title: Major histocompatibility antigens in transplanted human hearts before perfusion.
abstract: The expression of major histocompatibility class I and II antigens is described in human normal donor hearts before perfusion with recipients' blood. Class I and II major histocompatibility antigens were found on interstitial but not on myocardial cells. Endothelial cells accounted for most of the generic class I reactions (that is, W6/32 and beta 2 microglobulin), and endothelial cells accounted for most of the HLA-DR and -DP reactivity. HLA-DQ antigens were not found in this series of normal donor hearts. The earliest time we were able to identify HLA-DQ antigens during the follow-up biopsies from these patients was 1 week after the allograft had been in place. Macrophages accounted for little of the class II reactivity. Variations in the HLA-DQ antigen expression on endothelial cells may be useful in the follow-up of transplanted hearts, considering that these antigens have been found to be more susceptible to the effects of interferon-gamma than either HLA-DR or -DP.
authors.affiliation: Center for Reproduction and Transplantation Immunology, Methodist Hospital of Indiana, Indianapolis 46202.
authors.forename: C A
authors.initials: CA
authors.lastname: Labarrere
authors.forename: J A
authors.initials: JA
authors.lastname: McIntyre
authors.forename: H
authors.initials: H
authors.lastname: Halbrook
authors.forename: W P
authors.initials: WP
authors.lastname: Faulk
mesh_terms: D000328:Adult; D000918:Antibody Specificity / Q000276:immunology; D001706:Biopsy; D004699:Endocardium / Q000276:immunology / Q000473:pathology; D005455:Fluorescent Antibody Technique; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000276:immunology*; D015395:Histocompatibility Antigens Class I / Q000032:analysis*; D000949:Histocompatibility Antigens Class II / Q000032:analysis*; D006801:Humans; D009206:Myocardium / Q000276:immunology* / Q000473:pathology; D013997:Time Factors
chemical_list: D015395:Histocompatibility Antigens Class I; D000949:Histocompatibility Antigens Class II