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
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。
