The role of positive flow cytometry crossmatch in late renal allograft loss.
Hum Immunol
; 70(7): 502-5, 2009 Jul.
Article
em En
| MEDLINE
| ID: mdl-19364513
ABSTRACT
Many studies relating flow cytometery crossmatch (FCXM) results to kidney transplant outcomes have examined risk in the first 3 to 12 months. We used Organ Procurement and Transplant Network registry data for 66,594 kidney transplants from 1995 to 2007 to investigate associations of T-cell positive (T+) and T-cell negative/B-cell positive (T(-)B+) FCXM with graft failure risk early (years 0-1) and late (years >1-5) after transplant. Compared with transplants with T-cell negative/B-cell negative (T(-)B(-)) FCXM, living-donor transplants performed after T+ FCXM had significantly higher adjusted, relative risks of both early (adjusted hazards ratio [aHR] 1.71, p < 0.0001) and late (aHR 1.36, p = 0.017) graft loss. T(-)B+ FCXM was associated with approximately 40% higher relative risk of graft loss in the late period only. Patterns were similar for deceased-donor transplants. The risks of positive FCXM persist beyond the peritransplant period for years after transplant. Damage by memory effector cells may explain the long-term risks associated with positive FCXM.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Teste de Histocompatibilidade
/
Transplante de Rim
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Citometria de Fluxo
/
Rejeição de Enxerto
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
Hum Immunol
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos