PMID- 31550409 OWN - NLM STAT- MEDLINE DCOM- 20210111 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Print) IS - 1600-6135 (Linking) VI - 20 IP - 1 DP - 2020 Jan TI - Non-HLA donor-recipient mismatches in kidney transplantation-A stone left unturned. PG - 19-24 LID - 10.1111/ajt.15612 [doi] AB - In kidney transplantation, short-term allograft survival has improved due to improvements in acute rejection episodes without corresponding improvements in long-term survival. Although current organ allocation algorithms take into account human leukocyte antigen (HLA) matching to reduce antidonor alloimmune responses, it is likely that genomic variation at non-HLA loci (ie, non-HLA donor-recipient [D-R] pair mismatches) play a role in the "non-self" responses and ultimately affect long-term allograft survival. Existing data from both animal models and human studies suggest an association between non-HLA D-R mismatches and kidney allograft outcomes. In this minireview, we examine existing and emerging data and discuss putative mechanisms on the role of non-HLA D-R mismatches on long-term allograft outcomes in kidney transplantation. CI - (c) 2019 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Farouk, Samira AU - Farouk S AUID- ORCID: 0000-0001-5598-5925 AD - Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. AD - Recanati-Miller transplant Institute, Icahn School of Medicine at Mount Sinai, New York, NY. FAU - Zhang, Zhongyang AU - Zhang Z AD - Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY. AD - Icahn Institute for Data Science and Genomic Technology, Icahn School of Medicine at Mount Sinai, New York, NY. FAU - Menon, Madhav C AU - Menon MC AUID- ORCID: 0000-0002-9567-4299 AD - Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. AD - Recanati-Miller transplant Institute, Icahn School of Medicine at Mount Sinai, New York, NY. LA - eng GR - R01 DK122164/DK/NIDDK NIH HHS/United States GR - U01 AI063594/AI/NIAID NIH HHS/United States GR - U01 AI070107/AI/NIAID NIH HHS/United States GR - Clinical Trials in Organ Transplantation-19/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20191019 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (HLA Antigens) SB - IM MH - Graft Rejection/*etiology MH - Graft Survival/*immunology MH - HLA Antigens/*immunology MH - Histocompatibility/*immunology MH - Humans MH - Kidney Transplantation/*adverse effects MH - Tissue Donors MH - Transplant Recipients PMC - PMC7898079 MID - NIHMS1051716 OTO - NOTNLM OT - editorial OT - genetics OT - genomics OT - kidney transplantation OT - nephrology OT - personal viewpoint OT - science OT - translational research COIS- Disclosure The authors of this manuscript have no conflicts to disclose as described by the American Journal of Transplantation. EDAT- 2019/09/25 06:00 MHDA- 2021/01/12 06:00 PMCR- 2021/02/22 CRDT- 2019/09/25 06:00 PHST- 2019/04/02 00:00 [received] PHST- 2019/08/28 00:00 [revised] PHST- 2019/09/17 00:00 [accepted] PHST- 2019/09/25 06:00 [pubmed] PHST- 2021/01/12 06:00 [medline] PHST- 2019/09/25 06:00 [entrez] PHST- 2021/02/22 00:00 [pmc-release] AID - S1600-6135(22)10038-9 [pii] AID - 10.1111/ajt.15612 [doi] PST - ppublish SO - Am J Transplant. 2020 Jan;20(1):19-24. doi: 10.1111/ajt.15612. Epub 2019 Oct 19.