Differential immunogenicity of HLA class I alloantigens for the humoral versus the cellular immune response: "Towards tailor-made HLA mismatching"'

被引:12
作者
Claas, FHJ
Roelen, DL
Mulder, A
Doxiadis, IIN
Oudshoorn, M
Heemskerk, M
机构
[1] Leiden Univ, Med Ctr, Dept Immunohematol & Blood Transfus, NL-2300 RC Leiden, Netherlands
[2] Europdonor Fdn, Leiden, Netherlands
关键词
D O I
10.1016/j.humimm.2006.03.004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The immunogenicity of an individual human leukocyte antigen (HLA) class I mismatch is different for the cellular and the humoral alloimmune responses. The consequence is that the same antigen can induce a strong antibody response and no cytotoxic T lymphocyte reactivity, but the reverse can occur also. Exact knowledge of the immunogenicity of an HLA mismatch for an individual patient can lead to a strategy of tailor-made HLA mismatching if no HLA identical donor is available. Depending on the clinical situation, one should select a donor with HLA mismatches according to the humoral or cellular mismatch algorithm.
引用
收藏
页码:424 / 429
页数:6
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