PMID- 23718733 OWN - NLM STAT- MEDLINE DCOM- 20140127 LR - 20181202 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 82 IP - 2 DP - 2013 Aug TI - Algorithms for the determination of unacceptable HLA antigen mismatches in kidney transplant recipients. PG - 83-92 LID - 10.1111/tan.12137 [doi] AB - One of the major tasks of human leukocyte antigen (HLA) laboratories is the pretransplant determination of unacceptable HLA antigen mismatches (UAM) in organ transplant recipients. HLA antigen specificities are determined against which the patient has circulating alloantibodies that are expected to harm the transplanted organ. Using the information on UAM, negative crossmatch (XM) prediction or 'virtual XM' is possible when a potential donor's complete HLA typing is available. Before the introduction of solid-phase antibody detection assays, UAM were determined using the complement-dependent cytotoxicity methodology. After the introduction of the single antigen bead technique, however, various UAM determination algorithms have emerged. In this report, six different laboratories worldwide present how they determine UAM in their collective of kidney transplant recipients in the pretransplant phase and proceed thereafter to transplantation. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Susal, C AU - Susal C AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. caner.suesal@med.uni-heidelberg.de FAU - Roelen, D L AU - Roelen DL FAU - Fischer, G AU - Fischer G FAU - Campos, E F AU - Campos EF FAU - Gerbase-DeLima, M AU - Gerbase-DeLima M FAU - Honger, G AU - Honger G FAU - Schaub, S AU - Schaub S FAU - Lachmann, N AU - Lachmann N FAU - Martorell, J AU - Martorell J FAU - Claas, F AU - Claas F LA - eng PT - Journal Article DEP - 20130530 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA Antigens) RN - 0 (Isoantibodies) SB - IM MH - *Algorithms MH - Decision Trees MH - Graft Rejection/immunology/*prevention & control MH - HLA Antigens/*immunology MH - Histocompatibility Testing/*methods/statistics & numerical data MH - Humans MH - Isoantibodies/immunology MH - Kidney/immunology/pathology MH - *Kidney Transplantation MH - Unrelated Donors/statistics & numerical data OTO - NOTNLM OT - HLA antibodies OT - antibody screening OT - kidney transplantation OT - unacceptable HLA antigen mismatches OT - virtual crossmatch EDAT- 2013/05/31 06:00 MHDA- 2014/01/28 06:00 CRDT- 2013/05/31 06:00 PHST- 2013/05/31 06:00 [entrez] PHST- 2013/05/31 06:00 [pubmed] PHST- 2014/01/28 06:00 [medline] AID - 10.1111/tan.12137 [doi] PST - ppublish SO - Tissue Antigens. 2013 Aug;82(2):83-92. doi: 10.1111/tan.12137. Epub 2013 May 30.