PMID- 20384732 OWN - NLM STAT- MEDLINE DCOM- 20110224 LR - 20101102 IS - 1399-0012 (Electronic) IS - 0902-0063 (Linking) VI - 24 IP - 5 DP - 2010 Sep-Oct TI - Determination of mismatched donor HLA in kidney transplant recipients with unknown donor HLA phenotypes. PG - E178-81 LID - 10.1111/j.1399-0012.2010.01246.x [doi] AB - OBJECTIVE: To determine donor human leukocyte antigen (HLA) from renal allograft biopsies in transplant recipients whose donor HLA phenotype is not known. METHODS: Renal allograft biopsies were obtained from seven renal transplant recipients when indicated for allograft dysfunction or proteinuria. DNA was extracted fresh from allograft specimens, and HLA typing was performed with polymerase chain reaction-specific sequence primers (PCR-SSP) and polymerase chain reaction-sequence-specific oligonucleotides (PCR-SSO). RESULTS: HLA typing of the seven renal allograft biopsies was composed of both recipient and donor HLA phenotypes, allowing the determination of the donor HLA and the degree of HLA mismatching. CONCLUSIONS: Deducing mismatched donor HLA antigens in renal allograft recipients enables detection of donor-specific antibodies, and the management of humoral rejection, and enables more appropriate selection of a donor organ should future retransplantation be required. CI - (c) 2010 John Wiley & Sons A/S. FAU - Kwok, Janette AU - Kwok J AD - Division of Transplantation and Immunogenetics, Department of Pathology and Clinical Biochemistry, Queen Mary Hospital, Hong Kong SAR, China. kwoksy@ha.org.hk FAU - Chan, Gavin S W AU - Chan GS FAU - Lam, M F AU - Lam MF FAU - Yan, Tony AU - Yan T FAU - Tang, Lydia AU - Tang L FAU - Kwong, K M AU - Kwong KM FAU - Chan, K W AU - Chan KW FAU - Chan, T M AU - Chan TM LA - eng PT - Journal Article PL - Denmark TA - Clin Transplant JT - Clinical transplantation JID - 8710240 RN - 0 (HLA Antigens) RN - 9007-49-2 (DNA) SB - IM MH - DNA/*analysis/genetics MH - Feasibility Studies MH - Graft Rejection/genetics/*immunology MH - HLA Antigens/genetics/*immunology MH - Histocompatibility Testing MH - Humans MH - Immunophenotyping MH - Kidney Transplantation/*immunology MH - Living Donors MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational MH - Transplantation, Homologous EDAT- 2010/04/14 06:00 MHDA- 2011/02/25 06:00 CRDT- 2010/04/14 06:00 PHST- 2010/04/14 06:00 [entrez] PHST- 2010/04/14 06:00 [pubmed] PHST- 2011/02/25 06:00 [medline] AID - CTR1246 [pii] AID - 10.1111/j.1399-0012.2010.01246.x [doi] PST - ppublish SO - Clin Transplant. 2010 Sep-Oct;24(5):E178-81. doi: 10.1111/j.1399-0012.2010.01246.x.