Reappraisal of HLA Antibody Analysis and Crossmatching in Kidney Transplantation

被引:18
作者
Lee, P. -C. [1 ]
Ozawa, M. [1 ]
Hung, C. -J. [1 ]
Lin, Y. -J. [1 ]
Chang, S. -S. [1 ]
Chou, T. -C. [1 ]
机构
[1] Natl Cheng Kung Univ, Coll Med, Dept Surg, Tainan 70101, Taiwan
关键词
FLOW-CYTOMETRY BEADS; CLASS-I; SPECIFICITY; RECIPIENTS; ELISA;
D O I
10.1016/j.transproceed.2008.10.074
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Enzyme-linked immunosorbent assay (ELISA) and flow cytometric techniques have been introduced to overcome the limited sensitivity and specificity of the CDC assay. This retrospective study used lambda antigen tray-mixed screening and Luminex HLA class I and II specificity assays to re-examine: (1) the accuracy with which detection of HLA antibody and specificity by ELISA predicts pretransplantation National Institutes of Health (NIH)/Centers for Disease Control and Prevention (CDC) crossmatch; and (2) a comparison of Luminex and ELISA methods to detect HLA antibodies. Sera from 481 patients awaiting kidney transplantation were tested using the ELISA method lambda antigen tray-mixed and using NIH-CDC to determine how well HLA antibodies detected using ELISA predicted crossmatches using CDC. Pretransplantation sera from 48 patients with follow-up data were retested using both ELISA lambda antigen tray-mixed and Luminex to compare the efficacy of the 2 methods.
引用
收藏
页码:95 / 98
页数:4
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