PMID- 25095530 OWN - NLM STAT- MEDLINE DCOM- 20140909 LR - 20140806 IS - 0890-9016 (Print) IS - 0890-9016 (Linking) DP - 2013 TI - Unravelling the connections between donor specific antibodies and renal allograft pathology. PG - 361-5 AB - The imperfections of early technologies for assessment of human leukocyte antigen (HLA) antibody specificity have been resolved by solid phase micro bead assays, but this has revealed new uncertainties. The relationship between presence of antibody specific for a donor HLA molecule to graft damage and outcomes has had to be re-evaluated. Studies of protocol biopsies have identified a correlation between donor specific antibody and electron microscopy (EM) changes at three months, which do not predict chronic antibody mediated rejection, but that are predicted by EM changes seen on 12-month protocol biopsies. These intriguing results point to the plasticity of the renal endothelium in the earlier post-transplant months, as well as to the reality that the immune system interaction with the endothelium changes with time. FAU - Chapman, Jeremy R AU - Chapman JR FAU - Wavamunno, Moses AU - Wavamunno M FAU - O'Connell, Philip J AU - O'Connell PJ FAU - Nankivell, Brian J AU - Nankivell BJ LA - eng PT - Journal Article PL - United States TA - Clin Transpl JT - Clinical transplants JID - 8812419 RN - 0 (HLA Antigens) RN - 0 (Isoantibodies) RN - 0 (Isoantigens) SB - IM MH - Allografts/immunology/pathology MH - Antibody Specificity MH - Endothelium, Vascular/cytology/immunology MH - Graft Rejection/*immunology/pathology MH - HLA Antigens/*immunology MH - *Histocompatibility Testing MH - Humans MH - Isoantibodies/*immunology MH - Isoantigens/*immunology MH - Kidney/immunology/pathology/ultrastructure MH - *Kidney Transplantation MH - Microscopy, Electron EDAT- 2013/01/01 00:00 MHDA- 2014/09/10 06:00 CRDT- 2014/08/07 06:00 PHST- 2014/08/07 06:00 [entrez] PHST- 2013/01/01 00:00 [pubmed] PHST- 2014/09/10 06:00 [medline] PST - ppublish SO - Clin Transpl. 2013:361-5.