Effects of the HLA antibodies on allograft acute rejection after cadaveric liver transplantation / 南方医科大学学报
Journal of Southern Medical University
;
(12): 774-776, 2006.
Article
in Chinese
| WPRIM
| ID: wpr-282919
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effect of perioperative HLA antibody changes on acute allograft rejection in cadaveric liver transplantation.</p><p><b>METHODS</b>Totally 134 patients received modified piggyback liver transplantation and enzyme-linked immunosorbent assay was performed for HLA antibody detection before and the 1, 7, 14 and 30 days after operation. B ultrasound-guided liver biopsy was employed for diagnosis of acute allograft rejection, and the perioperative changes of HLA antibodies were evaluated for their effect on allograft acute rejection.</p><p><b>RESULTS</b>Of the 44 recipients with preoperative positivity for HLA antibodies, acute rejection occurred in 56.8% of the patients, as compared with 25.9% in those negative for HLA antibody (P=0.001). The patients who became positive for HLA antibody postoperatively had a rate of acute rejection of 60%, which was significantly higher than that in those persistently negative for HLA antibody (18.6%, P=0.003).</p><p><b>CONCLUSION</b>HLA antibody positivity before transplantation may contribute to acute rejection episode in liver transplantation, and persistent posttransplant HLA antibody positivity is closely associated with the occurrence of acute rejection.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Blood
/
Liver Transplantation
/
Allergy and Immunology
/
Graft Rejection
/
HLA Antigens
/
Isoantibodies
/
Liver Cirrhosis
/
Liver Neoplasms
/
Methods
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2006
Type:
Article
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