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10.1111/ajt.16783

http://scihub22266oqcxt.onion/10.1111/ajt.16783
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34358400!ä!34358400

suck abstract from ncbi


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pmid34358400      Am+J+Transplant 2022 ; 22 (1): 289-293
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  • Diffuse C4d staining of peritubular capillaries in renal allograft following bamlanivimab therapy #MMPMID34358400
  • Klomjit N; El Ters M; Adam BA; Sampathkumar P; Razonable RR; Taler SJ; Taner T; Alexander MP
  • Am J Transplant 2022[Jan]; 22 (1): 289-293 PMID34358400show ga
  • Neutralizing monoclonal antibodies such as bamlanivimab emerged as promising agents in treating kidney transplant recipients with COVID-19. However, the impact of bamlanivimab on kidney allograft histology remains unknown. We report a case of a kidney transplant recipient who received bamlanivimab for COVID-19 with subsequent histologic findings of diffuse peritubular capillary C4d staining. A 33-year-old man with end-stage kidney disease secondary to hypertension who received an ABO compatible kidney from a living donor, presented for his 4-month protocol visit. He was diagnosed with COVID-19 44 days prior to his visit and had received bamlanivimab with an uneventful recovery. His 4-month surveillance biopsy showed diffuse C4d staining of the peritubular capillaries without other features of antibody-mediated rejection (ABMR). Donor-specific antibodies were negative on repeat evaluations. ABMR gene expression panel was negative. His creatinine was stable at 1.3 mg/dl, without albuminuria. Given the temporal relationship between bamlanivimab and our observations of diffuse C4d staining of the peritubular capillaries, we hypothesize that bamlanivimab might bind to angiotensin-converting enzyme 2, resulting in classical complement pathway and C4d deposition. We elected to closely monitor kidney function which has been stable at 6 months after the biopsy. In conclusion, diffuse C4d may present following bamlanivimab administration without any evidence of ABMR.
  • |*COVID-19[MESH]
  • |*Kidney Transplantation/adverse effects[MESH]
  • |Adult[MESH]
  • |Allografts[MESH]
  • |Antibodies, Monoclonal, Humanized[MESH]
  • |Antibodies, Neutralizing[MESH]
  • |Biopsy[MESH]
  • |Capillaries[MESH]
  • |Complement C4b[MESH]
  • |Graft Rejection/drug therapy/etiology[MESH]
  • |Humans[MESH]
  • |Kidney[MESH]
  • |Male[MESH]
  • |Peptide Fragments[MESH]
  • |SARS-CoV-2[MESH]


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