Improved Graft Function following Desensitization of Anti-AT1R and Autoantibodies in a Heart Transplant Recipient Negative for Donor-Specific Antibodies with Antibody-Mediated Rejection: A Case Report

被引:1
作者
Jung, Regina [1 ]
Ly, Kevin [2 ]
Taniguchi, Michiko [3 ,4 ]
Arriola, Aileen Grace [3 ,4 ]
Gravante, Christopher [3 ]
Shinn, Derek [3 ]
Mathew, Leena [3 ]
Hamad, Eman [5 ]
Geier, Steven [3 ,4 ]
Liacini, Abdelhamid [3 ,4 ]
机构
[1] Lahey Hosp & Med Ctr, Dept Pharm, Burlington, MA 01805 USA
[2] Temple Univ Hosp & Med Sch, Dept Pharm, Philadelphia, PA 19140 USA
[3] Temple Univ Hosp & Med Sch, Immunogenet Lab, Philadelphia, PA 19140 USA
[4] Lewis Katz Sch Med, Dept Pathol & Lab Med, Philadelphia, PA 19140 USA
[5] Lewis Katz Sch Med, Heart & Vasc Inst, Sect Cardiol, Philadelphia, PA 19140 USA
关键词
orthotopic heart transplantation; autoantibodies; rejection; antibody-mediated rejection; AT(1)R; NON-HLA ANTIBODIES; TYPE-1 RECEPTOR ANTIBODIES; IMPACT;
D O I
10.3390/ijms25042218
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
HLA donor-specific antibodies (DSAs) pre and post transplant increase the risk of antibody-mediated rejection (AMR) and lead to poor graft survival. Increasing data exist to support the involvement of non-HLA antibodies in triggering an immunological response. The development of non-HLA antibodies specific for AT1R is associated with poor clinical outcomes in orthotopic heart transplant recipients. This case presents an investigation of non-HLA antibodies in a 56-year-old female heart transplant recipient diagnosed with AMR in the absence of DSAs.
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页数:7
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共 22 条
[1]   Angiotensin II type-1 receptor antibody (AT1Rab) associated humoral rejection and the effect of peri operative plasma exchange and candesartan [J].
Carroll, Robert P. ;
Riceman, Michael ;
Hope, Christopher M. ;
Zeng, Anna ;
Deayton, Sue ;
Bennett, Greg D. ;
Coates, P. T. .
HUMAN IMMUNOLOGY, 2016, 77 (12) :1154-1158
[2]   Donor-specific anti-HLA antibodies with antibody-mediated rejection and long-term outcomes following heart transplantation [J].
Clerkin, Kevin J. ;
Farr, Maryjane A. ;
Restaino, Susan W. ;
Zorn, Emmanuel ;
Latif, Farhana ;
Vasilescu, Elena R. ;
Marboe, Charles C. ;
Colombo, Paolo C. ;
Mancini, Donna M. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2017, 36 (05) :540-545
[3]   The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients [J].
Costanzo, Maria Rosa ;
Dipchand, Anne ;
Starling, Randall ;
Anderson, Allen ;
Chan, Michael ;
Desai, Shashank ;
Fedson, Savitri ;
Fisher, Patrick ;
Gonzales-Stawinski, Gonzalo ;
Martinelli, Luigi ;
McGiffin, David ;
Parisi, Francesco ;
Smith, Jon ;
Taylor, David ;
Meiser, Bruno ;
Webber, Steven ;
Baran, David ;
Carboni, Michael ;
Dengler, Thomas ;
Feldman, David ;
Frigerio, Maria ;
Kfoury, Abdallah ;
Kim, Daniel ;
Kobashigawa, Jon ;
Shullo, Michael ;
Stehlik, Josef ;
Teuteberg, Jeffrey ;
Uber, Patricia ;
Zuckermann, Andreas ;
Hunt, Sharon ;
Burch, Michael ;
Bhat, Geetha ;
Canter, Charles ;
Chinnock, Richard ;
Crespo-Leiro, Marisa ;
Delgado, Reynolds ;
Dobbels, Fabienne ;
Grady, Kathleen ;
Kao, W. ;
Lamour, Jaqueline ;
Parry, Gareth ;
Patel, Jignesh ;
Pini, Daniela ;
Pinney, Sean ;
Towbin, Jeffrey ;
Wolfel, Gene ;
Delgado, Diego ;
Eisen, Howard ;
Goldberg, Lee ;
Hosenpud, Jeff .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2010, 29 (08) :914-956
[4]   Angiotensin II type 1-receptor activating antibodies in renal-allograft rejection [J].
Dragun, D ;
Müller, DN ;
Bräsen, JH ;
Fritsche, L ;
Nieminen-Kelhä, M ;
Dechend, R ;
Kintscher, U ;
Rudolph, B ;
Hoebeke, J ;
Eckert, D ;
Mazak, I ;
Plehm, R ;
Schönemann, C ;
Unger, T ;
Budde, K ;
Neumayer, HH ;
Luft, FC ;
Wallukat, G .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (06) :558-569
[5]   C4d-negative antibody-mediated rejection with high anti-angiotensin II type I receptor antibodies in absence of donor-specific antibodies [J].
Fuss, Alexander ;
Hope, Christopher M. ;
Deayton, Susan ;
Bennett, Greg Donald ;
Holdsworth, Rhonda ;
Carroll, Robert P. ;
Coates, P. Toby H. .
NEPHROLOGY, 2015, 20 (07) :467-473
[6]   Antibody-mediated rejection following transplantation from an HLA-identical sibling [J].
Grafft, Carrie A. ;
Cornell, Lynn D. ;
Gloor, James M. ;
Cosio, Fernando G. ;
Gandhi, Manish J. ;
Dean, Patrick G. ;
Stegall, Mark D. ;
Amer, Hatem .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2010, 25 (01) :307-310
[7]   Non-HLA Antibodies Targeting Vascular Receptors Enhance Alloimmune Response and Microvasculopathy After Heart Transplantation [J].
Hiemann, Nicola E. ;
Meyer, Rudolf ;
Wellnhofer, Ernst ;
Schoenemann, Constanze ;
Heidecke, Harald ;
Lachmann, Nils ;
Hetzer, Roland ;
Dragun, Duska .
TRANSPLANTATION, 2012, 94 (09) :919-924
[8]   The management of antibodies in heart transplantation: An ISHLT consensus document [J].
Kobashigawa, Jon ;
Colvin, Monica ;
Potena, Luciano ;
Dragun, Duska ;
Crespo-Leiro, Maria G. ;
Delgado, Juan F. ;
Olymbios, Michael ;
Parameshwar, Jayan ;
Patel, Jignesh ;
Reed, Elaine ;
Reinsmoen, Nancy ;
Rodriguez, E. Rene ;
Ross, Heather ;
Starling, Randall C. ;
Tyan, Dolly ;
Urschel, Simon ;
Zuckermann, Andreas .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2018, 37 (05) :537-547
[9]   Non-HLA-type endothelial cell reactive alloantibodies in pre-transplant sera of kidney recipients trigger apoptosis [J].
Le Bas-Bernardet, S ;
Hourmant, M ;
Coupel, S ;
Bignon, JD ;
Soulillou, JP ;
Charreau, B .
AMERICAN JOURNAL OF TRANSPLANTATION, 2003, 3 (02) :167-177
[10]   Non-HLA agonistic anti-angiotensin II type 1 receptor antibodies induce a distinctive phenotype of antibody-mediated rejection in kidney transplant recipients [J].
Lefaucheur, Carmen ;
Viglietti, Denis ;
Bouatou, Yassine ;
Philippe, Aurelie ;
Pievani, Daniele ;
Aubert, Olivier ;
Jean-Paul Duong Van Huyen ;
Taupin, Jean-Luc ;
Glotz, Denis ;
Legendre, Christophe ;
Loupy, Alexandre ;
Halloran, Philip F. ;
Dragun, Duska .
KIDNEY INTERNATIONAL, 2019, 96 (01) :189-201