PMID- 31090627 OWN - NLM STAT- MEDLINE DCOM- 20200327 LR - 20200511 IS - 1531-7013 (Electronic) IS - 1087-2418 (Print) IS - 1087-2418 (Linking) VI - 24 IP - 3 DP - 2019 Jun TI - Impact of pretransplant antibodies on outcomes after heart transplantation. PG - 220-226 LID - 10.1097/MOT.0000000000000629 [doi] AB - PURPOSE OF REVIEW: Since the discovery of human leukocyte antigen (HLA) in the 1950s, there has been great interest in the role of antibodies in posttransplant rejection. The development of the lymphocyte toxicity test by Terasaki et al. in the 1960s was the first step toward understanding the role of antibodies in posttransplant rejection. RECENT FINDINGS: Subsequently, various organs have been transplanted and improving posttransplant outcomes have become a focus of research. In particular, methods to measure antibodies that affect posttransplant outcomes, including anti-HLA antibodies, and methods to desensitize patients from specific antibodies have been explored. One recent method for measuring antibodies is called the solid-phase assay, which uses purified HLA fixed to microbeads. This assay does not use donor lymphocytes and allows clinicians to test the reactivity of patient serum against a panel of antibodies. It has also enabled the identification of specific anti-HLA antibodies using a single HLA. SUMMARY: In addition to advances in methods to measure and analyze anti-HLA antibodies, the clinical impact of non-HLA antibodies has also received much attention recently. FAU - Nunoda, Shinichi AU - Nunoda S AD - Department of Therapeutic Strategy for Severe Heart Failure, Graduate School of Medicine, Tokyo Women's Medical University, Tokyo, Japan. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Opin Organ Transplant JT - Current opinion in organ transplantation JID - 9717388 RN - 0 (Antibodies) RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Antibodies/*immunology MH - Graft Rejection/*immunology MH - HLA Antigens/immunology MH - *Heart Transplantation MH - Histocompatibility Antigens Class II/immunology MH - Histocompatibility Testing MH - Humans MH - Transplantation Immunology PMC - PMC6531009 EDAT- 2019/05/16 06:00 MHDA- 2020/03/28 06:00 PMCR- 2019/05/22 CRDT- 2019/05/16 06:00 PHST- 2019/05/16 06:00 [entrez] PHST- 2019/05/16 06:00 [pubmed] PHST- 2020/03/28 06:00 [medline] PHST- 2019/05/22 00:00 [pmc-release] AID - 00075200-201906000-00003 [pii] AID - MOT240306 [pii] AID - 10.1097/MOT.0000000000000629 [doi] PST - ppublish SO - Curr Opin Organ Transplant. 2019 Jun;24(3):220-226. doi: 10.1097/MOT.0000000000000629.