0.002,OR=6.734,95%CI 1.993-22.751)、入院前的输血史(P=0.001,OR=2.746,95%CI 1.531-4.925)、入院后PLT输注>30U(P=0.006,OR=3.459,95%CI 1.416-8.451)与抗HLA-Ⅰ+Ⅱ类抗体的产生有关。结论年龄较大、病程较长、PLT计数较低、有妊娠史和输血史、PLT输注总量较多,均是影响抗HLA抗体产生的危险因素。因此,对移植前血液病患者宜根据情况检测抗HLA抗体,这对于指导供者选择、监测抗体变化和改善移植预后具有重要价值。 展开更多
关键词 人类白细胞抗原 抗人类白细胞抗原抗体 造血干细胞移植 血液病学 输血
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Analysis of Significant Genes and Pathways in Esophageal Cancer Based on Gene Expression Omnibus Database 被引量:1
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作者 An-Yi Song Lan Mu +2 位作者 Xiao-Yong Dai Li-Jun Wang Lai-Qiang Huang 《Chinese Medical Sciences Journal》 CAS CSCD 2023年第1期20-28,共9页
Objective To screen antigen targets for immunotherapy by analyzing over-expressed genes,and to identify significant pathways and molecular mechanisms in esophageal cancer by using bioinformatic methods such as enrichm... Objective To screen antigen targets for immunotherapy by analyzing over-expressed genes,and to identify significant pathways and molecular mechanisms in esophageal cancer by using bioinformatic methods such as enrichment analysis,protein-protein interaction(PPI)network,and survival analysis based on the Gene Expression Omnibus(GEO)database.Methods By screening with highly expressed genes,we mainly analyzed proteins MUC13 and EPCAM with transmembrane domain and antigen epitope from TMHMM and IEDB websites.Significant genes and pathways associated with the pathogenesis of esophageal cancer were identified using enrichment analysis,PPI network,and survival analysis.Several software and platforms including Prism 8,R language,Cytoscape,DAVID,STRING,and GEPIA platform were used in the search and/or figure creation.Results Genes MUC13 and EPCAM were over-expressed with several antigen epitopes in esophageal squamous cell carcinoma(ESCC)tissue.Enrichment analysis revealed that the process of keratinization was focused and a series of genes were related with the development of esophageal cancer.Four genes including ALDH3A1,C2,SLC6A1,and ZBTB7C were screened with significant P value of survival curve.Conclusions Genes MUC13 and EPCAM may be promising antigen targets or biomarkers for esophageal cancer.Keratinization may greatly impact the pathogenesis of esophageal cancer.Genes ALDH3A1,C2,SLC6A1,and ZBTB7C may play important roles in the development of esophageal cancer. 展开更多
关键词 GEO esophageal cancer antigen enrichment analysis survival curve signaling pathway
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人类白细胞抗原HLA-A基因多态性与HBV携带的相关性研究
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作者 帅莉 杨帅 +7 位作者 叶峻杰 杨景成 付晓野 许彬 刘红伟 周律 康细林 高静 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2024年第6期1037-1040,共4页
目的探讨人类白细胞抗原(human leukocyte antigen,HLA)基因多态性与乙型肝炎病毒(HBV)感染的相关性。方法收集云南省昆明市延安医院健康体检者静脉血样本501例,采用酶联免疫吸附试验(ELISA)检测HBV二对半,根据HBV二对半检测结果分为HB... 目的探讨人类白细胞抗原(human leukocyte antigen,HLA)基因多态性与乙型肝炎病毒(HBV)感染的相关性。方法收集云南省昆明市延安医院健康体检者静脉血样本501例,采用酶联免疫吸附试验(ELISA)检测HBV二对半,根据HBV二对半检测结果分为HBV携带组和既往感染组以及健康对照组3组,用序列特异性引物聚合酶链反应(polymerase chain reaction with sequence specific primers,PCR-SSP)基因分型技术检测HLA-A抗原的基因型,将HBV携带组和健康对照组以及HBV既往感染组和健康对照组的HLA-A基因多态性的分布频率进行比较。采用SPSS17.0软件进行数据统计分析。结果健康对照组HLA-A2阳性数占比47.49%,等位基因频率数占比31.29%;健康对照组基因分布频率总体与中华骨髓库发布的中国常见及确认的HLA-A等位基因表一致。HBV携带组HLA-A2阳性数占比63.04%,等位基因频率数占比42.23%,携带者的HLA-A2阳性率和等位基因频率差异有统计学意义(P<0.05);HBV既往感染组HLA-A2阳性数占比56.14%,等位基因频率数占比35.97%,既往感染组的HLA-A2阳性率和等位基因频率差异无统计学意义(P>0.05)。结论HLA-A2基因可能是慢性乙型肝炎HBV携带者的易感基因。 展开更多
关键词 人类白细胞抗原(hla) 基因多态性 hla-A2 乙型肝炎病毒(HBV)
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基于Nanopore平台的测序试剂QzTGS HLA MX9在HLA基因分型中的评价研究
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作者 廉雪 张丹 +4 位作者 温玉洁 范成艳 刘娜 张荣芳 王东梅 《北京医学》 CAS 2024年第6期510-512,518,共4页
目的 探讨基于Nanopore平台的测序试剂QzTGS HLA MX9(TGS测序)在人类白细胞抗原(human leukocyte antigen, HLA)基因分型中应用的性能。方法 选取北京市红十字血液中心实验室常规HLA分型检测样本48份,采用PCR-SBT和TGS两种测序法分别对... 目的 探讨基于Nanopore平台的测序试剂QzTGS HLA MX9(TGS测序)在人类白细胞抗原(human leukocyte antigen, HLA)基因分型中应用的性能。方法 选取北京市红十字血液中心实验室常规HLA分型检测样本48份,采用PCR-SBT和TGS两种测序法分别对全部样本进行HLA基因分型,比较两种方法的基因分型结果及性能。结果 TGS法和PCR-SBT法对48份样本的HLA-A、-B、-C、-DRB1和-DQB1的基因检测结果,在高分辨水平上完全一致,TGS法可以对全部样本进行直接指定新基因及单一组合分型结果。TGS法在耗时、新基因判定、读长、机器维护、模棱两可结果和实时数据等性能方面优势更明显。结论 与PCR-SBT测序技术相比,基于Nanopore平台的测序试剂QzTGS HLA MX9在指定HLA基因结果方面准确性更高、耗时更短。 展开更多
关键词 人类白细胞抗原 Nanopore测序 PCR-SBT 基因分型
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Methodological aspects of anti-human leukocyte antigen antibody analysis in solid organ transplantation 被引量:3
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作者 Andrew L Lobashevsky 《World Journal of Transplantation》 2014年第3期153-167,共15页
Donor human leukocyte antigen(HLA)-specific antibodies(DSA) play an important role in solid organ transplantation. Preexisting IgG isotype DSA are considered a risk factor for antibody mediated rejection, graft failur... Donor human leukocyte antigen(HLA)-specific antibodies(DSA) play an important role in solid organ transplantation. Preexisting IgG isotype DSA are considered a risk factor for antibody mediated rejection, graft failure or graft loss. The post-transplant development of DSA depends on multiple factors including immunogenicity of mismatched antigens, HLA class Ⅱ typing of the recipient, cytokine gene polymorphisms, and cellular immunoregulatory mechanisms. De novo developed antibodies require special attention because not all DSA have equal clinical significance. Therefore, it is important for transplant clinicians and transplant immunologists to accurately characterize DSA. In this review, the contemporary immunological techniques for detection and characterization of anti-HLA antibodies and their pitfalls are described. 展开更多
关键词 Human LEUKOCYTE antigen TRANSPLANTATION ANTIBODIES Solid phase analysis Flow CYTOMETRY
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Identification of distant co-evolving residues in antigen 85C from Mycobacterium tuberculosis using statistical coupling analysis of the esterase family proteins 被引量:2
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作者 Veeky Baths Utpal Roy 《The Journal of Biomedical Research》 CAS 2011年第3期165-169,共5页
A fundamental goal in cellular signaling is to understand allosteric communication, the process by which sig-nals originating at one site in a protein propagate reliably to affect distant functional sites. The general... A fundamental goal in cellular signaling is to understand allosteric communication, the process by which sig-nals originating at one site in a protein propagate reliably to affect distant functional sites. The general principles of protein structure that underlie this process remain unknown. Statistical coupling analysis (SCA) is a statistical technique that uses evolutionary data of a protein family to measure correlation between distant functional sites and suggests allosteric communication. In proteins, very distant and small interactions between collections of amino acids provide the communication which can be important for signaling process. In this paper, we present the SCA of protein alignment of the esterase family (pfam ID: PF00756) containing the sequence of antigen 85C secreted by Mycobacterium tuberculosis to identify a subset of interacting residues. Clustering analysis of the pairwise correlation highlighted seven important residue positions in the esterase family alignments. These resi-dues were then mapped on the crystal structure of antigen 85C (PDB ID: 1DQZ). The mapping revealed corre-lation between 3 distant residues (Asp38, Leu123 and Met125) and suggests allosteric communication between them. This information can be used for a new drug against this fatal disease. 展开更多
关键词 antigen 85C Mycobacterium tuberculosis clustering analysis COVARIANCE statistical coupling analy-sis esterase family multiple sequence alignments PFAM Protein Data Bank.
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HLA-DQA1*0501、HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性pSS易感性的关系分析
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作者 郑安昊 胡乃文 +5 位作者 许婧 袁烨 张淑敏 陈文斌 白艳艳 孙红胜 《山东医药》 CAS 2024年第6期44-48,共5页
目的基于数据库相关数据分析人类白细胞抗原(HLA)-DQA1*0501和HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性的原发性干燥综合征(pSS)易感性的关系。方法使用计算机检索相关数据库,筛选并收集pSS患者、抗Ro/SSA抗体阳性的pSS患者、抗Ro/SSA... 目的基于数据库相关数据分析人类白细胞抗原(HLA)-DQA1*0501和HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性的原发性干燥综合征(pSS)易感性的关系。方法使用计算机检索相关数据库,筛选并收集pSS患者、抗Ro/SSA抗体阳性的pSS患者、抗Ro/SSA抗体阴性的pSS患者以及健康对照人群的HLA-DQA1*0501、HLA-DQB1*02基因多态性资料。使用STATA 16.0(USA)统计软件分析抗Ro/SSA抗体阳性的pSS患者中HLA-DQA1*0501和HLA-DQB1*02基因多态性与pSS发生的关系。结果纳入文献5篇,涉及420例pSS患者、250例抗Ro/SSA抗体阳性pSS患者、120例抗Ro/SSA抗体阴性的pSS患者和733例健康对照者。在pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为159、246例;在健康对照者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为196、282例;在抗SSA抗体阳性pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为129、158例;在抗SSA抗体阴性pSS患者中,HLA-DQA1*0501和HLA-DQB1*02基因阳性分别为30、46例。HLA-DQA1*0501和HLA-DQB1*02基因多态性与pSS的易感性有关(I2分别为62.99%、40.75%,合计OR值分别为2.60、2.43,95%CI分别为1.49~4.55、1.88~3.14,P均<0.05)。HLA-DQA1*0501和HLA-DQB1*02基因多态性也与抗Ro/SSA抗体阳性pSS的易感性有关(I2分别为0.00%、9.41%,合计OR值分别为3.85、2.61,95%CI分别为1.81~8.21、1.52~4.48,P均<0.05)。结论HLA-DQA1*0501和HLA-DQB1*02基因多态性与抗Ro/SSA抗体阳性的pSS患者的易感性相关。具有HLA-DQA1*0501和HLA-DQB1*02基因阳性的抗Ro/SSA抗体阳性患者更容易患pSS。 展开更多
关键词 人类白细胞抗原 hla-DQA1*0501基因 hla-DQB1*02基因 抗Ro/SSA自身抗体 原发性干燥综合征
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The Effects of Triptolide on HLA Antigens Expression of Corneal Epithelial Cells Induced by Interferon-γ in Vitro 被引量:3
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作者 QiZhao YieziLiu 《眼科学报》 2000年第1期34-37,共4页
Objective:To observe the effects of immunosuppressants triptolide(TL)and cyclosporineA(CSA)on HLA antigens expression induced by interferon-γ(INF-γ)in vitro.Method:By using an indirect immunofluorescent method and... Objective:To observe the effects of immunosuppressants triptolide(TL)and cyclosporineA(CSA)on HLA antigens expression induced by interferon-γ(INF-γ)in vitro.Method:By using an indirect immunofluorescent method and analysing with ACAS-570,the abnormal HLA antigen expression of cultured corneal epithelial cells was induced by INF-γ,After incubation with one of the immunosuppressants(CSA,TL) for72hrs.the amount of HLA-ABCand HLA-DRantigens was measured.Result:There was no significant difference(P>0.05)between the group with CAS and the positive control group without CAS.In contrast to CSA,TL dramatically inhibited INF-γinduced expression of HLA antigens of corneal epithelial cells(P<0.001),compared with the control group withoutTL.Conclusion:TL had direct inhibition on the expression of HLA-ABCand HLA-DRantige ns induced by INF-γin vitro,while CSAhad no obvious inhibition,Eye Science2000;16:34-37. 展开更多
关键词 角膜移植 排斥反应 Γ-干扰素 角膜上皮层 hla抗原
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Impact of human leukocyte antigen mismatching on outcomes of liver transplantation:A meta-analysis 被引量:3
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作者 Xiang Lan Ming-Man Zhang +7 位作者 Cong-Lun Pu Chun-Bao Guo Quan Kang Ying-Chun Li Xiao-Ke Dai Yu-Hua Deng Qiang Xiong Zhi-Mei Ren 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第27期3457-3464,共8页
AIM:To assess the effect of human leukocyte antigen(HLA) mismatching on liver graft outcome and acute rejection from a meta-analysis of available cohort studies.METHODS:Articles in PubMed/MEDLINE,EMBASE and the Cochra... AIM:To assess the effect of human leukocyte antigen(HLA) mismatching on liver graft outcome and acute rejection from a meta-analysis of available cohort studies.METHODS:Articles in PubMed/MEDLINE,EMBASE and the Cochrane database from January 1970 to June 2009,including non-English literature identified in these databases,were searched.Only studies comparing HLA or sub-phenotype matching with mismatching were extracted.The percentage of graft survival was extracted by "Engauge Digitizer" from survival curves if the raw data were not displayed.A meta-analysis was performed when at least 3 studies provided data.RESULTS:Sixteen studies met the inclusion criteria.A lower number of HLA mismatches(0-2 vs 3-6) did reduce the incidence of acute rejection(relative risk:0.77,P = 0.03).The degree of HLA mismatching(0-2 vs 3-6) had no significant effect on 1-year [hazard ratio(HR):1.04,P = 0.68] and 5-year(HR:1.09,P = 0.38) graft survival.In sub-phenotype analysis,the degree of HLA-A,B and DR mismatching(0 vs 1-2) had no significant effect on 1-year and 5-year graft survival,either.The HRs and P-values were 0.95,0.71(HLA-A,1-year);1.06,0.60(HLA-A,5-year);0.77,0.16(HLA-B,1-year);1.07,0.56(HLA-DR,1-year);1.18,0.23(HLADR,5-year),respectively.CONCLUSION:The results of this systematic review imply that good HLA compatibility can reduce the incidence of acute rejection in spite of having no influence on graft outcomes.To obtain a short recovery time and minimize rejection post transplantation,HLA matching studies should be considered before the operation. 展开更多
关键词 Human leukocyte antigen Mismatching Liver transplantation META-analysis Graft rejection
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The combined detection of carcinoembryonic antigen,carcinogenic antigen 125,and carcinogenic antigen 19-9 in colorectal cancer patients
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作者 Ling-Zhen Gong Qian-Wen Wang Jie-Wen Zhu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2073-2079,共7页
BACKGROUND Hepatic metastases are common and difficult to treat after colorectal cancer(CRC)surgery.The predictive value of carcinoembryonic antigen(CEA),cancer antigen(CA)125 and CA19-9 combined tests for liver metas... BACKGROUND Hepatic metastases are common and difficult to treat after colorectal cancer(CRC)surgery.The predictive value of carcinoembryonic antigen(CEA),cancer antigen(CA)125 and CA19-9 combined tests for liver metastasis is unclear.AIM To evaluate predictive value of combined tests for CEA,CA125,and CA19-9 levels in patients with liver metastases of CRC.METHODS The retrospective study included patients with CRC alone(50 cases)and patients with CRC combined with liver metastases(50 cases)who were hospitalized between January 2021 and January 2023.Serum CEA,CA125 and CA19-9 levels were compared between the two groups,and binary logistic regression was used to analyze the predictive value of the combination of these tumor markers in liver metastasis.In addition,we performed receiver operating characteristic(ROC)curve analysis to assess its diagnostic accuracy.RESULTS The results showed that the serum CEA,CA125 and CA19-9 levels in the CRC with liver metastasis group were significantly higher than those in the CRC alone group.Specifically,the average serum CEA level in the CRC with liver metastasis group was 162.03±810.01 ng/mL,while that in the CRC alone group was 5.71±9.76 ng/mL;the average serum CA125 levels were 43.47±83.52 U/mL respectively.and 13.5±19.68 U/mL;the average serum CA19-9 levels were 184.46±473.13 U/mL and 26.55±43.96 U/mL respectively.In addition,binary logistic regression analysis showed that CA125 was significant in predicting CRC liver metastasis(P<0.05).ROC curve analysis results showed that the areas under the ROC curves of CEA,CA125 and CA19-9 were 0.607,0.692 and 0.586.CONCLUSION These results suggest that combined detection of these tumor markers may help early detection and intervention of CRC liver metastasis,thereby improving patient prognosis. 展开更多
关键词 Colorectal cancer Liver metastasis Serum markers Carcinoembryonic antigen Cancer antigen 125 Cancer antigen 19-9 Receiver operating characteristic analysis
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人类白细胞抗原G(HLA-G)与非小细胞肺癌的研究进展
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作者 李蕊 郭宗伟 +1 位作者 张效云 肖漓 《细胞与分子免疫学杂志》 CAS CSCD 北大核心 2024年第2期174-178,共5页
人类白细胞抗原G(HLA-G)属于非经典主要组织相容性复合体Ⅰb(MHCⅠb)类分子,包括膜结合型和可溶性HLA-G两种形式,通过相应受体调节多种免疫细胞的功能,是形成母胎耐受、肿瘤免疫逃逸的重要免疫学机制之一。非小细胞肺癌(NSCLC)在肺癌中... 人类白细胞抗原G(HLA-G)属于非经典主要组织相容性复合体Ⅰb(MHCⅠb)类分子,包括膜结合型和可溶性HLA-G两种形式,通过相应受体调节多种免疫细胞的功能,是形成母胎耐受、肿瘤免疫逃逸的重要免疫学机制之一。非小细胞肺癌(NSCLC)在肺癌中占比最高且预后差,研究发现HLA-G的基因多态性及表达水平与NSCLC发生发展密切相关,提示HLA-G可作为NSCLC早期诊断、亚型区分、治疗及预后等潜在的生物标志物,具有辅助诊断依据的临床价值,对其机制的深入研究更可能提供NSCLC诊疗的新策略。 展开更多
关键词 人类白细胞抗原G(hla-G) hla-G多态性 非小细胞肺癌(NSCLC) 免疫逃逸 生物标志物 综述
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HLA antigens and anti-sperm antibody production in Iranian vasectomized men
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作者 Gholamreza Azizi Saeed Namaki +1 位作者 Abbas Mirshafiey Kabir Magaji Hamid 《The Journal of Biomedical Research》 CAS CSCD 2015年第1期87-90,共4页
Dear Editor: Anti-sperm antibodies (ASAs) are composed of numerous antibodies interacting with multiple sperm antigens that play a role in fertility. In males, ASAs cause 'immune infertility' by decreasing sperm ... Dear Editor: Anti-sperm antibodies (ASAs) are composed of numerous antibodies interacting with multiple sperm antigens that play a role in fertility. In males, ASAs cause 'immune infertility' by decreasing sperm counts and normal forms, as well as reducing sperm motility and viability, markedly reducing the likelihood of natural conception. The development of ASA in the male depends on the release of sequestered antigens on germ cells following the disruption of the blood-testis barrier. 展开更多
关键词 hla antigens and anti-sperm antibody production in Iranian vasectomized men ASA
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IMPAIRED AUTOLOGOUS MIXED LYMPHOCYTE REACTION CORRELATED WITH DECREASED EXPRESSION OF HLA-Ⅱ ANTIGENS ON MONOCYTES IN PATIENTS WITH MYELOID LEUKEMIA
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作者 龚非力 H.Grosse Wilde 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1991年第2期14-20,共7页
The proliferative response of T-cells to autolo-gous non-T-cells is referred to as the autologous mixed lymphocyte reaction (AMLR). Recent studies have suggested that AMLR represents a mechanism of immune regulation i... The proliferative response of T-cells to autolo-gous non-T-cells is referred to as the autologous mixed lymphocyte reaction (AMLR). Recent studies have suggested that AMLR represents a mechanism of immune regulation in vivo. We investigated AMLR in patients with acute- and chronic myeloid leukemia (AML and CML). AMLR was found to be significantly depressed (P<0.001) in AML patients (n=17, cpm=532±95) and CML patients (n=13, cpm=688±99) when compared with that of their healthy HLA-identical siblings serving as controls (n=17, cpm=4152±619 and n=13 cpm=4086±421, respectively). In order to understand the cellular basis of the defective AMLR in patients with AML end CML, we performed mitogen-treated T-cell cultures analysis of T-cell subsets and HLA-Ⅱ antigen detection on monocytes. The results indicated that the defect of AMLR in patients resided at the stimulator monocyte level rather than at the responder T-cell level. Enumeration of monocytes reactive with monoclonal antibody Tu22, which recognizes determinants of HLA-DQ, demonstrated that ML patients had a significantly decreased (P<0.091) number of circulating Tu22+ monocytes when compared with normal controls. These studies suggest that a deficiency of HLA-DQ+ monocytes contributes to the depression of AMLR in ML and possibly underlies the abnormalities of immune response present in this disease. 展开更多
关键词 AMLR IMPAIRED AUTOLOGOUS MIXED LYMPHOCYTE REACTION CORRELATED WITH DECREASED EXPRESSION OF hla antigens ON MONOCYTES IN PATIENTS WITH MYELOID LEUKEMIA
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The analysis of the results of HLA-B27 PCR-SSP genotyping
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《中国输血杂志》 CAS CSCD 2001年第S1期375-,共1页
关键词 PCR hla SSP The analysis of the results of hla-B27 PCR-SSP genotyping
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HLA ANTIGENS AND VOGT-KOYANAGI- HARADA'S DISEASE
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作者 Qiang Yu Wenshu Mao Chufang Xie Shaozhen Li Zhongshan Ophthalmic Center Sun Yat-sen University of Medical Sciences Guangzhou, China 《眼科学报》 1991年第1期3-5,共3页
Thirty patients with Vogt-Koyanagi-Haradas disease were typed for HLA-A and HLA-B antigenic determinants by a microlymphocytotoxicity technique. HLA-B22 antigen showed an increased frequency of 43.3% in the patient gr... Thirty patients with Vogt-Koyanagi-Haradas disease were typed for HLA-A and HLA-B antigenic determinants by a microlymphocytotoxicity technique. HLA-B22 antigen showed an increased frequency of 43.3% in the patient group(relative risk=8.69; exact P<0.0001; corrected P<0.0025) compared with normal control group(frequency=7.69%). This association suggests that immunogenetic factor may play an important role in the pathogenesis of Vogt-Koyanagi-Harada's disease. 展开更多
关键词 hla antigens AND VOGT-KOYANAGI HARADA’S DISEASE
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The analysis of HLA-A,B,DR,DQ in 50 cases with bone marrow transplantation matching
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《中国输血杂志》 CAS CSCD 2001年第S1期375-,共1页
关键词 BONE hla The analysis of hla-A B DR DQ in 50 cases with bone marrow transplantation matching DR DQ
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Effect of Herpes Simplex Virus-2 Infection in Vitro on the Expression of HLA Class II Antigen of Monocytes
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作者 敖俊红 周礼义 +2 位作者 陈兴平 杨蓉娅 宋克敏 《Chinese Journal of Sexually Transmitted Infections》 2004年第1期25-27,63,共4页
Objectives: In order to investigate the role of mono-cytes and human leukocyte antigen (HLA) class II an-tigen in herpes simplex virus-2 (HSV-2) infection, westudied the effect of HSV-2 infection in vitro on theexpres... Objectives: In order to investigate the role of mono-cytes and human leukocyte antigen (HLA) class II an-tigen in herpes simplex virus-2 (HSV-2) infection, westudied the effect of HSV-2 infection in vitro on theexpression of HLA class II antigen on monocytes.Methods: Monocytes were infected with HSV-2(Strain 333). Culture cells were collected 1, 3, 5 and 7days after infection. The levels of expression of HLAclass II antigen were measured by using alkaline phos-phatase antialkaline phosphatase method (APAAP).Results: The levels of the expression of HLA class IIantigen on monocytes significantly decreased on thefirst day of post-infection, and then gradually returnedto levels found in the controls by the 7th day post-infection.Conclusion: HLA class II antigen expression onmonocytes was inhibited with HSV-2 infection, whichmight be one means of virus escape at an early phase.The expression of HLA class II antigen may play animportant role in herpes simplex viurs-2 pathogenic-ity and immunity. 展开更多
关键词 HSV-2 MONOCYTE hla class II antigen
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