PMID- 12589169 OWN - NLM STAT- MEDLINE DCOM- 20030320 LR - 20141120 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 75 IP - 3 DP - 2003 Feb 15 TI - Differential immunogenicity of HLA mismatches: HLA-A2 versus HLA-A28. PG - 418-20 AB - The immunogenicity of human leukocyte antigen (HLA)-A2 versus HLA-A28 was analyzed by antibody production, cytotoxic T-lymphocyte (CTL) induction, and graft survival. We observed that an HLA-A2 mismatched child in HLA-A28 women leads to HLA-A2 specific antibodies in 32% of the women (n=31), whereas in the case of an HLA-A28 child and HLA-A2 women (n=30), no HLA-A28 specific antibodies were found ( P<0.002). Also, the CTL precursor frequencies were significantly lower against HLA-A28 compared with CTLp frequencies against HLA-A2 ( P=0.012). Finally, the kidney graft survival was slightly better in HLA-A2 positive recipients transplanted with HLA-A28 mismatches. We can conclude that single HLA-A28 mismatches are less immunogenic in HLA-A2 individuals compared with single HLA-A2 mismatches in HLA-A28 individuals, which is probably because the mismatched epitopes on the HLA-A2 molecule are unique epitopes, whereas the mismatched epitopes on HLA-A28 are shared by other HLA-A and HLA-B molecules. FAU - Dankers, Marlies K A AU - Dankers MK AD - Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands. FAU - Roelen, Dave L AU - Roelen DL FAU - Van Der Meer-Prins, Ellen M W AU - Van Der Meer-Prins EM FAU - De Lange, Peter AU - De Lange P FAU - Korfage, Nelleke AU - Korfage N FAU - Smits, Jacqueline M A AU - Smits JM FAU - Persijn, Guido G AU - Persijn GG FAU - Welsh, Ken I AU - Welsh KI FAU - Doxiadis, Ilias I N AU - Doxiadis II FAU - Claas, Frans H J AU - Claas FH LA - eng PT - Journal Article PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (Antibodies) RN - 0 (Epitopes) RN - 0 (HLA-A Antigens) RN - 0 (HLA-A2 Antigen) RN - 0 (HLA-A28 antigen) SB - IM MH - Antibodies/blood MH - Epitopes/*immunology MH - Female MH - Fetus/immunology MH - Graft Rejection/*immunology MH - Graft Survival/*immunology MH - HLA-A Antigens/immunology MH - HLA-A2 Antigen/*immunology MH - Histocompatibility Testing MH - Humans MH - In Vitro Techniques MH - Kidney Transplantation/*immunology MH - Pregnancy MH - T-Lymphocytes, Cytotoxic/immunology EDAT- 2003/02/18 04:00 MHDA- 2003/03/21 04:00 CRDT- 2003/02/18 04:00 PHST- 2003/02/18 04:00 [pubmed] PHST- 2003/03/21 04:00 [medline] PHST- 2003/02/18 04:00 [entrez] AID - 10.1097/01.TP.0000044456.51462.E2 [doi] PST - ppublish SO - Transplantation. 2003 Feb 15;75(3):418-20. doi: 10.1097/01.TP.0000044456.51462.E2.