The relationship between flow cytometer crossmatch results and subsequent rejection episodes in cadaver renal allograft recipients.

Abstract:

:Flow cytometry (FC) T and B cell crossmatches were done retrospectively for 38 cadaver renal transplant recipients (29 first and 9 retransplants--minimum follow-up 12 months) using both current pretransplant serum and peak-reactive sera. An increase in median fluorescence intensity (channel shift) and/or an increase in the number of donor T and/or B cells binding antibody in test sera occurred in 23 cases. These 23 patients experienced a greater number of reversible rejection episodes as compared with patients with negative FC crossmatches (65% vs. 33%), P = 0.031. Graft outcome, however, was not different in the two groups. Thus, a positive FC crossmatch allows for the detection of subliminal levels of donor presensitization and is associated with a greater number of rejection episodes. A positive FC crossmatch is not predictive of ultimate graft loss.

journal_name

Transplantation

journal_title

Transplantation

authors

Lazda VA,Pollak R,Mozes MF,Jonasson O

doi

10.1097/00007890-198803000-00012

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

562-5

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

45

pub_type

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