Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2008 Aug;35(4-5):275-7.
doi: 10.1111/j.1744-313x.2008.00800.x.

HLA antibody testing: a tool to facilitate not to prevent organ transplantation

Affiliations
Free PMC article
Comment

HLA antibody testing: a tool to facilitate not to prevent organ transplantation

Frans H J Claas. Int J Immunogenet. 2008 Aug.
Free PMC article

Abstract

The introduction of very sensitive HLA antibody screening assays has destroyed the old dogma that pre-existence of donor specific HLA antibodies in the patient is a contra-indication for transplantation. The challenge is now to reach consensus on the parameters which predict the clinical relevance of donor specific HLA antibodies. Antibody screening assays should not only be used to prevent transplantation of patients with donor specific antibodies but also to facilitate transplantation of highly sensitized patients, both by defining acceptable HLA mismatches and non-detrimental donor specific HLA antibodies.

PubMed Disclaimer

Comment on

References

    1. van den Berg-Loonen EM, Billen EV, Voorter CE, van Heurn LWE, Claas FHJ, van Hooff JP, et al. Clinical relevance of pretransplant donor-directed antibodies detected by single antigen beads in highly sensitized renal transplant patients. Transplantation. 2008;85:1086. - PubMed
    1. Claas FHJ, Witvliet MD, Duquesnoy RJ, Persijn GG, Doxiadis IIN. The acceptable mismatch program as a fast tool for highly sensitized patients awaiting a cadaveric kidney transplantation: short waiting time and excellent graft outcome. Transplantation. 2004;78:190. - PubMed
    1. Dankers MK, Witvliet MD, Roelen DL, de Lange P, Korfage N, Persijn GG, et al. The number of amino acid triplet differences between patient and donor is predictive for the antibody reactivity against mismatched human leukocyte antigens. Transplantation. 2004;77:1236. - PubMed
    1. Doxiadis IIN, Duquesnoy RJ, Claas FHJ. Extending options for highly sensitized patients to receive a suitable kidney graft. Current Opinion in Immunology. 2005;17:536. - PubMed
    1. Duquesnoy RJ. A structurally based approach to determine HLA compatibility at the humoral level. Human Immunology. 2006;67:847. - PMC - PubMed