PMID- 15880083 OWN - NLM STAT- MEDLINE DCOM- 20050706 LR - 20190713 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 79 IP - 9 DP - 2005 May 15 TI - Single-antigen-expressing cell lines are excellent tools for detecting human leukocyte antigen-C-reactive antibodies in kidney transplant recipients. PG - 1268-72 AB - BACKGROUND: Human leukocyte antigen (HLA)-C is expressed on nucleated cells and platelets in lower levels than HLA-A,B, and its antigens are in linkage disequilibrium with HLA-B antigens. Therefore, HLA-C antibody detection is difficult. The authors questioned whether HLA-C could serve as a target in clinical kidney transplantation using a newly developed assay. METHODS: Flow cytometry was performed with sera from patients (n=34) awaiting a kidney retransplant using nine cell lines expressing a single HLA-C antigen (single-antigen lines [SAL]). RESULTS: The SAL were validated with HLA-C-specific alloantisera and human monoclonal antibodies against HLA-A, -B, and -C. The results were in agreement with the specificities previously reported. Exceptions, because of new HLA-C specificities used here, could be explained by epitope sharing between the antigens. With respect to patient sera, 15 of the 34 patients tested (44%) showed serum reactivity toward one or more HLA-C SAL. CONCLUSIONS: In contrast to peripheral blood lymphocytes, SAL are excellent targets for detecting HLA-C-reactive alloantibodies by flow cytometry. This preliminary analysis revealed that HLA-C-reactive antibodies are frequently present in sera of retransplant patients, serving as possible targets in clinical transplantation. FAU - Zoet, Yvonne M AU - Zoet YM AD - Department of Immunohaematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands. FAU - Eijsink, Chantal AU - Eijsink C FAU - Bohmova, Radka AU - Bohmova R FAU - Witvliet, Marian D AU - Witvliet MD FAU - Kardol, Marrie J AU - Kardol MJ FAU - Franke, Marry E I AU - Franke ME FAU - Claas, Frans H J AU - Claas FH FAU - Mulder, Arend AU - Mulder A FAU - Doxiadis, Ilias I N AU - Doxiadis II LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (Antibodies) RN - 0 (Antigens) RN - 0 (Biomarkers) RN - 0 (Epitopes) RN - 0 (HLA-C Antigens) SB - IM MH - Antibodies/blood MH - Antigens/*immunology MH - Biomarkers/analysis MH - Cell Line MH - Epitopes/analysis MH - HLA-C Antigens/*immunology MH - Humans MH - Kidney Transplantation/*immunology MH - Leukocytes/*immunology MH - Patient Selection MH - Reproducibility of Results EDAT- 2005/05/10 09:00 MHDA- 2005/07/07 09:00 CRDT- 2005/05/10 09:00 PHST- 2005/05/10 09:00 [pubmed] PHST- 2005/07/07 09:00 [medline] PHST- 2005/05/10 09:00 [entrez] AID - 00007890-200505150-00059 [pii] AID - 10.1097/01.tp.0000161246.33019.b6 [doi] PST - ppublish SO - Transplantation. 2005 May 15;79(9):1268-72. doi: 10.1097/01.tp.0000161246.33019.b6.