The presence of activated donor HLA class I-reactive T lymphocytes is associated with rejection of corneal grafts.

Abstract:

:Although the cornea is considered to be an immunological privileged site, corneal transplantation can result in immunological rejection followed by graft failure, especially in patients with vascularized corneas. Several studies suggest a beneficial effect of matching for the HLA class I antigens on corneal graft survival, although a large study (the Collaborative Corneal Transplantation Study) failed to confirm this. To circumvent an endless discussion on studies either confirming or denying the relevance of HLA matching, we decided to approach this problem in another way. A more direct way to assess the importance of HLA class I antigens in corneal transplantation is to measure whether rejection of an allograft is associated with priming of cytotoxic T lymphocytes recognizing the mismatched HLA antigens of the donor. In the present study, 13 patients with good graft function and 10 with ongoing rejection of their corneal allografts were analyzed for the presence of CTL directed against mismatched donor HLA class I antigens, by limiting dilution assays. CTLs were divided into naive and primed CTLs based on the measurement of their in vitro sensitivity or resistance to anti-CD8 or cyclosporine. Cytotoxic T cell precursor frequencies directed against the mismatched donor HLA class I antigens were similar in nonrejectors and rejectors. However, rejection was strongly associated with the presence of primed, donor-specific CTL, whereas these primed cells were absent in case of good graft function. These data show that HLA antigens of a transplanted cornea are immunogenic and targets for rejection by cytotoxic T cells. Therefore, this study supports the need for HLA-A and -B matching in corneal transplantation in patients with a high probability of rejection.

journal_name

Transplantation

journal_title

Transplantation

authors

Roelen DL,van Beelen E,van Bree SP,van Rood JJ,Völker-Dieben HJ,Claas FH

doi

10.1097/00007890-199504150-00021

subject

Has Abstract

pub_date

1995-04-15 00:00:00

pages

1039-42

issue

7

eissn

0041-1337

issn

1534-6080

journal_volume

59

pub_type

杂志文章
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  • Apoptosis after intestinal ischemia-reperfusion injury: a morphological study.

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    journal_title:Transplantation

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    authors: Jain AB,Hamad I,Rakela J,Dodson F,Kramer D,Demetris J,McMichael J,Starzl TE,Fung JJ

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    journal_title:Transplantation

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    authors: Thompson JS,Jackson D,Greazel NA,Parmely MJ,Severson CD

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  • Apoptosis versus necrosis during cold storage and rewarming of human renal proximal tubular cells.

    abstract:BACKGROUND:A recent clinical study demonstrated that in renal allografts preserved in the cold apoptosis occurred soon after reperfusion. The mode of cell death during cold storage is generally considered necrotic. Whether apoptosis occurs as a part of cold storage is uncertain. The objective was to determine in human ...

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    pub_type: 杂志文章

    doi:10.1097/00007890-200109150-00010

    authors: Salahudeen AK,Joshi M,Jenkins JK

    更新日期:2001-09-15 00:00:00

  • Immunologic pathways in a quantitative model of immunosuppression based on rejection of an allogeneic or xenogeneic tumor graft.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000157361.50830.22

    authors: Hammond-McKibben D,Saulnier M,Zhang J,Risher N,Lake P,Weetall M

    更新日期:2005-04-27 00:00:00

  • Posttransplant major histocompatibility complex class I chain-related gene A antibodies and long-term graft outcomes in a multicenter cohort of 779 kidney transplant recipients.

    abstract:BACKGROUND:The impact of major histocompatibility class I chain-related A (MICA) antibodies on renal graft outcomes is unclear. The goal of this work was to assess the impact of posttransplant MICA antibodies, assayed at 1 year, with two commercially available kits, on long-term renal graft outcomes. METHODS:We retros...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e31824fd8f1

    authors: Lemy A,Andrien M,Lionet A,Labalette M,Noel C,Hiesse C,Delahousse M,Suberbielle-Boissel C,De Meyer M,Latinne D,Mourad M,Delsaut S,Racapé J,Wissing KM,Toungouz M,Abramowicz D

    更新日期:2012-06-27 00:00:00