A clinical study of anti-NDP in the sera of patients in a large repetitive hemodialysis program.

Abstract:

:Anti-NDP has been detected in the sera of 38 of 430 patients on regular hemodialysis at the Regional Kidney Disease Program in Minneapolis. It developed in these patients from 7 to 58 months after commencement of dialysis. Bacterial infection appeared temporally related to the development of anti-NDP in 12 patients. Hemolytic episodes, possibly related to anti-NDP, occurred in 11. Fifty-five percent of the patients never reused dialyzers. The antibody preceded the insertion of a bovine graft in seven. We postulate that anti-NDP is recognizing an antigenic site similar to that recognized by Vicia graminea lectin, and that this site might become immunogenic by alteration of M and N antigens on red blood cell surfaces. Though formaldehyde might be involved in this alteration, dialysis membrane reuse does not seem to be required for the formation of anti-NDP.

journal_name

Kidney Int

journal_title

Kidney international

authors

Crosson JT,Moulds J,Comty CM,Polesky HF

doi

10.1038/ki.1976.133

subject

Has Abstract

pub_date

1976-12-01 00:00:00

pages

463-70

issue

6

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)31680-X

journal_volume

10

pub_type

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