Accommodation: does it apply to human leukocyte antigens?

Abstract:

:The term "accommodation" was invoked to describe endothelial cell resistance to antibody-mediated rejection after ABO-incompatible kidney or experimental xenograft transplantation. Currently, there is much interest in how to achieve successful human leukocyte antigen (HLA)-incompatible allograft transplantation in HLA-sensitized patients and how to treat antibody-mediated rejection after ABO-compatible HLA-incompatible allotransplantation. The term "accommodation" is often used interchangeably to describe patients who have donor-specific ABO or HLA alloantibodies in the absence of damage to their allograft. Here, we suggest that there are important differences between the immune responses to protein versus carbohydrate antigens and that graft HLA molecules may respond differently to antibodies (and antibody isotypes) than ABO antigens. Neither the mechanisms nor a phenotype of accommodation have been defined fully. Further research is needed to define mechanisms of both resistance and susceptibility to antibody-mediated injury and to predict under which circumstances allograft accommodation may occur.

journal_name

Transplantation

journal_title

Transplantation

authors

Rose ML,West LJ

doi

10.1097/TP.0b013e31823f468c

subject

Has Abstract

pub_date

2012-02-15 00:00:00

pages

244-6

issue

3

eissn

0041-1337

issn

1534-6080

journal_volume

93

pub_type

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