PMID- 12792524 OWN - NLM STAT- MEDLINE DCOM- 20030619 LR - 20041117 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 75 IP - 9 DP - 2003 May 15 TI - Humoral immune reactivity against human leukocyte antigen (HLA)-DQ graft molecules in the early posttransplantation period. PG - 1601-3 AB - Humoral graft-specific alloreactivity was investigated in 110 renal transplant (RTx) recipients (group A) starting immediately postTx and in 32 RTx candidates sensitized against a failed graft (group B) using an enzyme-linked immunosorbent assay (ELISA) assay. All patients received a human leukocyte antigen (HLA) class I and II incompatible graft. Donor-specific (DS) antibodies were detected in 11 of 110 (90.9%) group-A patients, predominately during the first 6 months postTx. In all 11 cases, only HLA class II antibodies were detected. Ten of 11 antibody-positive patients received an HLA-DR, HLA-DQ incompatible graft, and all patients had HLA-DQ DS antibodies, either alone (n=8) or with HLA-DR antibodies (n=2). HLA-DQ antibodies were also detected in 80.9% of group-B patients. The presence of HLA-DQ DS antibodies in the early postTx period does not identify patients with rejection or deterioration of graft function. Whether these patients are at high risk for graft loss remains to be clarified. FAU - Iniotaki-Theodoraki, Aliki G AU - Iniotaki-Theodoraki AG AD - National Tissue Typing Center, General State Hospital of Athens, Greece. gtheo@bigfoot.com FAU - Boletis, John N AU - Boletis JN FAU - Trigas, George Ch AU - Trigas GCh FAU - Kalogeropoulou, Helen G AU - Kalogeropoulou HG FAU - Kostakis, Alkiviadis G AU - Kostakis AG FAU - Stavropoulos-Giokas, Catherine G AU - Stavropoulos-Giokas CG LA - eng PT - Journal Article PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (HLA-DQ Antigens) RN - 0 (Isoantibodies) SB - IM MH - Graft Rejection MH - HLA-DQ Antigens/*immunology MH - Humans MH - Isoantibodies/*blood MH - Kidney Transplantation/*immunology MH - Tissue Donors EDAT- 2003/06/07 05:00 MHDA- 2003/06/20 05:00 CRDT- 2003/06/07 05:00 PHST- 2003/06/07 05:00 [pubmed] PHST- 2003/06/20 05:00 [medline] PHST- 2003/06/07 05:00 [entrez] AID - 10.1097/01.TP.0000061611.51612.09 [doi] PST - ppublish SO - Transplantation. 2003 May 15;75(9):1601-3. doi: 10.1097/01.TP.0000061611.51612.09.