title: Frequency of MIC antibody in rejected renal transplant patients without HLA antibody.
abstract: Antibodies to MICA and MICB antigens were sought in the sera of 139 kidney transplant recipients. MICA*001, *002, *007, *008, and MICB*002 antigens were produced in Escherichia coli and then tested using enzyme-linked immunosorbent assay plates. Among 35 normal sera, 6% had MIC antibodies, and among 14 sera from pregnant women, 21% had MIC antibodies. Among 34 patients with functioning transplants with human leukocyte antigen (HLA) antibodies, 24% had MIC antibodies, and 19% of 32 patients without HLA antibodies had MIC antibodies. Among 46 patients who lost grafts with HLA antibodies, 26% had MIC antibodies, and among 27 failed patients without HLA antibodies, 37% had MIC antibodies. We conclude that antibodies to MIC are produced in the course of immunization by pregnancies and kidney transplants. They also occurred more frequently in rejected patients (30%) than in those with functioning grafts (21%).
authors.affiliation: Terasaki Foundation Laboratory, Los Angeles, CA 90064, USA. kazuomizutani@terasakilab.org
authors.forename: Kazuo
authors.initials: K
authors.lastname: Mizutani
authors.forename: Paul I
authors.initials: PI
authors.lastname: Terasaki
authors.forename: Remi N J
authors.initials: RN
authors.lastname: Shih
authors.forename: Rui
authors.initials: R
authors.lastname: Pei
authors.forename: Miyuki
authors.initials: M
authors.lastname: Ozawa
authors.forename: Jarhow
authors.initials: J
authors.lastname: Lee
mesh_terms: D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006084:Graft Rejection / Q000276:immunology*; D006680:HLA Antigens / Q000276:immunology*; D015395:Histocompatibility Antigens Class I / Q000276:immunology*; D006801:Humans; D007518:Isoantibodies / Q000276:immunology; D016030:Kidney Transplantation / Q000276:immunology*; D011247:Pregnancy; D012189:Retrospective Studies
chemical_list: D006680:HLA Antigens; D015395:Histocompatibility Antigens Class I; D007518:Isoantibodies; C099187:MHC class I-related chain A; C098080:MICB antigen