http://www.cnr.it/ontology/cnr/individuo/prodotto/ID5359
Incidence and epitope specificity of HLA DQA1 and DQB1 antibodies in renal transplant recipients. (Abstract/Comunicazione in atti di convegno)
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- Incidence and epitope specificity of HLA DQA1 and DQB1 antibodies in renal transplant recipients. (Abstract/Comunicazione in atti di convegno) (literal)
- Anno
- 2010-01-01T00:00:00+01:00 (literal)
- Alternative label
A. PIAZZA; G. OZZELLA; E. POGGI; D. CAPUTO; R. CREMONA; V. IMBROGLINI; D. ADORNO. (2010)
Incidence and epitope specificity of HLA DQA1 and DQB1 antibodies in renal transplant recipients.
in 24th European Immunogenetics and Histocompatibility Conference and 17th Annual Meeting of the Italian Society for Immunogenetics and Transplantation Biology, Florence - Italy, 15-18 May 2010
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- A. PIAZZA; G. OZZELLA; E. POGGI; D. CAPUTO; R. CREMONA; V. IMBROGLINI; D. ADORNO. (literal)
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- http://onlinelibrary.wiley.com/doi/10.1111/tan.2010.75.issue-5/issuetoc (literal)
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- National Council of Researches, Institute of Organ Transplantation, Rome, Italy. (literal)
- Titolo
- Incidence and epitope specificity of HLA DQA1 and DQB1 antibodies in renal transplant recipients. (literal)
- Abstract
- Incidence and epitope specificity of HLA DQA1 and
DQB1 antibodies in renal transplant recipients
Antonina Piazza1, Giuseppina Ozzella1, Elvira Poggi1,
Daniela Caputo2, Rosa Cremona2, Valentina Imbroglini2,
Domenico Adorno1
1C.N.R. - Istituto per i Trapianti d'Organo, Rome, Italy, 2Centro
Regionale Trapianti - Lazio, Rome, Italy
Since epitopes of HLA molecules represent the binding site of
alloantibodies, the exact characterization of HLA antibodies has
an important for the management of sensitized renal transplant
candidates. The recent development of assays using Single Antigen
beads coated with DQ heterodimers (DQA1 and DQB1)
permit to distinguish DQA1 from DQB1 alloantibodies. Besides,
analyzing the beads' reaction patterns in relation to amino acid
sequences of antibody-reactive alleles it is possible to identify
DQA1 and DQB1 sensitizing epitopes.
In 173 renal transplant candidates showing production of HLA
class II antibodies we characterized anti-DQ antibodies using
HLA class II Single Antigen beads containing 12 DQA1 and
14 DQB1 alleles variously combined each other. One hundred
and four (60%) of the HLA class II positive patients produced
anti-DQ antibodies; 88 of the 104 recipients had had a previous
transplant. Sixty-eight patients had only anti-DQB1 antibodies, 2
had only anti-DQA1 and the remaining 34 had both anti-DQB1
and anti-DQA1. Anti-DQ positive patients were typed for DQA1
and DQB1 alleles by PCR-SSP technique.
Correlating the reaction pattern of each antibody to the amino acid
sequences of DQA1/DQB1 alleles, we could identify 9 epitopes
characteristic of DQA1 molecules and 14 epitopes characteristic
of DQB1. Seven (30%) of these 23 epitopes had not been reported
yet; 6 were DQA1-epitopes (41K/130A = DQA1*0103; 160D = DQA1*0302, 0303; 75S/107I/161E/163S/175K = DQA1*05;
50L = DQA1*02, 03; 69T = DQA1*04, 06; 75I = DQA1*01,
02, 03, 04, 06) and one was a DQB1-epitope (87Y = DQB1*05,
0604, 0605, 0607, 0609, . . .). This study, carried out on a large
number of HLA-DQA1/DQB1 sensitized patients, confirms the
great immunogenicity of mismatched DQ molecules of a renal
transplant. Furthermore the characterization of detected HLADQ
antibodies allowed us to identify seven unreported epitopes
of the DQA1/DQB1 molecules. These findings may be
useful in increasing our knowledge of HLA epitope repertoire
which can lead to an accurate analysis of high panel reactive
antibodies. (literal)
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