Pathogenesis of non-HLA antibodies in solid organ transplantation: Where do we stand?

Abstract:

:Antibody-mediated rejection (ABMR) is associated with poor transplant outcome. Pathogenic alloantibodies are usually directed against human leukocyte antigens (HLAs). Histological findings suggestive of ABMR usually demonstrate an anti-HLA donor-specific antibody (DSA)-mediated injury, while a small subset of patients develop acute dysfunction with histological lesions suggestive of ABMR in the absence of anti-HLA DSAs. Although this non-HLA ABMR is not well recognized by current diagnostic classifications, it is associated with graft dysfunction and allograft loss. These clinical descriptions suggest a pathogenic role for non-HLA anti-endothelial cell antibodies. Diverse antigenic targets have been described during the last decade. This review discusses recent findings in the field and addresses the clinical relevance of anti-endothelial cell antibodies (AECAs).

journal_name

Hum Immunol

journal_title

Human immunology

authors

Delville M,Charreau B,Rabant M,Legendre C,Anglicheau D

doi

10.1016/j.humimm.2016.05.021

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1055-1062

issue

11

eissn

0198-8859

issn

1879-1166

pii

S0198-8859(16)30105-7

journal_volume

77

pub_type

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