title: Reappraisal of HLA antibody analysis and crossmatching in kidney transplantation.
abstract: 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.
authors.affiliation: Medical College, National Cheng Kung University, Tainan, Taiwan. pochang@mail.ncku.edu.tw
authors.forename: P-C
authors.initials: PC
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: Ozawa
authors.forename: C-J
authors.initials: CJ
authors.lastname: Hung
authors.forename: Y-J
authors.initials: YJ
authors.lastname: Lin
authors.forename: S-S
authors.initials: SS
authors.lastname: Chang
authors.forename: T-C
authors.initials: TC
authors.lastname: Chou
mesh_terms: D000918:Antibody Specificity; D004797:Enzyme-Linked Immunosorbent Assay; D005188:False Negative Reactions; D005500:Follow-Up Studies; D006680:HLA Antigens / Q000276:immunology*; D006681:HLA-D Antigens / Q000276:immunology; D015395:Histocompatibility Antigens Class I / Q000276:immunology; D006650:Histocompatibility Testing / Q000379:methods*; D006801:Humans; D007518:Isoantibodies / Q000276:immunology*; D016030:Kidney Transplantation / Q000276:immunology*; D011300:Preoperative Care; D012189:Retrospective Studies
chemical_list: D006680:HLA Antigens; D006681:HLA-D Antigens; D015395:Histocompatibility Antigens Class I; D007518:Isoantibodies