Is there a differential strength of specific HLA mismatches in kidney transplants?

Transplant Proc. 2008 May;40(4):1091-4. doi: 10.1016/j.transproceed.2008.03.023.

Abstract

In this article we attempted to identify whether there is a specific mismatched antigen that might be detrimental to kidney transplant outcome. The frequency of function versus failure of transplant cases was tallied within subpopulations among a subset of the 2006 United Network for Organ Sharing transplant dataset. We examined 7998 cadaveric and 11,420 living donor kidney transplants that were mismatched for a single class I antigen. When tested by five different criteria, the results were relatively similar for the HLA class I, A- and B-locus mismatches. HLA A1 was identified as the single most dominant immunogenic mismatch. However, when the P values were multiplied by 68, the number of comparisons, A1 was only marginally significant. We concluded that at least for class I specificities, the 68 specificities were about equal immunogenicity in kidney transplantation.

MeSH terms

  • Cadaver
  • HLA Antigens / immunology*
  • Histocompatibility Testing / methods*
  • Humans
  • Kidney Transplantation / immunology*
  • Kidney Transplantation / statistics & numerical data
  • Living Donors / statistics & numerical data*
  • Patient Selection
  • Time Factors
  • Tissue Donors / statistics & numerical data*
  • Treatment Failure
  • Treatment Outcome

Substances

  • HLA Antigens