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Related Experiment Videos

The vascular endothelial cell antigen system.

J Cerilli, L Brasile, T Galouzis

    Transplantation
    |March 1, 1985
    PubMed
    Summary
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    Vascular endothelial cell (VEC) antigens are immunogenic and can cause graft rejection, even in HLA-identical transplants. A positive monocyte crossmatch, indicating sensitization to VEC/monocyte antigens, is a contraindication for transplantation.

    Area of Science:

    • Immunology
    • Transplantation Science
    • Vascular Biology

    Background:

    • Vascular endothelial cells (VEC) express unique immunogenic antigens.
    • Peripheral blood monocytes share these VEC antigens, enabling prospective testing.
    • Preformed antibodies against VEC/monocyte antigens can lead to graft rejection.

    Purpose of the Study:

    • To investigate the immunogenicity of the VEC/monocyte antigen system.
    • To assess the impact of VEC/monocyte antibodies on graft survival.
    • To determine the clinical significance of monocyte crossmatch positivity.

    Main Methods:

    • Prospective monocyte crossmatch testing in 153 patients.
    • Evaluation of antibody reactivity against VEC and monocyte antigens.

    Related Experiment Videos

  • Analysis of graft rejection in relation to crossmatch results.
  • Main Results:

    • Approximately 7% of prospective monocyte crossmatches were positive when traditional crossmatches were negative.
    • Sensitization to VEC/monocyte antigens may explain up to 70% of early graft loss in living-related donors.
    • Antibody against donor monocytes exclusively was benign, unlike reactivity to VEC/monocyte antigens.

    Conclusions:

    • The VEC/monocyte antigen system is a significant immunogen in both HLA-identical and non-HLA-identical transplant combinations.
    • Positive monocyte crossmatch, indicating sensitization to VEC/monocyte antigens, is a contraindication to transplantation.
    • Genetic linkage between VEC/monocyte antigens and the major histocompatibility complex is suggested.