PMID- 25062962 OWN - NLM STAT- MEDLINE DCOM- 20151208 LR - 20230919 IS - 1432-198X (Electronic) IS - 0931-041X (Print) IS - 0931-041X (Linking) VI - 30 IP - 4 DP - 2015 Apr TI - HLA sensitisation: can it be prevented? PG - 577-87 LID - 10.1007/s00467-014-2868-6 [doi] AB - Human leukocyte antigen (HLA) sensitisation occurs after transfusion of blood products and transplantation. It can also happen spontaneously through cross-sensitisation from infection and pro-inflammatory events. Patients who are highly sensitised face longer waiting times on organ allocation programmes, more graft rejection and therefore more side effects of immunosuppression, and poorer graft outcomes. In this review, we discuss these issues, along with the limitations of modern HLA detection methods, and potential ways of decreasing HLA antibody development. We do not discuss the removal of antibodies after they have developed. FAU - Rees, Lesley AU - Rees L AD - Department of Paediatric Nephrology, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, UK, pediatric_nephrology@ucl.ac.uk. FAU - Kim, Jon Jin AU - Kim JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140726 PL - Germany TA - Pediatr Nephrol JT - Pediatric nephrology (Berlin, Germany) JID - 8708728 RN - 0 (HLA Antigens) RN - 0 (Isoantibodies) SB - IM MH - Blood Donors MH - Child MH - Erythrocyte Transfusion MH - HLA Antigens/analysis/*immunology MH - *Histocompatibility Testing MH - Humans MH - Isoantibodies/*blood MH - *Kidney Transplantation PMC - PMC4333359 EDAT- 2014/07/27 06:00 MHDA- 2015/12/15 06:00 PMCR- 2014/07/26 CRDT- 2014/07/27 06:00 PHST- 2014/05/01 00:00 [received] PHST- 2014/05/23 00:00 [accepted] PHST- 2014/05/22 00:00 [revised] PHST- 2014/07/27 06:00 [entrez] PHST- 2014/07/27 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2014/07/26 00:00 [pmc-release] AID - 2868 [pii] AID - 10.1007/s00467-014-2868-6 [doi] PST - ppublish SO - Pediatr Nephrol. 2015 Apr;30(4):577-87. doi: 10.1007/s00467-014-2868-6. Epub 2014 Jul 26.