在固体器官移植中补充激活供体特异性抗HLA抗体:系统性审查,元分析和批判性评估
Solaf Al-Awadhi1, Marc Raynaud1, Kevin Louis1,2
1Université de Paris Cité, Institut National de la Santé et de la Recherche Médicale (INSERM) Unité Mixte de Recherche (UMR)-S970, Paris Cardiovascular Research Center (PARCC), Paris Translational Research Centre for Organ Transplantation, Paris, France.
Frontiers in immunology
|October 18, 2023
概括
补充激活抗人类白细胞抗原供体特异抗体 (抗HLA DSAs) 显著增加器官移植损失和排斥的风险. 它们的影响独立于抗体水平,突出显示了它们的关键预后价值.
科学领域:
- 移植免疫学 移植免疫学
- 免疫遗传学 免疫遗传学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 循环补充激活抗人类白细胞抗原供体特异抗体 (抗HLA DSAs) 与固体器官移植结果有关.
- 缺乏对平均光强度 (MFI) 的预后价值的批判性评估和证明.
结论:
- 补充激活的抗HLA DSA对固体器官移植结果有显著的有害影响.
- 补充激活的抗HLA DSAs对于全移植损失和排斥具有独立的预后价值.
- 这项研究强调了评估移植受体补充激活状态的重要性.
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