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10.1371/journal.pone.0178572

http://scihub22266oqcxt.onion/10.1371/journal.pone.0178572
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suck abstract from ncbi


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pmid28654684
      PLoS+One 2017 ; 12 (6 ): e0178572
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  • Intravenous immunoglobulin therapy in kidney transplant recipients with de novo DSA: Results of an observational study #MMPMID28654684
  • Matignon M ; Pilon C ; Commereuc M ; Grondin C ; Leibler C ; Kofman T ; Audard V ; Cohen J ; Canoui-Poitrine F ; Grimbert P
  • PLoS One 2017[]; 12 (6 ): e0178572 PMID28654684 show ga
  • BACKGROUND: Approximately 25% of kidney transplant recipients develop de novo anti-HLA donor-specific antibodies (dnDSA) leading to acute antibody-mediated rejection (ABMR) in 30% of patients. Preemptive therapeutic strategies are not available. METHODS: We conducted a prospective observational study including 11 kidney transplant recipients. Inclusion criteria were dnDSA occurring within the first year after transplant and normal allograft biopsy. All patients were treated with high-dose IVIG (2 g/kg 0, 1 and 2 months post-dnDSA). The primary efficacy outcome was incidence of clinical and subclinical acute ABMR within 12 months after dnDSA detection as compared to a historical control group (IVIG-). RESULTS: Acute ABMR occurred in 2 or 11 patients in the IVIG+ group and in 1 of 9 patients in the IVIG- group. IVIG treatment did not affect either class I or class II DSA, as observed at the end of the follow-up. IVIG treatment significantly decreased Fc?RIIA mRNA expression in circulating leukocytes, but did not affect the expression of any other markers of B cell activation. CONCLUSIONS: In this first pilot study including kidney allograft recipients with early dnDSA, preemptive treatment with high-dose IVIG alone did not prevent acute ABMR and had minimal effects on DSA outcome and B cell phenotype.
  • |*Kidney Transplantation [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Female [MESH]
  • |Graft Rejection/drug therapy/immunology/*prevention & control [MESH]
  • |Graft Survival/*drug effects [MESH]
  • |HLA Antigens/immunology [MESH]
  • |Humans [MESH]
  • |Immunoglobulins, Intravenous/*therapeutic use [MESH]
  • |Isoantibodies/*immunology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pilot Projects [MESH]
  • |Prospective Studies [MESH]
  • |Transplant Recipients [MESH]
  • |Treatment Outcome [MESH]


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