Prospects and limitations of post-transplantation alloantibody detection in renal transplantation.
Antibody-mediated immunity is generally accepted to be a major cause of kidney allograft injury and loss. Post-transplantation monitoring for circulating alloantibodies was proposed to represent a useful noninvasive diagnostic approach to assess individual immunologic risks and to guide the implementation of specific therapeutic measures. This was supported by the recent establishment of highly sensitive and specific solid phase immunoassays for detailed characterisation of reactivity patterns. Nevertheless, imperfect associations of serologic results with biopsy-based criteria of antibody-mediated rejection, as well as the disputed long-term significance of circulating alloantibody detected in recipients with normal graft function, necessitate a careful interpretation of monitoring results.
Department of Medicine III, Medical University of Vienna, Vienna, Austria. georg.boehmig@meduniwien.ac.at
Georg A
GA
Böhmig
Gregor
G
Bartel
Heinz
H
Regele
Markus
M
Wahrmann
D000917:Antibody Formation; D001706:Biopsy; D000939:Epitopes; D006084:Graft Rejection / Q000175:diagnosis* / Q000276:immunology* / Q000517:prevention & control; D006650:Histocompatibility Testing / Q000379:methods*; D006801:Humans; D007163:Immunosorbent Techniques; D007518:Isoantibodies / Q000097:blood / Q000276:immunology*; D007668:Kidney / Q000473:pathology; D016030:Kidney Transplantation; D008991:Monitoring, Physiologic; D011379:Prognosis; D012680:Sensitivity and Specificity; D012698:Serologic Tests / Q000379:methods* / Q000639:trends; D013997:Time Factors; D014184:Transplantation, Homologous
D000939:Epitopes; D007518:Isoantibodies