articleNew England Journal of MedicineSep 25, 2013BRONZE OA

Complement-Binding Anti-HLA Antibodies and Kidney-Allograft Survival

Université Paris Cité · Délégation Paris 7 · +8 more institutions

PubMed
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Abstract

Background

Anti-HLA antibodies hamper successful transplantation, and activation of the complement cascade is involved in antibody-mediated rejection. We investigated whether the complement-binding capacity of anti-HLA antibodies plays a role in kidney-allograft failure.

Methods

We enrolled patients who received kidney allografts at two transplantation centers in Paris between January 1, 2005, and January 1, 2011, in a population-based study. Patients were screened for the presence of circulating donor-specific anti-HLA antibodies and their complement-binding capacity. Graft injury phenotype and the time to kidney-allograft loss were assessed.

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